Telephonic RN Case Manager, Optum Care - Remote in WA

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.

• 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

• 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

• 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

United Health 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.