Remote Physical Therapist Case Manager - Work from Home Opportunity with Optum/UnitedHealth Group

Transforming Healthcare through Innovative Case Management

Join Optum, a global leader in healthcare services, as a Remote Physical Therapist Case Manager and be part of a team that is revolutionizing the way care is delivered. With a strong focus on diversity, inclusion, and health equity, Optum is committed to making a positive impact on the lives of millions. As a Physical Therapist Case Manager, you will play a critical role in ensuring that patients receive the right care, at the right time, and in the right setting.

About the Role

As a Remote Physical Therapist Case Manager with Optum, you will work closely with healthcare providers, patients, and other stakeholders to determine the medical necessity and clinical appropriateness of treatment plans. You will be responsible for developing and implementing clinical policies, guidelines, and applications that improve healthcare outcomes and reduce costs. This is a unique opportunity to work in a remote setting, with the flexibility to work from anywhere in the U.S., while being part of a dynamic team that is shaping the future of healthcare.

Key Responsibilities

• Make determinations of medical necessity and clinical appropriateness of treatment plans, ensuring alignment with industry guidelines and regulatory requirements.
• Assist in the development and implementation of clinical policies, guidelines, and applications that drive healthcare affordability and quality.
• Regularly contact healthcare providers to discuss treatment determinations, identify trends, and provide feedback on clinical practices.
• Apply knowledge of regulatory requirements, industry standards, and clinical best practices to inform case management decisions.
• Conduct utilization management activities, including prospective, concurrent, and retrospective reviews, to ensure optimal resource allocation.
• Implement strategies to improve healthcare quality, outcomes, and patient satisfaction, while reducing costs and enhancing the overall care experience.
• Support various health plan structures, including Fully Insured, Medicare, Medicaid, Workers Compensation, and Auto liability.

Essential Qualifications

To succeed in this role, you will need:

• An active and unrestricted license to practice Physical Therapy in your state of residence.
• A minimum of 5 years of experience working in an Adult Orthopedic environment, with a strong understanding of clinical practices and industry guidelines.
• Proficiency in MS Office Suite Tools, including Outlook, Word, Excel, and MS Teams.
• A strong knowledge of practice guidelines, office procedures, current research, and scope of practice.
• The ability to interpret guidelines, research, and other data to inform case management decisions.
• Excellent consultative and communication skills, with the ability to work effectively with supervisory, clinical, and non-clinical professionals.
• A dedicated, distraction-free workspace with access to high-speed internet from home (Broadband cable, Fiber, or DSL).

Preferred Qualifications

While not essential, the following qualifications are highly desirable:

• A minimum of 3 years of clinical experience performing case reviews, with a strong understanding of utilization management principles.
• Experience working with adult neuro and/or geriatric populations, with a strong knowledge of clinical practices and industry guidelines.
• Experience in a managed care environment, such as a health plan or medical group.
• Familiarity with UnitedHealth Group's Telecommuter Policy and ability to adhere to its requirements.

What We Offer

As a Remote Physical Therapist Case Manager with Optum, you will enjoy:

• A competitive salary, with a range of $70,200 to $137,800 annually, depending on location, education, and experience.
• A comprehensive benefits package, including incentive and recognition programs, equity stock purchase, and 401k contribution.
• The flexibility to work from anywhere in the U.S., with a remote work arrangement that supports work-life balance.
• Opportunities for career growth and development, with a clear direction on what it takes to succeed in your role and beyond.
• A culture that values diversity, inclusion, and health equity, with a commitment to making a positive impact on the lives of millions.

Our Culture and Values

At Optum, we are committed to creating a culture that is guided by diversity, inclusion, and health equity. We believe that everyone deserves the opportunity to live their healthiest life, regardless of their background, identity, or socioeconomic status. Our culture is built on a foundation of respect, empathy, and compassion, with a focus on delivering exceptional care and service to our patients and customers.

Career Growth and Development

As a Remote Physical Therapist Case Manager with Optum, you will have access to a range of career development opportunities, including training programs, mentorship, and leadership development. We are committed to helping you grow and succeed in your role, and to providing you with the skills and knowledge you need to advance in your career.

Work Environment

As a remote worker, you will have the flexibility to work from anywhere in the U.S., with a remote work arrangement that supports work-life balance. You will be part of a dynamic team that is shaping the future of healthcare, with a culture that values collaboration, innovation, and exceptional service.

Compensation and Benefits

We offer a comprehensive compensation and benefits package that includes a competitive salary, incentive and recognition programs, equity stock purchase, and 401k contribution. Our benefits package is designed to support your overall well-being, with a focus on providing you with the resources and support you need to thrive.

Join Our Team

If you are a motivated and compassionate Physical Therapist looking for a challenging and rewarding role, we encourage you to apply for this exciting opportunity. As a Remote Physical Therapist Case Manager with Optum, you will be part of a team that is making a positive impact on the lives of millions. Apply now and join our team!

Equal Employment Opportunity

UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.