Field RN Case Manager – In-Home Medicaid LTSS

UnitedHealth Group; Seattle (WA); Hybrid; USD 60,000 - 107,000; Full time

Job summary

UnitedHealth Group in Washington state is seeking a Registered Nurse Case Manager for a hybrid role combining field visits and telephonic care coordination. The position focuses on Medicaid LTSS/DSNP populations across WA and CO, delivering in-home assessments, individualized care planning, and ongoing case management by an interdisciplinary team.

Responsibilities include collaborating with nurses, PCPs, and community partners, managing transitions of care, and documenting in EMR.

Qualifications

• Active unrestricted RN licensure in state of residence and state of assignment, compact licensure or ability to obtain individual state RN licensure to support Care at Home markets.
• 2+ years of experience as a Registered Nurse.
• Experience in assessing the medical needs of patients with complex behavioral, social and/or functional needs.
• Experience with Medicaid Long Term Care, LTSS, Home-and Community-Based Services, or a closely related Medicaid care management program.
• Proven ability to work with diverse care teams in a variety of settings including non-clinical settings (primarily patient homes).
• Demonstrated solid computer skills, including use of Electronic Medical Records.
• Ability to physically navigate home settings, lift 30 pounds.
• Ability to travel up to 75% of the time throughout assigned Washington service areas for field-based member visits; valid driver's license and reliable transportation required.

Responsibilities

• Conduct in-home assessments and care coordination visits across Washington State (75% of time).
• Provide telephonic case management for Care at Home members in WA and CO (25%).
• Assess health status 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.

Skills

RN licensure

RN experience

Medicaid LTSS experience

EMR proficiency

team collaboration

travel 75%

valid driver's license

Job description

UnitedHealth Group in Washington state is seeking a Registered Nurse Case Manager for a hybrid role combining field visits and telephonic care coordination. The position focuses on Medicaid LTSS/DSNP populations across WA and CO, delivering in-home assessments, individualized care planning, and ongoing case management by an interdisciplinary team.

Responsibilities include collaborating with nurses, PCPs, and community partners, managing transitions of care, and documenting in EMR.