Field RN Case Manager - Home Health Navigator

Optum; Tacoma (WA); On-site; USD 92,000 - 137,000; Full time

Benefits offered by this job

$7,500 Sign-on Bonus for External Cnd.

Benefits package

Job summary

Optum Care at Home in Washington state is seeking a Registered Nurse Case Manager (RNCM) to deliver in-home clinical care as part of an interdisciplinary team. You will assess health needs, plan and implement care, educate patients, and coordinate with PCPs and specialists to ensure comprehensive home-based support.

The role emphasizes collaboration with mental and physical health teams, ongoing documentation in EMR, and active participation in quality initiatives.

Qualifications

• Active unrestricted RN licensure in state of residence and state of assignment.
• 2+ years of relevant experience.
• Experience in assessing the medical needs of patients with complex behavioral, social and/or functional needs.
• Ability to travel up to 75% of the time for field-based work.
• Valid driver’s license and access to reliable transportation.
• Ability to physically navigate home settings, lift 30 pounds.

Responsibilities

• Assess the health status of patients within licensure scope and model of care.
• Establish goals to meet identified health care needs.
• Plan, implement, and evaluate responses to the plan of care.
• Collaborate with interdisciplinary team to address medical, functional, and social barriers to care.
• Bridge gap between mental and physical health with mental health clinicians.
• Review daily on-call reports and coordinate with APC/RN as clinically indicated.
• Consult with PCPs, specialists, or other health professionals as appropriate.
• Refer patients to community resources as needed.
• Document in patient’s electronic medical record and educate patients/families.
• Participate in organizational quality initiatives and interdisciplinary meetings.
• Initiate internal and external referrals as clinically indicated.
• Maintain credentials including licensure, certification and CEUs.

Skills

RN licensure

EMR systems

Home health experience

Travel up to 75%

Education

RN degree

Tools

EMR software

Job description

Optum Care at Home in Washington state is seeking a Registered Nurse Case Manager (RNCM) to deliver in-home clinical care as part of an interdisciplinary team. You will assess health needs, plan and implement care, educate patients, and coordinate with PCPs and specialists to ensure comprehensive home-based support.

The role emphasizes collaboration with mental and physical health teams, ongoing documentation in EMR, and active participation in quality initiatives.