RN Care Manager - Baton Rouge, LA Market

UnitedHealth Group • Baton Rouge, LA

48d • 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 equitable. 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 ROLE. YOU WILL WORK THREE DAYS IN THE CLINIC AND TWO DAYS IN A VIRTUAL CAPACITY.
If you reside within a commutable distance of Baton Rouge, LA, you will have the flexibility to work remotely two days per week as you take on some tough challenges.
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Requirements

• Current Registered Nurse License in LA
• 3+ years of experience in a clinical setting
• Knowledge of computers
• Thorough knowledge of HIPAA compliance
• Professionalism
• Excellent written and oral communication skills
• Critical thinking /sound judgment
• Solid problem 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
• Ability to travel by personal vehicle between various hospitals and member’s residence on a routine basis
• Must be available to work extended hours, overtime and non-traditional hours as needed
• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Nice To Haves

• Current CPR certification
• Experience with EMR
• Disease Management, Chronic Care Improvement, and /or Quality Improvement experience in a manage care

Responsibilities

• Works with facility navigator to coordinate DC process and transition needs based on patient’s diagnoses and status
• 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
• Review Home Health recertification for necessity
• Assessing appropriate use of services: Emergency room, admissions and re-admissions
• Review utilization reports to determine possible interventions/care coordination
• Leads daily/weekly/monthly discussions where patients’ goals, outcomes, interventions, and recommendations for improvement are discussed with members of the patient’s care team
• Assist in Clinic Daily Duties as needed

Benefits

• a comprehensive benefits package
• incentive and recognition programs
• equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees