Per Diem Case Manager RN - Boulder, CO
Company: Optum
Location: Colorado Springs
Posted on: July 11, 2025
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Job Description:
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 diversity and inclusion, talented peers,
comprehensive benefits, and career development opportunities. Come
make an impact on the communities we serve as you help us advance
health equity on a global scale. Join us to start Caring.
Connecting. Growing together. The Case Manager RN is responsible
and accountable for coordination of patient services through an
interdisciplinary process, which provides a clinical and
psychosocial approach through the continuum of care. Through
concurrent case management, patients will be assessed to determine
appropriateness of admission, continued hospitalization, as well as
appropriate level of care. Discharge planning will begin at the
time of (or prior to) admission, and reassessed ongoing throughout
the course of hospitalization. Quality and Risk Management issues
will also be monitored for and reported as appropriate. Location:
4747 Arapahoe Ave, Boulder, CO 80303 (Boulder Community Health)
Schedule: Minimum of 2 working days per pay period which would
include the ability to commit to 1 weekday and ability to commit to
1 weekend day Primary Responsibilities: - Directly communicates
with staff, physicians, patients and families - Coordinates patient
care processes to achieve desired quality outcomes and
identifies/controls inappropriate resource utilization -
Facilitates patient and family education and promotes continuity of
care to achieve optimal patient outcomes. Assures patient rights by
offering a choice when appropriate - Reviews the patient plan of
care with the multi-disciplinary team. Facilitates and participates
in multi-disciplinary team care conferences for patients with
complex problems. Communicates in the medical record and verbally
with the team to coordinate interventions and facilitate continuity
of care - Daily communication and collaboration with the patient
care staff to provide continuous assessment, evaluation and
continuum planning to assure the patient receives the appropriate
level of care at the appropriate time. Facilitates the
implementation of nursing interventions as indicated by the
multi-disciplinary team plan of care that enhances and compliments
the skill level of the nursing staff - Functions without direct
supervision, utilizing time constructively and organizing
assignments for maximum productivity. Arranges schedule to
facilitate meeting with physicians for patient care rounds, team
meetings and other opportunities to improve communication - An
initial assessment is required to be completed for all inpatients
within 36 hours of admission (Per employee average caseload of 12
patients per day) - Excess Days per Patient discharge should remain
under 1.39 days per contract requirements - Individual Expectation:
Employees are to document a daily intervention on all patients -
Operation Expectation: Employees are required to lead daily
Interdisciplinary Rounds for their patients on a specific medical
unit to drive timely discharges and plans of care - CMS Compliance:
All Medicare and Medicare Advantage patients are required a
delivery notice for MOON & IMM documentation. All patients are also
required to be provided with choice for discharge dispositions
You’ll be rewarded and recognized for your performance in an
environment that will challenge you and give you clear direction on
what it takes to succeed in your role as well as provide
development for other roles you may be interested in. Required
Qualifications: - Associate’s Degree (or higher) - Current and
unrestricted RN License in the state of Colorado OR Master of
Social Work (MSW) Degree - 2 years of recent clinical or case
management experience in area of specialization - Ability to commit
to working 1 weekend day per pay period (1 weekend day every 2
weeks) Preferred Qualifications: - Bachelor of Science in Nursing
(BSN) - Case Management Certification - Knowledge/understanding of
community resources, policies, and procedures Soft Skills: - Solid
analytical, critical thinking and organizational skills The salary
range for this role is $28.61 to $56.06 per hour based on full-time
employment. Pay is based on several factors including but not
limited to local labor markets, education, work experience,
certifications, etc. UnitedHealth Group complies with all minimum
wage laws as applicable. In addition to your salary, UnitedHealth
Group offers benefits such as, a comprehensive benefits package,
incentive and recognition programs, equity stock purchase and 401k
contribution (all benefits are subject to eligibility
requirements). No matter where or when you begin a career with
UnitedHealth Group, you’ll find a far-reaching choice of benefits
and incentives. Application Deadline: This will be posted for a
minimum of 2 business days or until a sufficient candidate pool has
been collected. Job posting may come down early due to volume of
applicants. At UnitedHealth Group, our mission is to help people
live healthier lives and make the health system work better for
everyone. We believe everyone–of every race, gender, sexuality,
age, location, and income–deserves the opportunity to live their
healthiest life. Today, however, there are still far too many
barriers to good health which are disproportionately experienced by
people of color, historically marginalized groups, and those with
lower incomes. We are committed to mitigating our impact on the
environment and enabling and delivering equitable care that
addresses health disparities and improves health outcomes — an
enterprise priority reflected in our mission. UnitedHealth Group is
an Equal Employment Opportunity employer under applicable law and
qualified applicants will receive consideration for employment
without regard to race, national origin, religion, age, color, sex,
sexual orientation, gender identity, disability, or protected
veteran status, or any other characteristic protected by local,
state, or federal laws, rules, or regulations. UnitedHealth Group
is a drug - free workplace. Candidates are required to pass a drug
test before beginning employment. RPO RED
Keywords: Optum, Aurora , Per Diem Case Manager RN - Boulder, CO, Healthcare , Colorado Springs, Colorado