ED RN Case Manager - Remote - EST or CST Preferred

About This Role

The ED RN Case Manager is responsible for monitoring real-time 'Admit, Discharge, Transfer' (ADT) notifications, providing proactive patient and provider outreach, and coordinating discharges to support optimal transitions of care. This role is ideal for a flexible candidate who can adapt as the program grows to meet the needs of various populations and markets.

Highlights

• Pay: $29 - $52/hour
• Location: Plymouth, MN
• Schedule: Full Time, Day shift
• Residency: Must have compact licenses and the ability to obtain other RN non-compact License
• Work Style: Fully remote

What You'll Do

• Collaborate with ED and outpatient care teams to establish individualized transition plans for members.
• Serve as the clinical liaison with hospital, clinical, and administrative staff for transition of care/care coordination.
• Perform expedited, standard, concurrent, and retrospective clinical reviews at in-network and/or out-of-network facilities.
• Communicate with ED staff, members, and families to assess discharge needs and formulate discharge plans.
• Monitor real-time ADT feeds to identify member's ED discharge support opportunities and communicate for discharge coordination.
• Conduct transition of care outreach following ED discharge to confirm access and completion of discharge plans.
• Manage assigned case load efficiently utilizing time management skills.
• Demonstrate knowledge of utilization management and care coordination processes for transition planning.
• Enter timely and accurate documentation into designated applications to comply with requirements and achieve audit scores.
• Adhere to organizational and departmental policies and procedures.

Requirements

Education:

• Current, unrestricted Multistate RN license

Experience:

• 4+ years of diverse clinical experience in caring for acutely ill patients
• 1+ years experience working in the Emergency Department

Licenses & Certifications:

• Current RN License in State of employment
• Knowledge of utilization management, quality improvement, and discharge planning

About UnitedHealth Group

UnitedHealth Group is a leading healthcare provider committed to delivering exceptional patient care. They focus on making healthcare work better for everyone through innovative solutions and a people-led approach.