Inpatient Care Management Nurse RN - Remote

Lensa - Eden Prairie, MN

Job Title: Inpatient Care Management Nurse RN - Remote

Position: Nurse

Job Type: Full Time

Pay: $58,300 to $114,300 annually

Shift: Monday-Friday, 8 AM-5 PM

Work Type: Remote

Address:

City: Eden Prairie

State: MN

ZIP Code:

Perform initial and concurrent review of inpatient cases applying evidenced-based criteria (InterQual criteria)
Discuss cases with facility healthcare professionals to obtain plans-of-care
Collaborate with Optum Enterprise Clinical Services Medical Directors on performing utilization management
Participate in discussions with the Clinical Services team to improve the progression of care to the most appropriate level
Consult with the Medical Director, as needed, for complex cases and make appropriate referrals to downstream partners
Apply clinical expertise when discussing case with internal and external Case Managers and Physicians
Identify delays in care or services and manage with MD
Follow all Standard Operating Procedures in end to end management of cases
Obtain clinical information to assess and expedite alternate levels of care
Facilitate timely and appropriate care and effective discharge planning
Participate in team meetings, education, discussions, and related activities
Maintain compliance with Federal, State and accreditation organizations
Identify opportunities for improved communication or processes
Participate in audit activities and meetings

Active, unrestricted RN license in state of residence
3+ years of clinical nursing experience practicing clinically (Acute Inpatient, SNF/AIR/ LTAC, Emergency Department, Urgent Care)
Experience in acute, long-term care, acute rehabilitation, or skilled nursing facilities
Demonstrated proficiency in computer skills - Windows, IM, Excel (Microsoft Suite), Outlook, clinical platforms
Designated workspace and access to install secure high-speed internet via cable / DSL in home

Bachelor’s degree
Compact RN license
2+ years case management experience
1+ years Background that involves utilization review and evidence-based guidelines (InterQual Guidelines)
Managed care experience
Experience performing discharge planning

Experience: 3+ years of clinical nursing experience practicing clinically

Education: Bachelor’s degree preferred

License & Certification:

Schedule:

COVID-19 Requirements: Not Specified

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer.
UnitedHealth Group is a drug-free workplace.