RN Case Manager El Paso Texas - Remote

UnitedHealth Group•El Paso, TX

1d•$60,200 - $107,400•Remote

About The Position

Optum, part of UnitedHealth Group, is hiring a Telephonic RN Case Manager serving members in El Paso, Texas. The role performs clinical operations and medical management across the continuum of care, including assessment, planning, implementation, coordination, monitoring, and evaluation. It also provides health education, coaching, and treatment decision support to members. This is a high-volume, customer-service role involving phone interactions with members. The successful candidate will be patient-focused, adaptable, efficient, productive, and thorough, with strong computer and software navigation skills. The position is remote for candidates residing in El Paso, Texas, and requires adherence to UnitedHealth Group’s Telecommuter Policy. Candidates must pass a drug test before beginning employment.

Requirements

Hold a current, unrestricted RN license in Texas.
Be able to obtain multi-state RN licensure.
Have at least 3 years of Registered Nurse experience in varied settings.
Have at least 1 year of case management experience.
Have proficiency with Microsoft Word, Excel, Outlook, and Windows 10.
Have access to high-speed home internet through broadband cable, DSL, or fiber.
Have a dedicated, distraction-free home workspace.
Be bilingual in English and Spanish.
Have a driver’s license and access to reliable transportation.
Adhere to UnitedHealth Group’s Telecommuter Policy when working remotely.
Pass a drug test before beginning employment.

Nice To Haves

Bachelor of Science in Nursing (BSN).
Compact RN license.
Certified Case Manager (CCM) credential.
High-risk pregnancy experience.
Experience educating patients with complex conditions.
Disease management experience.
Experience or exposure to discharge planning.
Experience in utilization review, concurrent review, or risk management.
Telephonic nursing experience.
Background in managed care, hospital, or acute care settings.

Responsibilities

Make outbound calls and receive inbound calls to assess members’ current health status.
Identify gaps or barriers in treatment plans.
Provide patient education to assist with self-management.
Make referrals to outside sources.
Provide a continuum of quality care through close communication with members by phone or in person.
Support members with condition education, medication reviews, and connections to resources such as Home Health Aides or Meals on Wheels.
Perform clinical operations and medical management across the continuum of care, including assessment, planning, implementation, coordination, monitoring, and evaluation.
Provide health education, coaching, and treatment decision support for members.