Complex Case Manager

About This Role The Complex Case Manager at UnitedHealth Group will provide comprehensive care management for Idaho members, focusing on communication, education, and support for individuals with complex healthcare needs. This role is ideal for those looking to make a significant impact on patient care while enjoying the flexibility of remote work. Highlights Pay: $29 - $52/hour Location: Boise, ID Schedule: Full Time, Day shift What You'll Do Provide Complex Care Management for Idaho members through close communication by phone. Support members with condition education, medication reviews, and connections to covered benefits and community resources. Assist members with the transition from a care facility back to their home. Support NCQA Care Management requirements through assessment, care planning, member outreach, coordination, monitoring, and documentation. Collaborate with each member's assigned Care Coordinator to align outreach and care plan activities. Meet Idaho-specific contractual requirements related to care management and member-centered coordination. Support Idaho health plan in obtaining NCQA certification. Requirements Education: Current, unrestricted RN in the applicant's state of residence Experience: 2+ years clinical experience in a hospital, acute care, home health/hospice, direct care, or case management 1+ years of experience directly working with individuals with special healthcare needs Licenses & Certifications: Current RN License in the applicant's state of residence About UnitedHealth Group UnitedHealth Group is a leading healthcare provider committed to delivering exceptional patient care. They focus on simplifying the healthcare experience and improving health outcomes for individuals across the country. #J-18808-Ljbffr