RN Case Manager - Remote in New York Job at UnitedHealth Group

UnitedHealth Group New York, NY 10002

$2,500 Sign-On Bonus for External Candidates


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. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm)


Registered Nurses in the Optum at Home program work with patients who reside in their home setting with visit completion virtually. They perform as part of a care team including the ability to refer to a Nurse Practitioner, Behavioral Health Case Manager, Care Navigator and other supporting team members. They deliver role appropriate case management through virtual outreach and consultations, and interdisciplinary team activities.


The Registered Nurse may perform care and counsel of the ill, injured, or infirm, in the promotion and maintenance of health with individuals, groups, or both throughout the life span. They help to manage health problems and coordinate health care for the Optum at Home patients in accordance with State and Federal rules and regulations and the nursing standards of care. This includes (but is not limited to) assessment of health status, development, and implementation of plan of care, and ongoing evaluation of patient status and response to the plan of care. Case management is conducted in collaboration with other care team members.


This is a Monday-Friday, 8:00am-5:00pm EST. This is a work at home position, but you must live in New York state.


If you are located in the state of New York,, you will have the flexibility to work remotely* as you take on some tough challenges.


Primary Responsibilities:

  • Assess the health status of members as within the scope of licensure and with the frequency established in the model of care
  • Establish goals to meet identified health care needs
  • Plan, implement and evaluate responses to the plan of care
  • Work collaboratively the multidisciplinary team to engage resources and strategies to address medical, functional, and social barriers to care
  • Works closely with mental health clinicians to help bridge the gap between mental and physical health
  • Consult with the patient’s PCP, specialists, or other health care professionals as appropriate
  • Assess patient needs for community resources and make appropriate referrals for service
  • Facilitate the patient’s transition within and between health care settings in collaboration with the primary care physician and other treating physicians
  • Completely and accurately document in patient’s electronic medical record
  • Provide patients and family members with counseling and education regarding health maintenance, disease prevention, condition trajectory and need for follow up as appropriate during each patient visit
  • Verify and document patient and/or family understanding of condition, plan of care and follow up recommendations
  • Actively participate in organizational quality initiatives
  • Participate in collaborative multidisciplinary team meetings to optimize clinical integration, efficiency, and effectiveness of care delivery
  • Maintain credentials essential for practice, to include licensure, certification (if applicable) and CEUs
  • Demonstrate a commitment to the mission, core values and goals of UnitedHealthcare and its healthcare delivery including the ability to integrate values of compassion, integrity, performance, innovation and relationships in the care provided to our members


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

Required Qualifications:

  • Current unrestricted licensure as RN in New York
  • 2+ years of experience as an RN
  • 1+ years of Case Management experience
  • Experience in assessing the medical needs of patients with complex behavioral, social and/or functional needs
  • Ability to travel up to 25% of the time for company meetings and training
  • Computer literate and able to navigate the Internet
  • Quiet workspace and access to install secure high-speed internet via cable/DSL in home
  • Reside in New York state


Preferred Qualifications:

  • Proven computer skills, including us of Electronic Medical Records
  • Bilingual
  • Effective time management and communication skills
  • Excellent administrative and organizational skills and the ability to effectively communicate with seniors and their families
  • Ability to work with diverse care teams


Careers with Optum . Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.

New York City, NY Residents Only: The salary range for New York City residents is $56,300 to $110,400. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.


*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy


**PLEASE NOTE** The Sign On Bonus is only available to external candidates. Candidates who are currently working for a UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time, or per diem basis (“Internal Candidates”) are not eligible to receive a Sign On Bonus.

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.




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.




Please Note :
caminobluff.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, caminobluff.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.