In-Home RN Case Manager — Field-Based Care Navigator

Jobtome; Bainbridge Island (WA); On-site; USD 92,000 - 137,000; Full time

Benefits offered by this job

Sign-on bonus

Benefits package

401k contribution

Incentive programs

Job summary

Optum Home & Community Care is seeking a Registered Nurse Care Manager to join the Care at Home program and work within an interdisciplinary team to deliver in-home care. You will assess patients, plan care, and coordinate services to support medical, behavioral, and social needs.

The role requires an active RN license, at least 2 years of relevant experience, EMR proficiency, and the ability to travel up to 75% to patient homes. Benefits include a comprehensive package and 401k.

Qualifications

• Active unrestricted RN licensure in state of residence and state of assignment.
• 2+ years of relevant experience.
• Experience in assessing medical needs of patients with complex behavioral, social and/or functional needs.
• Proven ability to work with diverse care teams in various settings including patient homes.
• Solid computer skills, including use of Electronic Medical Records.

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 the interdisciplinary team to address medical, functional, and social barriers.
• Work with mental health clinicians to bridge mental and physical health.
• Consult with PCPs, specialists, or other health care professionals as appropriate.
• Assess patient needs for community resources and make appropriate referrals.
• Document in the patient's electronic medical record and provide counseling/education.

Skills

RN licensure

Home health

EMR systems

Travel-ready

Job description

Optum Home & Community Care is seeking a Registered Nurse Care Manager to join the Care at Home program and work within an interdisciplinary team to deliver in-home care. You will assess patients, plan care, and coordinate services to support medical, behavioral, and social needs.

The role requires an active RN license, at least 2 years of relevant experience, EMR proficiency, and the ability to travel up to 75% to patient homes. Benefits include a comprehensive package and 401k.