Remote Complex Care Manager, RN – Care Coordination

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

Benefits offered by this job

Comprehensive benefits package

401k plan

Job summary

UnitedHealthcare is seeking a Remote Complex Care Manager to provide comprehensive care management for Idaho members from anywhere in the U.S. You will educate patients, review medications, and connect them with covered benefits and community resources to promote better health outcomes.

In this role, you will collaborate with Care Coordinators, ensure alignment with NCQA Care Management requirements, and support Idaho plans in NCQA certification efforts.

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

Care coordination

Clinical documentation

Telehealth support

Education

RN license

Bachelor’s degree

Tools

Electronic health records

Email

Online calendars

Job description

UnitedHealthcare is seeking a Remote Complex Care Manager to provide comprehensive care management for Idaho members from anywhere in the U.S. You will educate patients, review medications, and connect them with covered benefits and community resources to promote better health outcomes.

In this role, you will collaborate with Care Coordinators, ensure alignment with NCQA Care Management requirements, and support Idaho plans in NCQA certification efforts.