About the Company
UnitedHealth Group is a diversified health and well-being company dedicated to helping people live healthier lives and making the health system work better for everyone. We serve millions of people worldwide with a wide range of health care products and services through two distinct platforms: Optum and UnitedHealthcare. Our commitment to innovation, compassion, and excellence drives our mission to improve global health outcomes. Join a team where your work can make a real difference in the lives of individuals and communities.
Job Description
We are seeking a highly motivated and experienced Registered Nurse (RN) Case Manager to join our remote team. This is a unique opportunity to work from anywhere in the USA, providing comprehensive case management services to a diverse patient population. As an RN Case Manager, you will be instrumental in coordinating care, advocating for patients, and ensuring optimal health outcomes by guiding them through complex healthcare systems. You will collaborate with patients, families, and healthcare providers to develop and implement individualized care plans, focusing on quality, cost-effectiveness, and patient satisfaction. This role requires excellent communication, critical thinking, and organizational skills, along with a passion for patient advocacy.
Key Responsibilities
- Conduct comprehensive assessments of patient needs, including physical, psychological, social, and financial factors.
- Develop, implement, and monitor individualized care plans in collaboration with patients, families, and healthcare teams.
- Coordinate patient care across various settings, including acute care, post-acute care, and home health services.
- Educate patients and families on their health conditions, treatment options, and self-management strategies.
- Facilitate communication and collaboration among all members of the healthcare team.
- Identify and address barriers to care, including social determinants of health.
- Monitor patient progress and revise care plans as necessary to ensure optimal outcomes.
- Advocate for patients' rights and needs, ensuring they receive appropriate and timely care.
- Maintain accurate and thorough documentation of all case management activities in compliance with regulatory standards.
- Participate in interdisciplinary team meetings and contribute to program development and quality improvement initiatives.
Required Skills
- Active, unrestricted Registered Nurse (RN) license in one of the 50 US states.
- Minimum of 3 years of clinical nursing experience.
- Proven experience in case management, care coordination, or utilization management.
- Strong understanding of healthcare systems, including managed care and community resources.
- Excellent written and verbal communication skills.
- Proficiency in using electronic health records (EHR) and other healthcare technology platforms.
- Ability to work independently and manage a diverse caseload effectively.
- Strong critical thinking, problem-solving, and decision-making abilities.
- Empathy and strong patient advocacy skills.
- High-speed internet access and a dedicated home office space suitable for remote work.
Preferred Qualifications
- Bachelor of Science in Nursing (BSN) degree.
- Certified Case Manager (CCM) certification or other relevant certifications (e.g., ACM).
- Experience with telephonic case management.
- Familiarity with Medicare, Medicaid, and commercial insurance guidelines.
Perks & Benefits
- Comprehensive medical, dental, and vision insurance.
- 401(k) retirement plan with company match.
- Paid time off and holidays.
- Flexible spending accounts (FSA) and health savings accounts (HSA).
- Life insurance and disability coverage.
- Employee assistance program (EAP).
- Tuition reimbursement and continuing education opportunities.
- Wellness programs and initiatives.
- Opportunities for professional growth and career advancement within a leading healthcare organization.
- Access to state-of-the-art remote work tools and technology.
How to Apply
If you are interested in this position, please click the "Apply Now" button below. To ensure your application is properly considered, please prepare the following:
- An up-to-date Resume or CV
- A brief cover letter summarizing your experience and motivation
Applications are reviewed on a rolling basis. Only shortlisted candidates will be contacted for an interview.
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