Medical Behavioral RN Case Manager - Remote

IntelliResume; Everett (WA); Hybrid; USD 60,000 - 107,000; Full time

Job summary

OptumCare in Everett, WA is seeking an experienced OptumCare Medical Behavioral Integration Nurse Case Manager to serve as a clinical liaison, coordinating and evaluating services to meet members’ health needs.

The role is full-time, day shift, with residency in Washington. A valid RN license and 2+ years in nursing or related case management are required, along with access to reliable transportation. Documentation occurs in EMR; collaboration with the care team is essential.

Qualifications

• Active and unrestricted RN license required.
• 2+ years of nursing experience, preferably in related case management.
• Driver's license and reliable transportation.

Responsibilities

• Screen high-risk members for care management needs.
• Perform evaluations and onsite visits in various settings.
• Develop CMS-compliant, individualized care plans.
• Document findings in electronic medical records with accuracy.
• Advocate for members and coordinate with the healthcare team.
• Collaborate in interdisciplinary meetings for complex cases.

Skills

Clinical assessment

Care coordination

Documentation

Education

RN license

Tools

EMR systems

Job description

About This Role

The Optumcare Medical Behavioral Integration Nurse Case Manager (MBI NCM) serves as a direct clinical liaison between OptumCare and the clinical network, focusing on assessing, planning, implementing, coordinating, monitoring, and evaluating services to meet members' health needs.

Highlights

• Pay: $60,200 - $107,400/year
• Location: Everett, WA
• Brand/Division: OptumCare
• Schedule: Full Time, Day shift
• Residency: Must reside in Washington

What You'll Do

• Screen and identify members with high-risk, long-term chronic conditions for care management services.
• Perform member evaluations and onsite visits in various settings.
• Conduct comprehensive assessments for members with high-risk symptoms and multiple co-morbidities.
• Document findings and develop individualized care plans compliant with CMS regulations.
• Utilize advanced clinical skills to meet members' health, behavioral health, and psychosocial needs.
• Document patient/family status, diagnosis, treatment plans, and progress in electronic medical records.
• Advocate for members and families to ensure their needs are represented by the healthcare team.
• Attend interdisciplinary team meetings regarding patient care and collaborate with providers.
• Facilitate MD consultations on complex cases using professional knowledge and critical thinking.
• Manage assigned case load efficiently and effectively.

Requirements

• Education: Active and unrestricted RN license required
• Experience: 2+ years of experience in nursing, preferably in a related field-based case management
• Licenses & Certifications: RN (Registered Nurse) - State Licensure required
• Driver's License and access to reliable transportation

About UnitedHealth Group

UnitedHealth Group is a leading healthcare provider committed to delivering exceptional patient care. They focus on helping people live healthier lives and improving the health system for everyone. The organization is dedicated to addressing health disparities and improving health outcomes.