Case Manager RN per Diem - Remote

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. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. 

Position in this function provides leadership in the coordination of patient centered care across the continuum, develops a safe discharge plan through collaboration with patients and caregivers and multidisciplinary healthcare team. Facilitates episode of care to maximize appropriate level and LOS, patient experience and quality of care., and level of care., and reimbursement for all patients.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. 

Primary Responsibilities:

• Drives to appropriate DRG length of stay, level of care and patient experience, and reimbursement level of care for all patients
• Promotes patient advocacy in an independent care model
• Develops an optimal, l patient individualized, transition plan for patients with goal to reduce readmission and to support continued plan of care, regardless of next level of care 
• Maintains a working knowledge of current care management practices and philosophy; including changes within, care coordination changes, utilization review changes, authorization changes, contracts changes, regulatory requirements, etc.; and serves as an educational resource to all Health System staff regarding utilization review and discharge planning 
• Screens patients for admission, and concurrent medical necessity, and post-acute care needs
• Assessment of physical, psychosocial, & economic needs for transition of care planning to a variety of levels of care; delegates to others as appropriate. Assesses patients who have been identified as needing post needing post-acute transition or care management needs

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:

• Associates Degree
• RN License in the State of Maine, current, unencumbered, or compact state licenses
• BLS certification with American Heart Association
• 1 years of experience of nursing experience 

Preferred Qualifications:

• Demonstrated ability to work in a multi-disciplinary team
• Demonstrated ability to identifies solutions to non-standard requests and problems
• Demonstrated ability to work autonomously and as a high performer 
• Demonstrated ability to solve moderately complex problems and/or conducts moderately complex analyses

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

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The hourly range for this role is $28.03 to $54.95 per hour. 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.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.

Salary : $28 - $55