Telephonic RN Case Manager, Optum Care at Home - Remote in WA

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

About This Role

As a Telephonic RN Case Manager, you will serve as a primary point of contact for members with complex medical, behavioral health, functional, social, and long-term services and supports needs. This role is ideal for those who excel in a high-volume, customer service environment and are focused on patient care.

Highlights

• Pay: $91,500 - $137,300/year
• Location: Seattle, WA
• Brand/Division: Optum Care at Home
• Schedule: Full Time, Day shift
• Residency: Must reside in Washington

What You'll Do

• 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

Requirements

• Education: Active, unrestricted RN license or multistate RN license with legal authority to practice in Washington
• Experience: 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
• Licenses & Certifications: Driver's License and access to reliable transportation

About UnitedHealth Group

UnitedHealth Group is a leading healthcare provider committed to delivering exceptional patient care. They are dedicated to helping people live healthier lives and making the health system work better for everyone through innovative solutions and a focus on inclusivity.