Remote Telephonic Case Manager RN – Massachusetts or Rhode Island

Optum

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Requisition Number: 2212057
Job Category: Nursing
Primary Location: Warwick, RI
(Remote considered)

***$2,500 Sign-on Bonus for External Candidates***

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual’s physical, mental and social needs – helping patients access and navigate care anytime and anywhere.   As a team member of our Landmark product, we help bring home-based medical care to complex, chronic patients. This life-changing work helps give older adults more days at home.  We’re connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together. 

This roles is responsible for clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating).  This includes case management, coordination of care, and medical management consulting.  Function may also be responsible for providing health education, coaching and treatment decision support for members.  Includes Health Coach, Health Educator, and Health Advocate roles that require an RN.

Schedule: Monday – Friday, 8:00 a.m. – 4:30 p.m. with one night staying until 5:00 p.m. and one night leaving at 4:00 p.m.

Location: If you are located in Massachusetts or Rhode Island, you will have the flexibility to work remotely

Primary Responsibilities:

  • Assesses and interprets customer needs and requirements
  • Identifies solutions to non-standard requests and problems
  • Solves moderately complex problems and/or conducts moderately complex analyses
  • Works with minimal guidance; seeks guidance on only the most complex tasks
  • Translates concepts into practice
  • Provides explanations and information to others on difficult issues
  • Coaches, provides feedback, and guides others
  • Acts as a resource for others with less experience

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:

  • Undergraduate degree  or equivalent experience
  • Current unrestricted RN licensure in Massachusetts or Rhode Island

Functional Competencies

  • Conduct Comprehensive, Holistic, or Focused Assessment of Consumer’s Health Care
  • Perform Planning Activities Based on Health Care Assessment
  • Implement Interventions to Achieve Goals
  • Evaluate Effectiveness of Interventions
  • Demonstrate Business and Industry Knowledge
  • Drive Effective Clinical Decisions within a Business Environment

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

Rhode Island Residents Only: The salary range for Rhode Island residents is $58,300 to $114,300 annually. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.