Discharge Care Manager Nurse, RN - Remote in Florida

UnitedHealth Group•Tallahassee, FL

4d•Remote

About The Position

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. As a Discharge Care Manager at UnitedHealth Group, you will be responsible for implementing day-to-day telephonic case management interventions for identified high risk members. This means you will be tasked with assessing and interpreting member needs and identifying solutions that will help our members live healthier lives. This is an inspiring job at a truly inspired organization. The Discharge Care Manager (DCM) will coordinate and document the discharge plan in collaboration with other key clinical care team members. The DCM will also follow the member while in the acute inpatient setting. If you are located in the state of Florida, you will have the flexibility to work remotely as you take on some tough challenges.

Requirements

Bachelor of Science in Nursing
Current, unrestricted Compact RN license in the state of Florida
5+ years of recent experience in the acute inpatient hospital setting
2+ years of experience of discharge planning and/or case management
Experience working with multiple health insurance products (Medicaid, Medicare, Commercial) within the insurance industry, including regulatory and compliance requirements
Proficient in typing skills and software applications that includes, but is not limited to, Microsoft Word, Microsoft Excel, Microsoft PowerPoint and Microsoft Outlook
Designated work space and access to install secure high speed internet via cable/DSL in your home
Permanent residence within the state of Florida

Nice To Haves

Case Management Certification
InterQual/MCG Guidelines or other nationally recognized practice guidelines
Experience working as a nurse in the state of Florida
Demonstrated ability to assist with focusing activities toward a strategic direction as well as develop tactical plans, drive performance, and achieve targets

Responsibilities

Evaluation of member discharge needs including delays in care and readmission prevention plan
Collaboration with providers and members to coordinate care post discharge
Participate in rounds with the Medical Director to discuss cases as needed
Identification of internal or community-based program support or resources
Coordination with the facility Discharge Planner to ensure post hospital services are arranged prior to the member being discharged
Assist with coordination of difficult cases needing placement in an alternate level of care facility
Documentation of discharge activities as outlined in standard operating procedures and data entry strategies
Participate in team meetings, education discussions and related activities
Works collaboratively with team members in a matrix environment to ensure an end-to-end positive experience for members, providers and care teams