Registered Nurse Field Case Manager -DC, MD, VA
Company: Optum
Location: Washington
Posted on: May 8, 2025
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Job Description:
$5,000 Sign-on Bonus for External Candidates
For those who want to invent the future of health care, here's your
opportunity. We're going beyond basic care to health programs
integrated across the entire continuum of care. Join us to start
Caring. Connecting. Growing together.
The United Healthcare at Home program is a longitudinal, integrated
care delivery program that coordinates the delivery and provision
of clinical care of members in their place of residence. The DSNP
program combines clinicians providing intensive interventions
customized to the needs of each individual, in collaboration with
the Interdisciplinary Care Team, which includes the clinician, the
member's Primary Care Provider and other providers, and other
professionals. -
This position is open to candidates who live in DC, MD, or VA
This is a field-based position in the greater Washington DC area,
expect to spend about 50-75% of your time in the field visiting our
members in their homes or in long-term care facilities in the local
area. You'll need to be flexible, adaptable and, above all, patient
in all types of situations.
Standard Hours: -Monday - Friday normal daytime business hours (no
on-call, no weekends and no holidays required).
Primary Responsibilities:
Assess, plan and implement care management interventions that are
individualized for each member and directed toward the most
appropriate, least restrictive level of care
Develop and implement care plan interventions throughout the
continuum of care as a single point of contact
Communicate with all stakeholders the required health-related
information to ensure quality coordinated care and services are
provided expeditiously to all members
Advocate for members and families as needed to ensure the member's
needs and choices are fully represented and supported by the health
care team
Identify appropriate interventions and resources to meet gaps
(e.g., psychosocial, transportation, long-term care) based on
specific consumer needs from both the health care and psychosocial
/ socioeconomic dimensions of care
Document the plan of care in appropriate EHR systems and enter data
per specified
Maintain consumer engagement by establishing rapport, demonstrating
empathy, and building a trusting relationship
Collaborate with primary providers or multidisciplinary team to
align or integrate goals to plan of care and drive consistent
coordination of care
Provide ongoing support for advanced care planning
Reassess plan of care at appropriate intervals based on initial
objectives, significant change of condition, or achievement of
goals
Understand and operate effectively/efficiently within
legal/regulatory requirements
Utilize evidence-based guidelines (e.g., medical necessity
guidelines, practice standard)
Make outbound calls and receive inbound calls to assess members'
current health status
Identify gaps or barriers in treatment plans
Provide member education to assist with self-management
Make referrals to outside sources
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
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 Registered Nurse license in Washington DC or
willing to obtain within 90 days of hire
Certified in Basic Life Support
2+ years of experience working with MS Word, Excel and Outlook
1+ years of experience in post - acute care, such as long-term
care
1+ years of clinical case management experience
1+ years of experience with using an Electronic Medical Record
Valid Driver's License and access to reliable transportation
Ability to work in a field-based capacity in Washington, D.C.
Reside within 50 miles of Washington, DC
Preferred Qualifications:
Certified Case Management (CCM)
1+ years of experience working with the geriatric population
1+ years of LTSS (Long Term Services and Supports)
1+ years of HCBS (Home and Community Based Services) experience
Field based experience going into members' homes
Experience creating care plans
Case Management experience
Background in managing populations with complex medical or
behavioral needs
The salary range for this role is $59,500 to $116,600 annually
based on full-time employment. Pay is based on several factors
including but not limited to local labor markets, education, work
experience, certifications, etc. UnitedHealth Group complies with
all minimum wage laws as applicable. 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.
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.
OptumCare 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. - -
OptumCare is a drug-free workplace. Candidates are required to pass
a drug test before beginning employment. -
Keywords: Optum, Washington DC , Registered Nurse Field Case Manager -DC, MD, VA, Healthcare , Washington, DC
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