UnitedHealth Group - Clifton, NJ

posted 4 months ago

Full-time - Entry Level
Onsite - Clifton, NJ
Insurance Carriers and Related Activities

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 Senior Community Care (SCC) program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of members in a facility setting. The Optum Care Team RN within SCC provides care to our highest-risk health plan members and is part of an interdisciplinary team consisting of an Advanced Practice Clinician (APC) and a Patient Care Coordinator (PCC). In this role you will have the ability to achieve work life balance. No on-call, no weekends, and no holidays required. Work schedule is Monday to Friday 8:00 AM - 5:00 PM in your time zone.

Responsibilities

  • Ensure accurate and complete documentation
  • Communicate and collaborate with the interdisciplinary care team
  • Collaborate and communicate with PCC to support APC care and scheduling of member
  • 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
  • Collaborating with the primary 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
  • May write verbal orders from Provider in the chart in compliance with the state RN practice laws, and in compliance with individual nursing facility practices
  • 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

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
  • Ability to complete physical requirements, including lifting a 30-pound bag and ability to perform physical assessment
  • Access to reliable transportation
  • Ability to travel in between facilities

Nice-to-haves

  • 1+ years of clinical experience in practice (acute care setting)
  • Experience in meeting the medical needs of patients with complex behavioral, social and/or functional needs
  • Saline Lock insertion experience
  • Understanding of Geriatrics and Chronic Illness

Benefits

  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401k contribution
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