Case Manager RN

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* from anywhere within the U.S. 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

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
• Advanced level of proficiency in Microsoft Office, particularly Excel and PowerPoint
• Advanced 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 - Central, Mountain, or Arizona)

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.

The salary for this role will range from $60,200 to $107,400 annually based on full-time employment.