RN Manager Home Care
UnitedHealth Group
UnitedHealth Group is seeking an RN Utilization Manager in Washington, DC, to lead HCBS review for the Optum at Home program within the DSNP framework. You will oversee the clinical team, drive care planning, and ensure compliance with medical necessity reviews while collaborating with health plan partners.
The role requires an unrestricted RN license in DC, 3+ years in utilization management, and ability to travel within the DC area. A BSN and CCM certification are preferred.
#J-18808-Ljbffr UnitedHealth Group
- Optum seeks an RN Utilization Manager to lead the DSNP clinical team in Washington, DC, coordinating HCBS reviews and care planning for members in home-based settings. You will partner with medical directors, providers, and plans to ensure high-quality utilization outcomes...SuggestedWork from home
$115.09k - $172.64k
...office is located at 609 H. Street NE. Job Description The RN Manager - Utilization Management is responsible for managing a team of physical health... ...3 years management experience with direct reports. Managed Care Utilization Management experience, preferably in the...SuggestedFull timeWork experience placementWork at officeLocal areaImmediate start- ...Case Management Services Provide case management services... ...beneficiaries in their homes in accordance with the... ...requests for Level of Care (LOC) assessments and... ...his/her Social Worker or RN practice through formal... ...Operation ~ Utilization of calculator, multi-line...SuggestedLive inLocal area
$91.7k - $163.7k
Optum Home & Community Care, part of the Optum family of businesses, is creating something new... .... The Dual Special Needs Plan (DSNP) Optum at Home program is a longitudinal... ...or nursing home and ongoing care management. The RN Utilization Manager is accountable for HCBS...SuggestedMinimum wageFull timeWork experience placementLocal area- ...Solutions is seeking a Registered Nurse (RN) Care Manager to provide comprehensive care... ...assessments, outreach, and community or home visits ~ Develop, implement, and... ...in care and address over- or under-utilization of services ~ Document care...SuggestedFull timeWork at office
$50 - $58 per hour
...University Place, WA - Hybrid — home, office, and local travel... ...First at Home, a licensed home care agency, is redefining the care... .... We provide caregiving, care management, counseling, and advocacy services... ...role is a good fit for an RN who likes solving practical problems...Hourly payDaily paidFull timePart timeLocal areaHome officeMonday to Friday$32.71 - $53.49 per hour
...LPN Utilization Manager LPN Utilization Manager provides support for the Care Management Department by coordinating and promoting comprehensive, quality, cost-effective care. Utilization and prior authorization background strongly preferred. Primary Duties and Responsibilities...- ...operational delivery of the plan’s case management and coordination programs and... ...as a registered nurse (RN) (required) OR Current,... ...one (1) year case management, home health or discharge planning experience... ...experience in an acute care and/or outpatient setting (required...Full timeTemporary workPart timeWork at officeLocal areaRemote workTrial periodFlexible hours
- Professional Case Management is seeking a dedicated RN Case Manager to join our Healthcare & Medical Services team. In this in-home care role, you will coordinate and deliver skilled nursing services to individuals with complex medical needs, primarily former energy workers...
$150 per hour
...hiring skilled and compassionate Registered Nurses for the Care Team Lead role at 2nd Family Home Care and Support services! [Primarily Remote] 2nd... ...~90-reassessments: $75 + mileage ~ All other client management: $50/client/week ~ Orientation, in-service, or other...Weekly payCurrently hiringRemote workShift work$35 - $50 per hour
...Case Manager (RN) - PRN/Supplemental The Case Manager works under... ...of the clinical director of care management, providing coordination... ...across the continuum. Utilizing a collaborative process, will... ...for patients transitioned to home with home health, community care...Full timeRelief- Ergo Solutions seeks a licensed RN to admit, transfer, recertify, and discharge home health patients using Oasis, per physician orders, and to coordinate LPNs and HHAs in delivering patient care. You will maintain compliance with agency policies and Medicare/Medicaid regulations...
- CareBuilders At Home, Inc. is seeking a PRN Registered Nurse (RN) Case Manager in Arlington, Virginia. This role involves providing comprehensive case management services... ..., ensuring clients receive the highest level of care and support. Responsibilities include conducting...ReliefFlexible hours
$44.3 per hour
...Mar is a mandatory COVID-19 and flu vaccine organization Home Health RN Clinical Manager – Posting #25578 Hourly rate: $44.30 Annual Salary: $9... ...groups to maintain communications with the medical/home care community. Essential Duties and Responsibilities: Planning...Hourly payFull timeWork at officeWeekend work- ...Nurse who thrives on leadership while staying connected to patient care?Capital City Nurses, a Care Advantage Company, is seeking an experienced and motivated Skilled Services Home Care Supervisor (RN) to lead clinical excellence throughout our growing Montgomery County...Local areaImmediate start
- ...currently seeking a PRN Registered Nurse (RN) Case Manager to join our team. The Registered Nurse (... ...they receive the highest level of care and support. This position offers flexibility... ...and clients to discuss the benefits of home care and address any questions or concerns...Weekly payReliefLocal areaFlexible hours
- MedStar Health is seeking an LPN Case Manager to support the Care Management Department. The role focuses on coordinating and promoting quality... ...in the system. Ideal candidates have 1-2 years of utilization review and 3-4 years of diverse clinical experience, with...
- MedStar Health is seeking an LPN Case Manager to support the Care Management Department, coordinating quality, cost-effective care for patients... ...hold an LPN license in Maryland or DC and have utilization review experience plus diverse clinical background. Strong...
$66.06k - $99.1k
A leading patient care organization in Arlington, Virginia is looking for an RN, Case Manager to assess and identify patient needs, coordinate care plans with an interdisciplinary team, and provide essential clinical support. Candidates should have an active RN license...- ...Health’s Washington Hospital Center is seeking an experienced LPN Case Manager to support the Care Management Department by coordinating quality, cost-effective care. The role requires 1-2 years utilization review experience and 3-4 years diverse clinical experience; valid...
- Capital City Nurses, a Care Advantage Company, seeks an experienced Skilled Services Home Care Supervisor (RN) to lead clinical excellence in the Montgomery County market and mentor clinicians while expanding home-based care impact. You will conduct admissions, develop...Local area
- A health organization is seeking a Home Care Manager - Registered Nurse to oversee in-home services and staff at their Washington, DC location. This role involves planning, monitoring, and ensuring quality care for elderly participants while managing a team of personal...
$94.16k - $141.25k
...LHC Group, a leading post-acute care partner for hospitals,... ...the communities we serve. Find a home for your career here. Join us and... ...As the Home Health Patient Care Manager, you are responsible for the overall... ...: Current unrestricted RN licensure in state of practice...Minimum wageFull timeWork experience placementLocal area- ...the diverse needs of our clients. The RN who operates as a Clinical Care Coordinator (CCC) will play a vital... ...member of the SUD treatment team, managing program operations, data tracking, and... ...working in the community, such as home health or home care, with demonstrated...Work at officeLocal areaMonday to Friday2 days per week1 day per week
- Capital City Nurses, a Care Advantage Company, is seeking a dynamic Registered Nurse (RN) Home Care Supervisor to provide clinical leadership and oversight across Chevy Chase, MD and Washington, DC service areas. This role leads and mentors caregivers, conducts assessments...Relief
- Capital City Nurses invites experienced RNs to lead clinical excellence in the Montgomery County market, guiding home care teams and mentoring clinicians to improve patient outcomes. This supervisory role blends leadership with direct patient care oversight in home settings...
- ...General Summary of Position RN Maternal Health Case Manager coordinates, negotiates, procures, and manages care of our members/enrollees to facilitate cost-effective care... ...Columbia Contract for the population served. Utilizes standards/ guidelines to manage and document...Contract workWork at office
$87.17k - $145.27k
...Case Manager IIKids Are Our Everything.Pay Range: $87,172.80 - $145,267.20 Shift: Monday... ...recognized as a national best practice leader in care coordination and financial stewardship.... ...specialty, program/project development, utilization management, clinical pathways, and...Work experience placementMonday to FridayShift work- ...Job Description Job Description RN Case Manager – Washington, DC Duration: 13 weeks... ...: Acute Hospital Long-Term Acute Care / Rehab / Skilled Nursing Admission... ...Coordination Discharge Planning Utilizing InterQual Criteria Utilizing Milliman...Contract workShift work
$26 - $30 per hour
...early intervention; and increased RN job satisfaction by reducing... ...with members of the health care team.Complete departmental audits... ...working in a hospital, home care or office setting as an LPN... ...excellent organizational and time management skills.Proficient in Microsoft...Hourly payWork at officeFlexible hours
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