Remote RN Case Manager - Telephonic Care Navigator

Optum; Seattle (WA); Remote; USD 92,000 - 137,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive programs

Equity stock purchase

401(k) contribution

Job summary

Optum Care at Home seeks a Telephonic RN Case Manager to assess complex needs and develop customized care plans for members, coordinating across Medicare and Medicaid services. You will work remotely in Washington and attend quarterly in-person staff meetings; licensure and strong documentation skills are essential.

The role emphasizes efficient, patient-centered communication, escalation handling, and collaboration with interdisciplinary teams to maintain safe, home-based care whenever possible.

Qualifications

• Active, unrestricted RN license or multistate license to practice in WA by start date.
• 2+ years of professional RN experience; care coordination emphasis.
• Experience with Medicaid LTSS or home community-based services a plus.
• Proficiency documenting in EHRs while speaking with members by phone.

Responsibilities

• Conduct telephonic assessments of medical, behavioral health, functional and social needs.
• Develop and reassess person-centered care plans reflecting goals and risks.
• Coordinate care across Medicare, Medicaid, primary/specialty care, home health.
• Identify barriers to care and connect members with resources.
• Facilitate safe transitions between care settings and ensure follow-up.
• Document assessments and interventions accurately in care management systems.
• Maintain RN licensure and required credentials.

Skills

Phone communication

Documentation in EHR

Care coordination

Multitasking

Education

RN license (WA)

Tools

Electronic Health Records (EHR)

Job description

Optum Care at Home seeks a Telephonic RN Case Manager to assess complex needs and develop customized care plans for members, coordinating across Medicare and Medicaid services. You will work remotely in Washington and attend quarterly in-person staff meetings; licensure and strong documentation skills are essential.

The role emphasizes efficient, patient-centered communication, escalation handling, and collaboration with interdisciplinary teams to maintain safe, home-based care whenever possible.