Medical Behavioral RN Case Manager - Remote/Field

IntelliResume; Utah; Remote; USD 60,000 - 107,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase and 401k

Job summary

UnitedHealth Group is seeking a Medical Behavioral Integration Nurse Case Manager (MBI NCM) in Layton, UT. This full-time, day-shift, field-based role focuses on assessing, planning, coordinating, and evaluating care to meet members’ health needs.

Responsibilities include screening high-risk members, onsite evaluations, and CMS-compliant care plans, with collaboration across multidisciplinary teams to advocate for members’ well-being.

Qualifications

• Active RN license in good standing.
• 4+ years of nursing experience.
• 2+ years in field-based case management preferred.

Responsibilities

• Screen and identify high-risk members for care management.
• Conduct member evaluations and onsite visits.
• Perform comprehensive assessments for high-risk cases.
• Document findings and develop care plans meeting CMS regulations.
• Coordinate with healthcare teams and advocate for members.

Skills

Nursing

Case management

CMS regulations

Education

RN license

Job description

About This Role

The Medical Behavioral Integration Nurse Case Manager (MBI NCM) serves as a clinical liaison between OptumCare and its customers, integrating a collaborative process to assess, plan, implement, coordinate, monitor, and evaluate options and services to meet members' health needs.

Highlights

• Pay: $60,200 - $107,400/year
• Location: Layton, UT
• Schedule: Full Time, Day shift
• Work Style: Field-based

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/diagnoses.
• 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 plan, 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 consultation on complex cases using professional knowledge and critical thinking.
• Manage assigned case load efficiently and effectively.

Requirements

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

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase and 401k contribution

About UnitedHealth Group

UnitedHealth Group is a leading healthcare provider committed to delivering exceptional patient care. They strive to help people live healthier lives and make the health system work better for everyone, addressing health disparities and improving health outcomes.