RN Care Manager - Hybrid in Northgate, WA
Company: Optum
Location: Bellevue
Posted on: January 20, 2026
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Job Description:
$7,500 Sign On Bonus for External Candidates Optum WA, is
seeking a RN Care Manager to join our team in Northgate, WA. Optum
is a clinician-led care organization that is changing the way
clinicians work and live. As a member of the Optum Care Delivery
team, you'll be an integral part of our vision to make healthcare
better for everyone. At Optum, you'll have the clinical resources,
data and support of a global organization behind you so you can
help your patients live healthier lives. We believe you deserve an
exceptional career, and will empower you to live your best life at
work and at home. Experience the fulfillment of advancing the
health of your community with the excitement of contributing new
practice ideas and initiatives that could help improve care for
millions of patients across the country. Because together, we have
the power to make health care better for everyone. Join us and
discover how rewarding medicine can be while Caring. Connecting.
Growing together. Complex care case management seeks to provide
thoughtful, tailored nursing support to patients across a spectrum
of illnesses of varying severity and progression. Our patients may
be anywhere along a continuum from adjusting to a "new normal" all
the way through to transitioning to hospice care. Many of our
patients dealing with serious illness benefit from assistance in
understanding their medical reality. Therefore, this position
integrates palliative approaches to care in our primary care
setting. This role works closely with physicians, social workers,
other specialty teams (like palliative care, oncology, etc.) to
ensure coordinated and value-concordant care. In addition, CM RN
will work closely with colleagues in local hospitals, SNFs, and
hospices. RN CM will participate in multi-disciplinary team
meetings to coordinate an iterative plan of care for our most
complex, high-risk patients, as well as those dealing with natural
decline. This complex work benefits from a nursing approach that is
focused on creative problem solving and big-picture awareness
rather than short-term solutions and reliance on strict rubrics.
Position in this function provides physicians and other health care
professionals with appropriate care management tools, support,
education and information to enable real time clinical
decision-making. Delegates specific tasks of plan of care to
Medical Assistants and Health Coaches and oversees the plan of care
to ensure protocols are followed and desired outcomes are achieved.
Practices within the scope of nursing rules and regulations as
established by the Washington Department of Health. Complies with
all reporting requirements, including operational protocol
submittals. Provides effective care management across the care
continuum and suggests and implements methods to improve cost
effectiveness and quality of care. Position Highlights & Primary
Responsibilities: Care Management activities include early
identification of high-risk patients, concerted planning involving
physicians and mid-level practitioners, monitoring of services
provided by outside physicians, home health, DME, and other
providers; monitoring emergency department use as well as
identifying opportunities to decrease emergency department
utilization and other elements of care utilization Provides
effective care management across the care continuum, including
coordination involving internal and external providers of care,
families and other entities, as appropriate Works in collaboration
with colleagues in multiple care settings to determine patients'
barriers and needs utilizing clinical skills and independent
decision making Engages in proactive, concurrent care management
for patients with chronic or complex medical conditions Performs
visits to patient home, skilled nursing home stays or while
in-patient at a neighboring hospital 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: Graduation from
an accredited school of nursing Active Registered Nurse license
through the Washington State Department of Health 2 years of
professional nursing experience Proven knowledge of medical
terminology and managed care Driver's License and access to
reliable transportation Preferred Qualifications: Case management
certification Ambulatory and inpatient experience Knowledge of ICD
and CPT coding Knowledge of professional nursing theory and
practice to assess, plan, implement and evaluate patient care
Knowledge of organizational policies, regulations and procedures to
administer patient care Knowledge of medical equipment and
instruments, common safety hazards, and precautions to establish a
safe work environment Knowledge of relevant resources within the
organization and community Pay is based on several factors
including but not limited to local labor markets, education, work
experience, certifications, etc. In addition to your salary, we
offer 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 us,
you'll find a far-reaching choice of benefits and incentives. The
salary for this role will range from $58,800 to $105,000 annually
based on full-time employment. We comply with all minimum wage laws
as applicable. OptumCare 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. OptumCare is a drug-free workplace. Candidates are
required to pass a drug test before beginning employment.
Keywords: Optum, Bellevue , RN Care Manager - Hybrid in Northgate, WA, Healthcare , Bellevue, Washington