Remote Behavioral Health RN Case Manager

Optum; Lynnwood (PA); Remote; USD 60,000 - 107,000; Full time

Job summary

Optum is seeking an experienced Behavioral Health Integration Nurse Case Manager to serve as a clinical liaison between OptumCare/Care Delivery and the clinical network. This role coordinates assessments, plans, and services to meet members' health needs, using education, communication and CMS-compliant documentation.

The position offers field and remote work options where allowed, with up to 75% local travel for home visits.

Qualifications

• Active and unrestricted nursing licenses.
• RN with 2+ years of experience.
• Proficient with Microsoft Word.
• Strong written and verbal communication across all levels.
• Willingness to travel locally up to 75% for patient home visits.
• Driver's license and reliable transportation.

Responsibilities

• Screens and identifies high-risk members for care management services.
• Performs member evaluations and onsite visits in multiple settings.
• Conducts comprehensive assessments for high-risk or multi-morbidity members.
• Documents findings and develops individualized care plans compliant with CMS.
• Uses clinical skills to meet health, behavioral health and psychosocial needs.
• Documents status, diagnoses, medications and progress in EMR.
• Advocates for members and families with the health care team.
• Collaborates with interdisciplinary teams and coordinates with providers.
• Facilitates MD consultation on complex cases.
• Applies nursing/counseling/social work theories and ethics.
• Manages assigned caseload efficiently.

Skills

Microsoft Word

Communication skills

Travel up to 75%

Education

RN license

Job description

Optum is seeking an experienced Behavioral Health Integration Nurse Case Manager to serve as a clinical liaison between OptumCare/Care Delivery and the clinical network. This role coordinates assessments, plans, and services to meet members' health needs, using education, communication and CMS-compliant documentation.

The position offers field and remote work options where allowed, with up to 75% local travel for home visits.