Case Manager RN

RN Care Coordinator Optum Insight ACO Practice Extend Team needs an RN Care Coordinator to work alongside a Clinical Pharmacist and a Clinical Administrative Coordinator. The role focuses on managing patients attributed to provider practices, improving health outcomes through care transitions, high‑risk patient management, referral coordination, and site‑of‑service utilization. Your work will involve high‑volume telephonic outreach, patient education, and coordination with primary care providers, specialists, and the practice extend care team. You will enjoy the flexibility to telecommute* from anywhere within the U.S. Primary Responsibilities Work with a Care Team of a Clinical Pharmacist and Clinical Administrative Coordinator to support patient and provider engagement across care transitions management, care coordination, and medication management activities. Facilitate communication of inpatient discharge information to primary care offices using appropriate technology tools. Conduct post‑discharge outreach for inpatient and emergency department visits, including medication reviews, scheduling timely follow‑up appointments, and providing education on discharge instructions and appropriate sites of care. Guide patients in accessing high‑quality, cost‑effective specialist referrals. Support high‑risk patients by coordinating and scheduling PCP and/or specialist appointments. Provide patients with benefit information and resources upon request. Communicate with provider offices to resolve patient care issues and facilitate communication between practice staff and the care team. Build and maintain strong relationships with participating provider practices by communicating program goals, patient needs, and value‑based care opportunities. Facilitate and/or lead provider‑facing meetings, including onboarding meetings and ongoing collaboration meetings. Required Qualifications Bachelor's degree. Current, active, unrestricted Registered Nurse (RN) license in a Compact License state within the US. 3+ years of experience in Case Management and/or Care Coordination. Advanced proficiency in Microsoft Office, particularly Excel and PowerPoint. Advanced proficiency typing and navigating a Windows‑based environment. Ability to work 1 late shift per week (10 am‑7 pm), standard schedule 8 am‑5 pm. Preferred Qualifications Spanish/English bilingual. Case Management Certification. Experience in a high‑volume outreach or outbound call center environment. Experience in managed care and/or population health management. Soft Skills Ability to quickly learn and manage multiple clinical systems simultaneously. Adaptable, flexible, and able to incorporate frequent process changes into established workflows within a fast‑paced, dynamic environment. *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including local labor markets, education, work experience, certifications, etc. Salary range: $60,200 – $107,400 annually (full‑time). Benefits include a comprehensive package, incentive and recognition programs, equity stock purchase, 401(k) contribution, and more (subject to eligibility). The company complies with all applicable minimum wage laws. UnitedHealth Group 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, protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug‑free workplace. Candidates are required to pass a drug test before beginning employment. #J-18808-Ljbffr