Remote Medical Behavioral RN Case Manager

Optum; Arlington (VA); Remote; USD 60,000 - 107,000; Full time

Job summary

UnitedHealth Group is seeking an experienced Behavioral Integration Nurse Case Manager to act as the clinical liaison between OptumCare/Care Delivery and the clinical network. The role focuses on assessing, coordinating, and evaluating care plans to achieve quality, cost-effective outcomes for members.

Responsibilities include field visits, on-site assessments, and collaboration with nurses, physicians, and care coordinators. Travel up to 75% locally is required; remote work options may apply.

Qualifications

• Active, unrestricted RN license required.
• RN with 2+ years of experience.
• Proficient computer skills including Microsoft Word.
• Proven ability to communicate with all levels of the organization.
• HIPAA compliance and confidentiality required.

Responsibilities

• Screen and identify high-risk members for care management.
• Perform member evaluations and onsite visits as needed.
• Develop individualized care plans compliant with CMS regulations.
• Coordinate with interdisciplinary teams to determine acuity of behavioral health concerns.
• Document findings accurately in EMR and CMS-regulated systems.
• Advocate for members and coordinate with providers and community resources.

Skills

Communication

Customer service

Team player

Problem solving

Interpersonal skills

Education

RN license

Tools

Microsoft Word

Job description

UnitedHealth Group is seeking an experienced Behavioral Integration Nurse Case Manager to act as the clinical liaison between OptumCare/Care Delivery and the clinical network. The role focuses on assessing, coordinating, and evaluating care plans to achieve quality, cost-effective outcomes for members.

Responsibilities include field visits, on-site assessments, and collaboration with nurses, physicians, and care coordinators. Travel up to 75% locally is required; remote work options may apply.