Case Manager RN - Remote

UnitedHealth Group•Spokane, WA

5d•Remote

About The Position

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual’s physical, mental and social needs – helping patients access and navigate care anytime and anywhere. As a team member of our Senior Community Care (SCC) product, we work with a team to provide care to patients at home in a nursing home, assisted living for senior housing. This life-changing work adds a layer of support to improve access to care. We’re connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together. The Optum SCC program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of members. The Optum SCC SL RN will be managing members in a community setting to include personal homes, group homes, and assisted living facility setting. Optum is transforming care delivery with innovative and personalized care. As one of the largest employers of APCs, Optum offers unparalleled career development opportunities.

Requirements

Associate degree or higher in Nursing (RN)
Active and unrestricted license in the state which you reside, or ability to obtain by start date
Certified in Basic Life Support

Nice To Haves

1+ years of clinical experience in practice (long-term care setting preferred)
Experience in meeting the medical needs of patients with complex behavioral, social and/or functional needs
Saline Lock insertion experience
Proven understanding of Geriatrics and Chronic Illness
Proficient computer skills including the ability to document medical information with written and electronic medical records
Ability to work with diverse care teams in a variety of settings
Proven effective communication skills and time management
Demonstrated personal and professional accountability
Ability to create an environment that facilitates the team to initiate actions that produce positive results
Ability to hold self and others accountable for actions and results
Accountable for one’s own behavior and actions
Ability to create an environment in which professional and personal growth are an expectation
Ability to integrate high ethical standards and UHG core values into everyday work activities
Ability to provide solid customer service and maintain respectable customer relationship

Responsibilities

Ensure accurate and complete documentation
Communicate and collaborate with the interdisciplinary care team
Assist the provider / team with various care coordination activities
Assist the provider / team with benefit determination associated with Medicare part A, part B, and part D benefits
Responsible for collaborating with the primary advanced practice clinician (APC) and facility to identify and respond to patient change in condition
Assist the provider / team with therapy coordination
Participate in facility-based meetings
Schedule and participate in family conferences, team meetings, and team case presentations
Coordination of training, tracking, and compliance with quality measures
Assist in creating and conduct in-services for selected audiences
Assist Providers in assuring complete and accurate documentation and coding, medication reconciliation, nursing rounds, assessment, and patient documentation.
Assist in managing members through an acute medical situation or an exacerbation of a chronic condition, including testing, diagnostics, interventions
Assist in managing members during a short term sub-acute rehabilitation episode