Remote Complex Care Manager - RN

Unitedhealthcare; Boise (ID); Remote; USD 40,000 - 72,000; Full time

Job summary

UnitedHealthcare is seeking a Registered Nurse to provide Complex Care Management for Idaho members. You’ll educate, review medications, and connect members with covered benefits and community resources, working closely with Care Coordinators.

This remote role allows telecommuting from anywhere in the U.S. while meeting Idaho requirements. You will help transition members from facilities to home and support NCQA Care Management activities with care planning, outreach, and documentation.

Qualifications

• Current, unrestricted RN in the applicant's state of residence.
• 2+ years clinical experience in a hospital, acute care, home health/hospice, direct care or case management
• 1+ years of experience directly working with individuals with special healthcare needs
• Intermediate level of proficiency with computer/typing to enter/retrieve data in electronic clinical records; experience with email, internet research, use of online calendars and other software applications
• Access to high-speed internet from home
• Ability to support Idaho members while working remotely from anywhere within the U.S.; Idaho residency is not required

Responsibilities

• Provide Complex Care Management for Idaho members through close communication by phone
• Support members with condition education, medication reviews and connections to covered benefits, community resources and long-term services and supports, when applicable
• Assist members with the transition from a care facility back to their home
• Support NCQA Care Management requirements through UHC's Care Management program, including assessment, care planning, member outreach, coordination, monitoring and documentation
• Collaborate with each member's assigned Care Coordinator to align outreach, care plan activities, service coordination, follow-up needs and escalation pathways
• Meet Idaho-specific contractual requirements related to the delivery of care management and member-centered coordination
• Support Idaho health plan in obtaining NCQA certification

Skills

2+ years clinical experience in a hos­

1+ years of experience with special HC

Proficiency with EMR data entry / web/

Home internet access

Remote Idaho member support

Education

Bachelor's degree

Certification in Case Management (CCM)

Job description

UnitedHealthcare is seeking a Registered Nurse to provide Complex Care Management for Idaho members. You’ll educate, review medications, and connect members with covered benefits and community resources, working closely with Care Coordinators.

This remote role allows telecommuting from anywhere in the U.S. while meeting Idaho requirements. You will help transition members from facilities to home and support NCQA Care Management activities with care planning, outreach, and documentation.