Overview
Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Join us to start Caring. Connecting. Growing together .
Optum offers a wide range of career opportunities across clinical and non-clinical roles. As a partner of a statewide healthcare system in Maine, we are committed to delivering personalized, streamlined care to our communities. Whether you\'re drawn to a large medical center, a rural practice, or home care, you\'ll find your place with us. Our culture is rooted in compassion, meaningful benefits, and a shared mission of caring, connecting, and growing together. The Care Manager, RN plays a key role in coordinating patient-centered care, ensuring safe discharges, and optimizing transitions through collaboration with patients, caregivers, and the healthcare team. This position supports flexible telecommuting from anywhere in the U.S. while tackling impactful healthcare challenges.
Responsibilities
Provides leadership in the coordination of patient-centered care across the continuum, develops safe discharge plans through collaboration with patients, caregivers, and the multidisciplinary healthcare team
Facilitates appropriate length of stay, patient experience, and reimbursement for all patients
Develops and maintains collaborative relationships with all members of the healthcare team
Drives efficient utilization of resources to reduce length of stay, improve patient flow and throughput, and reduce readmission risk through evidence-based practice
Leads discharge planning for complex cases and ensures timely transitions to the next level of care
Identifies and addresses potential risk issues, participates in quality improvement initiatives, and remains adaptable to hospital needs across all patient age groups
Qualifications
Required Qualifications:
Associate\'s degree (or higher) in Nursing
Current, unrestricted RN license in the state of residence
3+ years of experience in a hospital, acute care, or direct care setting
Intermediate proficiency to type and navigate a Windows-based environment
Preferred Qualifications:
Certified Case Manager (CCM)
Background in managed care
Case management experience
Experience or exposure to discharge planning
Experience in utilization review and concurrent review
Knowledge of community resources, policies, and procedures
Knowledge of Utilization Review, Medicare Requirements and State/Federal regulations pertaining to Utilization Review and Discharge Planning
Benefits and Additional Information
All Telecommuters will be required to adhere to UnitedHealth Group\'s Telecommuter Policy
Pay is based on factors including local labor markets, education, and experience; benefits include a comprehensive package (eligibility may apply). The salary range for this role is $58,800 to $105,000 annually based on full-time employment
More information can be downloaded at: http://uhg.hr/uhgbenefits
Pursuant to the San Francisco Fair Chance Ordinance, we will consider qualified applicants with arrest and conviction records
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool is collected
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We are committed to equity in care and a drug-free workplace
Pursuant to applicable law, UnitedHealth Group is an Equal Employment Opportunity employer. We do not discriminate on the basis of race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status. Candidates are required to pass a drug test before beginning employment.