Telephonic RN Case Manager: Complex Care & Benefits

UnitedHealth Group; Washington; Remote; USD 92,000 - 137,000; Full time

Job summary

UnitedHealth Group is seeking a Telephonic RN Case Manager in Seattle, WA. In this role you will conduct telephonic assessments, develop person-centered care plans, and coordinate care across Medicare, Medicaid, and community programs.

The ideal candidate has an active RN license for WA, at least 2 years of RN experience, and a valid driver's license. Residency in Washington is required; this is a full-time day shift position with salary range $91,500–$137,300 annually.

Qualifications

• Active, unrestricted RN license to practice in Washington state.
• 2+ years of professional RN experience.
• Experience coordinating care for patients with complex needs.
• Experience with Medicaid Long-Term Services and Supports or related programs.
• Experience in case management or similar settings.

Responsibilities

• Conduct comprehensive telephonic assessments of members' needs.
• Develop, implement, and reassess individualized, person-centered care plans.
• Coordinate care across Medicare, Medicaid, and community-based programs.
• Identify gaps in care and connect members with appropriate resources.
• Facilitate safe transitions between care settings.
• Assess changes in condition and partner with care teams.
• Respond to member escalations involving various stakeholders.
• Provide education on conditions, medications, and available benefits.
• Advocate for members and caregivers in care planning.
• Document assessments and interventions accurately in electronic systems.

Skills

RN clinical experience

Care coordination

Education

Active RN license for WA/Multistate license

Job description

UnitedHealth Group is seeking a Telephonic RN Case Manager in Seattle, WA. In this role you will conduct telephonic assessments, develop person-centered care plans, and coordinate care across Medicare, Medicaid, and community programs.

The ideal candidate has an active RN license for WA, at least 2 years of RN experience, and a valid driver's license. Residency in Washington is required; this is a full-time day shift position with salary range $91,500–$137,300 annually.