RN Case Manager - SNF - Remote in Utah

UnitedHealth Group•Draper, UT

3d•$72,800 - $130,000•Remote

About The Position

Optum UT is seeking a Skilled Nursing Facility (SNF) Case Manager to coordinate and manage care for Medicare Advantage members admitted to skilled nursing facilities. The role works with facility staff, providers, members, caregivers, and interdisciplinary teams to support safe care transitions, improve outcomes, reduce avoidable hospital readmissions, and promote appropriate SNF length of stay. The Case Manager serves as a liaison among the health plan, facility partners, providers, members, and caregivers, and helps mitigate organizational financial and quality risks. The position is remote for candidates who live in Utah and hold an active, unrestricted Utah RN license. The Case Manager manages an assigned caseload, develops and monitors individualized care plans, coordinates discharge planning and follow-up care, addresses social determinants of health and barriers to care, and maintains accurate documentation in accordance with organizational, regulatory, privacy, and accreditation requirements. The role also contributes to care coordination, performance improvement, and population health initiatives. Employees working remotely must adhere to UnitedHealth Group’s Telecommuter Policy. The role is full-time, with an annual salary range of $72,800–$130,000 based on full-time employment and factors including local labor markets, education, work experience, and certifications. Benefits include a comprehensive benefits package, incentive and recognition programs, an equity stock purchase plan, and 401(k) contribution, subject to eligibility requirements. Candidates must pass a drug test before beginning employment.

Requirements

Current, unrestricted Registered Nurse (RN) license in Utah; candidates must live in Utah.
At least 3 years of clinical nursing experience, preferably in acute care, care management, case management, utilization management, discharge planning, or transitional care.
Experience in managed care, Medicare Advantage, value-based care, care management, or population health environments.
Ability to independently assess member needs, develop care plans, prioritize interventions, and manage complex cases with minimal supervision.
Solid clinical assessment, critical thinking, problem-solving, and decision-making skills.
Excellent written, verbal, and interpersonal communication skills.
Ability to collaborate effectively with providers, hospitals, skilled nursing facilities, Community Health Workers, and interdisciplinary care teams.
Proficiency with electronic medical records, case management systems, and Microsoft Office applications.
Ability to pass a drug test before beginning employment.
Remote employees must adhere to UnitedHealth Group’s Telecommuter Policy.

Nice To Haves

Bachelor’s degree in nursing (BSN).
Case Management Certification (CCM, ACM-RN, or equivalent).
Experience supporting transitions of care, readmission prevention, post-acute care management, or emergency department utilization programs.
Knowledge of community resources and social determinants of health.

Responsibilities

Manage a caseload of Medicare Advantage members admitted to skilled nursing facilities.
Develop, implement, and monitor individualized care plans based on member needs, goals, and available resources.
Collaborate with SNF staff, physicians, advanced practice providers, therapists, caregivers, and interdisciplinary teams to coordinate care and support positive outcomes.
Participate in interdisciplinary care conferences and discharge planning meetings.
Monitor member progress toward established goals and identify opportunities to improve quality, efficiency, and member experience.
Facilitate safe transitions between care settings, including discharge to home, assisted living, community-based services, or other appropriate levels of care.
Collaborate with Community Health Workers and interdisciplinary team members to address social determinants of health and barriers impacting care.
Complete accurate and timely documentation in accordance with organizational, regulatory, and accreditation requirements.
Maintain knowledge of Medicare guidelines, post-acute care services, community resources, and care management best practices.
Comply with organizational, regulatory, privacy, HIPAA, policy, procedure, and quality requirements.
Facilitate timely primary care, specialty care, and post-discharge follow-up appointments.
Participate in performance improvement, care coordination, and population health initiatives to improve member outcomes and reduce healthcare utilization.
Meet outreach, engagement, productivity, caseload management, quality, and care coordination goals.
Identify and address barriers impacting member outcomes and transitions of care.
Perform other duties as assigned.