Remote RN Complex Case Manager & Care Coordinator

UnitedHealth Group; Town of Fishkill (NY); Remote; USD 40,000 - 72,000; Full time

Benefits offered by this job

Comprehensive benefits package

Equity stock purchase

401k contribution

Job summary

UnitedHealth Group is seeking an RN Case Manager to join Optum NY, remotely within the United States. The role coordinates referrals, educates high‑risk members, and supports quality improvement programs across the continuum of care.

Requirements include NY RN licensure, BSN or equivalent case management experience, and 3+ years clinical RN experience. The position offers a comprehensive benefits package and telecommuter policy compliance.

Qualifications

• BSN or 5+ years case management experience in lieu of BSN.
• Unrestricted current RN licensure in state of New York.
• 3+ years of diverse clinical RN experience; preferably with acutely ill members with multiple disease conditions.
• 2+ years in health plan case management.
• Experience in remote/telephonic role.
• Proficient in Microsoft Office and Adobe products.

Responsibilities

• Member Care Coordination: Collaborates with physicians and multidisciplinary teams to develop and maintain up to date, coordinated care plans.
• Member Referral Support: Assists physicians, members, and families in obtaining referrals to specialists; provides counseling and support.
• Care Plan Development: Partners with designated physicians to create and maintain individualized Member Care Plans.
• Clinical Improvement: Participates in developing and deploying Coordination of Care activities to enhance clinical experience.
• Liaison Role: Facilitates communication among care team members to address member and physician needs.
• Provider/Member Education: Educates members and care team about benefits and services.

Skills

RN licensure NY

Remote/telephonic experience

Microsoft Office proficiency

Adobe products proficiency

Case management experience

Education

BSN

5+ years case management experience in lieu of BSN

Tools

Microsoft Office

Adobe products

Job description

UnitedHealth Group is seeking an RN Case Manager to join Optum NY, remotely within the United States. The role coordinates referrals, educates high‑risk members, and supports quality improvement programs across the continuum of care.

Requirements include NY RN licensure, BSN or equivalent case management experience, and 3+ years clinical RN experience. The position offers a comprehensive benefits package and telecommuter policy compliance.