Remote RN: Behavioral Health Care Manager

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

Benefits offered by this job

Benefits package

Equity stock purchase

401k contribution

Job summary

UnitedHealth Group is seeking a Behavioral Integration Nurse Case Manager to act as a clinical liaison across care networks, with field and remote work options in Washington. The role focuses on coordinating comprehensive care plans for high-need members.

You will perform evaluations, coordinate with providers, document in EMR, and educate members while following CMS and HIPAA guidelines. Travel up to 75% locally is required; strong communication and teamwork are essential.

Qualifications

• Active and unrestricted nursing license.
• RN with 2+ years of experience.
• Proficient computer skills and working knowledge of Microsoft Word.
• Strong communication with all levels of the organization.
• Ability to travel locally up to 75% for patient home visits.
• Valid driver's license and reliable transportation.

Responsibilities

• Screens and identifies high-risk members who will benefit from care management and monitors utilization; referrals may come from various sources.
• Performs member evaluations and onsite visits in telephonic, home, clinic, hospital, and skilled nursing settings.
• Performs comprehensive assessments and identifies high-risk symptoms/diagnoses to plan interventions.
• Documents findings and develops individualized care plans compliant with CMS regulations.
• Uses clinical skills to meet health, behavioral health, and psychosocial needs, providing coaching and education.
• Documents status, diagnosis, medications, treatment plan, goals, and progress in EMR.
• Advocates for members and families to ensure needs are represented by the care team.
• Attends interdisciplinary team meetings with nurses, physicians, and coordinators.
• Collaborates with providers to determine acuity and refer to community resources.
• Facilitates MD consultation on complex cases.
• Applies Nursing/Counseling/Social Work theory to improve member functioning.
• Manages assigned caseload efficiently.

Skills

Communication skills

HIPAA compliance

Critical thinking

Team collaboration

Tools

Microsoft Word

Job description

UnitedHealth Group is seeking a Behavioral Integration Nurse Case Manager to act as a clinical liaison across care networks, with field and remote work options in Washington. The role focuses on coordinating comprehensive care plans for high-need members.

You will perform evaluations, coordinate with providers, document in EMR, and educate members while following CMS and HIPAA guidelines. Travel up to 75% locally is required; strong communication and teamwork are essential.