Registered Nurse, Case Manager - Remote

You will complete telephonic comprehensive nursing assessments, create care plans, participate in interdisciplinary team meetings, evaluate patient care needs, and coordinate care and benefits. You will manage patients within the California market and must be able to work PST business hours. Remote work is possible from anywhere within the U.S.* Primary Responsibilities Meets telephonically with patients, patients' families, and caregivers as needed to discuss care and treatment plans Outreaches patients after a hospital discharge to ensure post‑discharge needs are met Consults with the physician and other team members to ensure that the care plan is successfully implemented Uses protocols and pathways in line with established disease management and care management programs to optimize clinical outcomes and minimize unnecessary institutional care Monitors and coaches patients using motivational interviewing techniques and behavioral change to maximize self‑management Oversees provisions for discharge from facilities, including follow‑up appointments, home health, social services, transportation, etc., to maintain continuity of care Works in coordination with the care team and demonstrates accountability with patient management and outcome Discusses Durable Power of Attorney (DPOA) and advanced directive status with patient and PCP when applicable Maintains effective communication with the physicians, hospitalists, extended care facilities, patients and families Provides accurate information to patients and families regarding resources available to them through health plan benefits, community resources, and referrals Participates actively in Monthly Care Management Department meetings and daily huddles Documents pertinent patient information and Care Management Plan in the Electronic Health Record Coordinates care with central departments on assigned patient caseload, including inpatient, long‑term care facilities, adult family homes, and home health agencies Demonstrates a thorough understanding of the cost consequences resulting from Care Management decisions through utilization reports and systems such as Health Plan Benefits, CM dashboards and reports Maintains concise and accurate documentation that supports effective and efficient management of care plans to decrease emergency and hospital readmissions Adheres to departmental policies and procedures and protects the patient’s protected health information (PHI) only in accordance with HIPAA standards Participates in training all new care managers Required Qualifications Graduation from an accredited school of nursing Active, unrestricted Registered Nurse license through the State of California 1+ years of experience in a clinical setting or care management Intermediate level experience in Microsoft products including Word, Excel, and Outlook Ability to work PST business hours Preferred Qualifications Bachelor of Science in Nursing (BSN) Telehealth certification 3+ years of experience working in acute care 1+ years of care management, utilization review or discharge planning experience HMO experience Ability to type 45 wpm Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc.

The hourly pay for this role will range from $28.94 to $51.63 per hour based on full‑time employment. In addition to your salary, benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution are offered (all benefits are subject to eligibility requirements). We comply with all minimum wage laws as applicable. *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

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. #J-18808-Ljbffr