RN Care Manager - Hybrid Role in Algiers, LA Clinic

UnitedHealth Group•New Orleans, LA

8d•Hybrid

About The Position

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. As part of the patient centered medical home team, the RN Care Manager engages in a collaborative process which assesses, plans, implements, coordinates, monitors, and evaluates options and services to meet a patient’s health needs through communication and available resources to promote quality, cost - effective outcomes. The RN Care Manager collaborates with clinical teams in various health care settings in support of the patient, to include acute care, skilled nursing care setting, long term acute care setting, rehab facilities, custodial care, ambulatory care settings, and the patient’s home. The RN Care Manager will facilitate the coordination of care resulting in more efficient utilization of health care resources, decreased hospital readmissions and improved health outcomes. This is a Hybrid position in our Algiers, LA Clinic. Monday through Friday CST office hours. For consideration, you must reside within a commutable distance of Algiers, LA.

Requirements

Registered Nurse License
3+ years of experience in a clinical setting
Disease Management, Chronic Care Improvement, and /or Quality Improvement
Knowledge of computers
Thorough knowledge of HIPAA compliance
Ability to travel by personal vehicle between various hospitals and member’s residence on a routine basis
Available to work extended hours, overtime and non-traditional hours as needed

Nice To Haves

Current CPR certification
Experience with EMR
Experience in a manage care setting

Responsibilities

Discharge Planning: Works with facility navigator to coordinate DC process and transition needs based on patient’s diagnoses and status
Care Coordination and Patient Support: Collaboration with the entire clinic team to proactively manage high risk patients by ensuring appropriate: Frequency of PCP visits, Specialist referrals, Testing/screenings, Medication Management to include medication reconciliation post discharge and medication adherence, Chronic disease education, Coordinate home visits when necessary to assess patient’s needs, Providing self-management support to patients in order to improve their health outcomes
Utilization Management: Review Home Health recertification for necessity, Assessing appropriate use of services: Emergency room, admissions and readmissions, Review utilization reports to determine possible interventions/care coordination
Clinic Team Communication: Leads daily/weekly/monthly discussions where patients’ goals, outcomes, interventions, and recommendations for improvement are discussed with members of the patient’s care team
Clinic Support: Assist in Clinic Daily Duties as needed
Core Competencies: Professionalism, Excellent written and oral communication skills, Critical thinking /sound judgment, Solidproblem solving and organizational skills, Self-Motivated and able to carry out assignments with minimal assistance, Ability to work well with a diverse group of people, Ability to prioritize, Ability to lead a team to accomplish quality goals and initiatives