RN Field Case Manager - Telephonic WA State ONLY
$91,500–$137,300 year
On-siteMesa, Arizona, United States
Job Summary
Assess member health status, establish care goals, and plan responses within the Optum Care at Home model. Collaborate with multidisciplinary teams and mental health clinicians to bridge gaps between physical and social needs. Consult with primary care physicians and specialists, then facilitate patient transitions between settings. Assess community resource needs, make referrals, and provide counseling on disease prevention and follow-up. Complete accurate documentation in the electronic medical record and verify patient understanding of the care plan. Actively participate in quality initiatives and team meetings to optimize care delivery. Maintain current licensure, certifications, and CEUs while adhering to UnitedHealthcare's core values.
Required Qualifications
- Current unrestricted licensure as RN in Washington
- 2+ years of experience as an RN
- Experience in assessing the medical needs of patients with complex behavioral, social and/or functional needs
- Computer skills, including us of Electronic Medical Records
- Proven ability to work with diverse care teams in a variety of settings including non-clinical settings (primarily patient homes)
- Access to reliable home internet
- Access to home office to maintain HIPAA privacy
- Must adhere to UnitedHealth Group's Telecommuter Policy
- Candidates are required to pass a drug test before beginning employment
Desired Qualifications
- Case management certification
- 6+ months Case Management experience
- Home health experience
- Geriatric experience
- Proven excellent administrative and organizational skills and the ability to effectively communicate with seniors and their families
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