Case Manager, RN - WellMed at Irving

UnitedHealth Group•Irving, TX

19d•$60,200 - $107,400•Onsite

About The Position

The Healthcare Manager is responsible for successfully supporting patients with high risk health conditions to navigate the healthcare system. The Healthcare Manager assists in developing patient empowerment by acting as an educator, resource, and advocate for patients and their families to ensure a maximum quality of life. The Healthcare Manager interacts and collaborates with multidisciplinary care teams, to include physicians, nurses, pharmacists, laboratory technologists, social workers, and other educators. The Healthcare Manager acts as a resource for clinic staff. The Healthcare Manager works in a less structured, self-directed environment and performs all nursing duties within the scope of a RN license of the applicable state board of nursing.

Requirements

Bachelor’s degree in Nursing or Associate’s degree in Nursing with 4+ years of experience as an RN
Registered Nurse with an active and unrestricted license to practice in the state of employment
Current BLS certification
2+ years of experience in a physician’s office, clinical or hospital setting
Knowledge of chronic diseases, especially COPD/asthma, diabetes, CHF and IHD
Excellent verbal and written skills
Solid interpersonal skills
Ability to interact productively with individuals and with multidisciplinary teams
Proficient computer skills to work efficiently with electronic medical records
Excellent organizational and prioritization skills

Nice To Haves

Experience related to patient education and/or motivational interviewing skills and self-management goal setting
Fluent written and verbal skills in English and Spanish

Responsibilities

Works with the providers and clinic staff to identify patients at high risk
Supports longitudinal care of the patient with chronic care conditions by: performing assessment of health conditions, performing medication reconciliation, conducting Motivational Interviewing and Self-Management Goal setting, providing patient education, creating referrals to appropriate agencies and resources
Supports transition of the patient with chronic care conditions from inpatient to outpatient setting, by: performing assessment of transitional needs, performing medication reconciliation, establishing and reviewing contingency plan, providing patient education, assisting with post discharge needs such as prescriptions, transportation, Durable Medical Equipment (DME), appointments
Coordinate with providers to establish or update plan of care
Performs accurate and timely documentation in the electronic medical record
Participates in daily huddles and Patient Care Coordination (PCC) meetings
Prepares accurate and timely reports, as required, for weekly meetings
Maintains continued competence in nursing practice and knowledge of current evidence based practices
May perform clinical tasks within their scope of practice
Performs all other related duties as assigned