RN Case Manager - Remote California

About This Role The RN Case Manager position is responsible for providing professional nursing care by assessing, planning, implementing, and evaluating the care of patients. This role is ideal for nurses who thrive in a remote environment and are passionate about improving health outcomes. Highlights Location: Anaheim, CA Schedule: Full Time, Monday - Friday, 8:00 a.m. - 4:30 p.m. PST Work Style: Fully remote Pay: $29 - $52 per hour What You’ll Do Prioritize patient care needs upon initial visit and address emerging issues Meet telephonically with patients, families, and caregivers to discuss care and treatment plans Identify and assist with the follow-up of high‑risk patients in various settings Consult with physicians and team members to ensure successful implementation of care plans Use protocols and pathways to optimize clinical outcomes and minimize unnecessary institutional care Monitor and coach patients using motivational interviewing techniques Oversee provisions for discharge from facilities to maintain continuity of care Work in coordination with the care team and demonstrate accountability with patient management Discuss Durable Power of Attorney (DPOA) and advanced directive status with patients when applicable Maintain effective communication with physicians, hospitalists, and patients Provide accurate information to patients regarding resources available through health plan benefits Participate actively in Monthly Care Management Department meetings and daily huddles Document pertinent patient information and Care Management Plan in Electronic Health Record Coordinate care with central departments on assigned patient caseload Maintain concise and accurate documentation to decrease Emergency and hospital readmissions Adhere to departmental policies and procedures, including HIPAA standards Participate in training all new care managers Requirements Education: Graduation from an accredited school of nursing Experience: 1+ years of care management, utilization review, or discharge planning experience 1+ years of labor and delivery or obstetrical nursing experience (high‑risk perinatal, antepartum) Licenses & Certifications: Active, unrestricted Registered Nurse license through the State of California AND state of residence About UnitedHealth Group UnitedHealth Group is a leading healthcare provider committed to delivering exceptional patient care. They focus on helping people live healthier lives and making the health system work better for everyone. The organization values inclusion and is dedicated to improving health outcomes for all communities. #J-18808-Ljbffr IntelliResume