RN Case Manager - Remote

Optum; St. Louis (MO); Remote; USD 59,000 - 117,000; Full time

Job summary

Join a forward-thinking company as an RN Case Manager, where you will innovate healthcare by managing patient cases remotely. This role emphasizes integrated health programs, patient advocacy, and collaboration with interdisciplinary teams. You will conduct assessments, develop care plans, and ensure compliance with healthcare standards. With a focus on continuous improvement, this position offers a supportive environment for professional growth. Enjoy the flexibility of remote work while contributing to a mission that prioritizes healthier lives and equitable healthcare solutions.

Benefits

Comprehensive benefits package

Incentives

Stock purchase options

401k contributions

Qualifications

• Current, unrestricted Compact RN license required.
• 3+ years of clinical experience with adults/geriatric populations.

Responsibilities

• Manage patient cases for ongoing engagement and discharge planning.
• Conduct assessments and collaborate with the interdisciplinary care team.
• Guide patients through the healthcare system for ongoing care.

Skills

Clinical experience with adults

Patient advocacy

Care plan development

Motivational interviewing

Discharge planning

Education

Bachelor's Degree in Nursing

Job description

Job Description:

Job information RN Case Manager - Remote from the company Optum. This RN Case Manager - Remote position is located in Remote in St. Louis, MO, United States. The role requires a Bachelor Degree. Job openings in this Nurse field are currently available and published.

Job Responsibilities:

Join us to innovate in healthcare, moving beyond basic care to integrated health programs across the continuum of care. We promote Caring. Connecting. Growing together.

The Nurse Case Manager, RN, manages patient cases for ongoing engagement, discharge planning, transition of care, and outpatient management. Responsibilities include screening, monitoring, developing care and discharge plans, conducting assessments (telephonic and face-to-face), collaborating with an interdisciplinary care team (IDT), acting as patient advocate, and participating in care plan reviews. The role involves guiding patients and families through the healthcare system for transition and ongoing care, working under supervision of an RN Manager or MD.

This position offers the flexibility to work remotely from anywhere in the U.S., with hours from 8 am to 5 pm in your time zone.

Primary Responsibilities:

• Conduct transition of care calls and assessments to ensure discharged patients receive necessary services.
• Serve as a clinical liaison for discharge planning and care needs.
• Make referrals to community resources.
• Engage with patients and caregivers to establish and assess care plans.
• Provide education on self-management and disease management.
• Develop interventions based on evidence-based practices, considering member barriers.
• Use motivational interviewing and review health history to understand patient needs.
• Conduct initial assessments for complex cases within designated timeframes.
• Manage treatment plans and collaborate with healthcare providers.
• Participate in IDT conferences to review care and progress.
• Ensure compliance with NCQA requirements and utilization management processes.
• Contribute to data collection, care gap closure, and quality metrics.
• Maintain up-to-date knowledge of company products and services.
• Manage caseload efficiently, ensuring accurate documentation and quality audit scores.
• Identify opportunities for process improvement in patient care.

The role offers recognition and development opportunities within a supportive environment.

Required Qualifications:

• Current, unrestricted Compact RN license.
• At least 3 years of clinical experience with adults and/or geriatric populations.

Preferred Qualifications:

• Bachelor's Degree in Nursing.
• Certification in Case Management (CCM).
• Experience with complex case management, DSNP NCQA requirements, managed care, or chronic condition management.

Remote employees must adhere to UnitedHealth Group's Telecommuter Policy.

The salary range is $59,500 to $116,600 annually, based on various factors including experience, education, and location. Benefits include a comprehensive package, incentives, stock purchase options, and 401k contributions, subject to eligibility.

Application Deadline:

This job posting remains open for at least 2 business days or until a sufficient candidate pool is reached. It may close earlier depending on applicant volume.

Our mission is to help people live healthier lives and improve the healthcare system for everyone. We are committed to diversity, equity, and inclusion, addressing health disparities, and environmental sustainability.

OptumCare is an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, religion, gender, sexual orientation, gender identity, disability, veteran status, or other protected characteristics. Candidates must pass a drug test prior to employment.

Keywords: St. Louis jobs

Closed Date: 2025-06-01