Remote Behavioral Health RN Case Manager

Jobtome; Mukilteo (WA); Remote; USD 60,000 - 107,000; Full time

Job summary

UnitedHealth Group in Washington state is seeking an Optumcare Medical Behavioral Integration Nurse Case Manager (MBI NCM) to serve as a clinical liaison between Care Delivery customers and the clinical network.

The role combines assessments, care planning, coordination, and CMS-compliant documentation across multiple settings, including member homes and clinics. A valid RN license and at least two years of experience are required, along with strong communication and HIPAA compliance.

Qualifications

• Active and unrestricted licenses.
• RN with 2+ years of experience.
• Proficient computer skills and good working knowledge of Microsoft Word.
• Proven ability to maintain direct and open communication with all levels of the organization.
• Proven ability to handle sensitive issues with members and providers in a confidential manner according to HIPAA guidelines.
• Demonstrates initiative in achieving individual, team, and organizational goals and objectives.
• Demonstrated ability and flexibility to assume responsibilities and tasks in a constantly changing work environment.
• Ability to travel locally up to 75% of the time for patient home visits.
• Driver's License and access to reliable transportation.

Responsibilities

• Screens and identifies members with high-risk, long term chronic conditions who will benefit from care management services.
• Performs member evaluations and onsite visits as needed in multiple settings, including telephonic, member's homes, PCP/Specialists clinic, hospital, and skilled nursing facilities.
• Documents findings and develops individualized careplans in CMS-compliant format.
• Utilizes advanced clinical skills to make effective decisions to meet health, behavioral health and psychosocial needs.
• Documents patient/family status, diagnosis, medications, treatment plan, goals, interventions, evaluation results, observations and progress in EMR.
• Advocates for members and families to ensure patient needs are represented by the health care team.
• Attends interdisciplinary team meetings and collaborates with providers to determine acuity and referrals.

Skills

RN license

2+ years experience

Microsoft Word

HIPAA compliant

Communication skills

Travel up to 75%

Driver's License

Job description

UnitedHealth Group in Washington state is seeking an Optumcare Medical Behavioral Integration Nurse Case Manager (MBI NCM) to serve as a clinical liaison between Care Delivery customers and the clinical network.

The role combines assessments, care planning, coordination, and CMS-compliant documentation across multiple settings, including member homes and clinics. A valid RN license and at least two years of experience are required, along with strong communication and HIPAA compliance.