Registered Nurse Field Case Manager

Responsibilities

• Assess, plan, and implement individualized care management interventions for members in their homes or long-term care facilities
• Develop and implement care plans throughout the continuum of care as a single point of contact
• Communicate health-related information to stakeholders to ensure quality coordinated care
• Advocate for members and families to ensure their needs and choices are supported by the healthcare team
• Identify psychosocial, transportation, and long-term care resource gaps to meet specific consumer needs
• Document care plans and data accurately within Electronic Medical Record (EMR) systems
• Collaborate with primary providers and multidisciplinary teams to align care goals
• Provide member education regarding condition self-management and medication reviews
• Conduct outbound and inbound calls to assess current health status and identify barriers to treatment

Requirements

• Current unrestricted Registered Nurse license in Washington D.C. (or ability to obtain within 90 days)
• Basic Life Support (BLS) certification
• 1+ years of experience in post-acute or long-term care
• 1+ years of experience using Electronic Medical Records (EMR)
• 2+ years of experience with MS Office (Word, Excel, and Outlook)
• Valid Driver's License and access to reliable transportation
• Ability to work in a field-based capacity (50-75% travel to member homes/facilities)
• Must reside within 50 miles of Washington, D.C.

Preferred Qualifications

• Certified Case Management (CCM) credential
• 1+ years of Clinical Case Management experience
• 1+ years of experience working with the geriatric population
• Experience with Long Term Services and Supports (LTSS) or Home and Community Based Services (HCBS)
• Experience creating comprehensive care plans
• Background in managing populations with complex medical or behavioral needs

Benefits

• Comprehensive health plans and wellness coverage
• Retirement planning and 401k contributions
• Incentive and recognition programs
• Equity stock purchase options

About the Company

Optum Home & Community Care, part of the Optum family of businesses, is creating an integrated care model that holistically addresses physical, mental, and social needs. We help patients navigate the healthcare system and connect them to key support services to help them stay well at home.