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Medicaid RN Case Manager - Telecommute from Seattle, WA

UnitedHealth Group

Seattle, WA
Job Code:
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Job Details

730415 Medicaid RN Case Manager Telecommute from Seattle WA

Medicaid RN Case Manager - Telecommute from Seattle, WA (730415)

Position Description

Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. This is the place to do your life's best work.(sm)
The territory for this position is the greater Seattle, WA area.  When not in the field, this will be a telecommute / work from home position.  You will be in the field approximately 20% of the time meeting with members and working from home when not in the field.  The shift for this position is Monday - Friday, 8am - 5pm local time.

As a Field-Based and Telephonic High Risk Case Manager, you'll wear many hats, and work in a variety of environments. Sometimes, you'll interact with members leaving the hospital - possibly with new medications or diagnoses. Or perhaps you'll perform home visits, assisting members with safe, effective transitions from care environments to where they live. 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.

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.

Primary Responsibilities:
  • Visit Medicaid and Dual SNP members in their homes and/or other settings, including community centers, hospitals or providers' offices
  • Making outbound calls to assess members' current health status
  • Help members understand their benefits
  • Identifying gaps or barriers in treatment plans
  • Provide a complete continuum of quality care through close communication with members via in-person or on-phone 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

This position will require active and unrestricted Nursing licensure in multiple US States.  Selected candidate must be willing and able to obtain and maintain multiple state licensure. (Application fees and filing costs paid for by UHG)   

Required Qualifications:
  • Current, unrestricted RN license in the state of Washington
  • Multiple state licensure (in addition to Compact License if applicable) or ability to obtain multiple state nursing licenses required
  • Ability to travel to member homes or other locations within the greater Seattle, WA area
  • 3+ years RN nursing experience in a hospital, acute care, home health/hospice, direct care or case management
  • Computer/typing proficiency to enter/retrieve data in electronic clinical records; experience with email, internet research, use of online calendars and other software applications
  • Must live within a commutable distance (50 minutes or 50 miles) of the greater Seattle, WA area
Preferred Qualifications:
  • Case Management experience
  • CCM / Certification in Case Management
  • Home care/field based case management
  • Experience working with High Risk patients
  • Medicaid, Medicare, Managed Care experience
  • Experience working in a Med Surg environment
  • Experience working with the needs of vulnerable populations who have chronic or complex bio-psychosocial needs
  • Experience in Home & Community based or Long Term Care services delivery
  • Problem solving skills; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action
  • Ability to communicate complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)


Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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.

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



Job Keywords: Nurse, RN, Case Manager, Care Coordinator, Telecommute, Work From Home, Virtual, Seattle, WA, Washington, CCM, Home Health, Acute Care, Hospice, Med Surg, Olympia, Tacoma

Job Details

  • Contest Number730415
  • Job TitleMedicaid RN Case Manager - Telecommute from Seattle, WA
  • Job FamilyNursing
  • Business SegmentOptum Operations

Job Location Information

  • Seattle, WA
    United States
    North America
  • Other LocationsTacoma, WA
    Olympia, WA

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionYes
  • Overtime StatusExempt

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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