Case Manager RN

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.

Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

We are looking for an RN Care Coordinator as an addition to the Optum Insight ACO Practice Extend Team. You will work alongside our Care Team’s Clinical Pharmacist and Clinical Administrative Coordinator to improve the health outcomes of the patients we serve.

The RN Care Coordinator is responsible for managing patients attributed to provider practices participating in the Optum Insight ACO. The RN Care Coordinator focuses on care transitions, high risk patient management, referral coordination, and appropriate site-of-service utilization.

This role includes high-volume telephonic outreach, patient education, and coordination with primary care providers (PCPs), specialists, and the Practice Extend care team to ensure high-quality care delivery.

You will enjoy the flexibility to telecommute* within Arizona as you take on some tough challenges.

Primary Responsibilities

Work with a Care Team of a Clinical Pharmacist and Clinical Administrative Coordinator to support patient and provider engagement across care transitions management, care coordination, and medication management activities

Facilitate communication of inpatient discharge information to primary care offices using appropriate technology tools

Conduct post-discharge outreach for inpatient and emergency department visits, including medication reviews, scheduling timely follow up appointments, and providing education on discharge instructions and appropriate sites of care

• Guide patients in accessing high-quality, cost-effective specialist referrals
• Support high-risk patients by coordinating and scheduling PCP and/or specialist appointments
• Provide patients with benefit information and resources upon request

Communicate with provider offices to resolve patient care issues and facilitate communication between practice staff and care team

Build and maintain strong relationships with participating provider practices by communicating program goals, patient needs, and value-based care opportunities

Facilitate and/or lead provider-facing meetings, including onboarding meetings and ongoing collaboration meetings

All Other Duties as Assigned

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

Required Qualifications

Bachelor’s Degree

• Current, active, unrestricted Registered Nurse (RN) license in a Compact License state within the US
• 3+ years of experience in Case Management and/or Care Coordination
• Intermediate level of proficiency in Microsoft Office, particularly Excel and PowerPoint
• Intermediate level of proficiency typing and navigating a Window-based environment simultaneously

Ability to work 1 late shift per week (10am-7pm), standard schedule is 8am-5pm (times reflect the time zone business hours assigned – Arizona time zone)

Preferred Qualifications

• Spanish/English Bilingual
• Case Management Certification
• Experience in a high-volume outreach or outbound call center environment
• Experience in managed care and/or population health management

Soft Skills

Ability to quickly learn and manage multiple clinical systems simultaneously

Adaptable, flexible, and able to incorporate frequent process changes into established workflows within a fast-paced, dynamic environment

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc.

In addition to your salary, we offer 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 us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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

#RPO #GREEN