Medical Behavioral RN Case Manager - Remote

The Optumcare Medical Behavioral Integration Nurse Case Manager (MBI NCM) serves as a direct clinical liaison between Optum Care and the clinical network, focusing on assessing, planning, implementing, coordinating, monitoring, and evaluating services to meet members' health needs.

• Pay: $60,200 - $107,400/year
• Location: Everett, WA
• Brand/Division: Optum Care
• Schedule: Full Time, Day shift
• Residency: Must reside in Washington

• Screen and identify members with high-risk, long-term chronic conditions for care management services.
• Perform member evaluations and onsite visits in various settings.
• Conduct comprehensive assessments for members with high-risk symptoms and multiple co-morbidities.
• Document findings and develop individualized care plans compliant with CMS regulations.
• Utilize advanced clinical skills to meet members' health, behavioral health, and psychosocial needs.
• Document patient/family status, diagnosis, treatment plans, and progress in electronic medical records.
• Advocate for members and families to ensure their needs are represented by the healthcare team.
• Attend interdisciplinary team meetings regarding patient care and collaborate with providers.
• Facilitate MD consultations on complex cases using professional knowledge and critical thinking.
• Manage assigned case load efficiently and effectively.

• Education: Active and unrestricted RN license required
• Experience: 2+ years of experience in nursing, preferably in a related field-based case management
• Licenses &
  
  Certifications:
  
  RN (Registered Nurse) - State Licensure required
• Driver's License and access to reliable transportation

United Health Group is a leading healthcare provider committed to delivering exceptional patient care. They focus on helping people live healthier lives and improving the health system for everyone. The organization is dedicated to addressing health disparities and improving health outcomes.