Rn Case Manager - Remote

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. 

The Case Manager - Registered Nurse provides ongoing support and expertise through comprehensive assessment, planning, implementation and overall evaluation of individual member needs.  The goal of this position is to enhance the quality of member management and satisfaction, to promote continuity of care and cost effectiveness through the integration and functions of case management, utilization review/management and discharge planning.  It is the purpose of the Case Manager to ensure that the psychosocial needs of the members are met. This position assists members and their families/significant others in making appropriate choices regarding the use of health care services. Case management services will provided telephonically. 

If you are able to work M-F 8a-5p MST and have compact license, you will have the flexibility to work remotely* as you take on some tough challenges. 

Primary Responsibilities:

• Develop a comprehensive care management plan that will address member's individual needs which includes specific objectives, goals and actions
• Prioritizes member care needs upon initial assessment and addresses emerging issues
• Assist members in the management of illness and treatment, monitoring adherence, and proactively investigating and addressing problems that may contribute to non-adherence with the member and other members of the multidisciplinary team
• Integrates, coordinates and advocates for complex mental and physical health care services from a variety of health care providers and settings, within the framework of planned health outcomes  
• Assesses and prioritizes case referrals to assure health plan requirements for outreach and engagement are within expected time frames 
• Monitor the effectiveness of the care management plan and short/long term goals and adjust per member need
• Compiles information from workload and other statistical data to prepare reports that demonstrate health care trends within member population 

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• Active and unrestricted Registered Nurse 
• 3 years of nursing experience
• 1 years of Case Management experience
• Intermediate MS Office Suite skills
• Ability to work Monday- Friday in the hours of 8a-5p MST

Preferred Qualifications:

• Registered Nurse license must be able to be active in in Utah and Idaho upon or once hired
• BSN or above preferred from accredited nursing program
• Case Management Certification

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.    

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.   

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.