Remote RN Case Manager, Transition Care – WA

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Requisition Number: 2229128
Job Category: Medical & Clinical Operations
Primary Location: Seattle, WA
(Remote considered)

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. 

As a Case Manager working with Medicaid / Medicare members you’ll wear many hats, and work in a variety of environments. You’ll interact with members in need of transitional care coordination, possibly with new medications or diagnoses. You may also act as an intermediary between providers and members – serving in numerous roles, such as educator, evaluator, service coordinator, community resource researcher and more. The result? Fewer hospitalizations, ER visits and costly service gaps; and a less stressed, more effective health care system for us all. Want more flexibility, want more autonomy? Work from your own home and coordinate a visiting schedule that is mutually beneficial to you and the members we serve.

What makes your clinical career greater with UnitedHealth Group? You’ll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you’ll open doors for yourself that simply do not exist in any other organization, anywhere.

If you are located in Washington, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

  • Provide a complete continuum of quality care through close communication with members via phone interaction or in-person interaction
  • Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels
  • Assist members with the transition from a care facility back to their home or transition from carceral facility to community
  • May participate in community events related to scope of work
  • Meet NCQA Population Health Management Standards
  • Meet state-specific contractual requirements related to the delivery of care management

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:

  • Current, unrestricted RN license in Washington
  • 3+ years clinical experience in a hospital, acute care, home health/hospice, direct care or case management
  • 1+ years of experience directly working with individuals with special healthcare needs
  • Computer / typing proficiency to enter / retrieve data in electronic clinical records; experience with email, internet research, use of online calendars and other software applications
  • Access to high speed internet from home
  • Dedicated work space from home
  • Reside in Washington (discuss with recruiter)

Preferred Qualifications:

  • Bachelor’s degree or greater
  • Certification in Case Management (CCM)
  • Case Management experience
  • Behavioral Health experience
  • Justice System experience
  • Medicaid, Medicare, Managed Care experience
  • Experience with, members with substance use disorders and members with other complex or multiple chronic conditions
  • Home care / field based case management

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

Washington Residents Only: The hourly range for this role is $28.03 to $54.95 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.