RN Case Manager - Telephonic - Georgia ONLY
About The Position
Optum Home & Community Care, part of the Optum 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 Optum Care at Home team, together in an interdisciplinary care environment, we help patients navigate the health care system and connect them to key support services. This preventive care can help patients stay well at home. 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. If you are located in Georgia, you will have the flexibility to work remotely as you take on some tough challenges.
Requirements
- Current unrestricted licensure as RN in Georgia
- 2+ years of experience as an RN
- Experience in assessing the medical needs of patients with complex behavioral, social and/or functional needs
- Proven computer skills, including use of Electronic Medical Records
- Proven ability to work with diverse care teams in a variety of settings including non-clinical settings (primarily patient homes)
- Access to reliable home internet
- Access to home office to maintain HIPAA privacy
Nice To Haves
- Case management certification
- 6+ months Case Management experience
- Home health experience
- Geriatric experience
- Proven excellent administrative and organizational skills and the ability to effectively communicate with seniors and their families
Responsibilities
- Assess the health status of members as within the scope of licensure and with the frequency established in the model of care
- Establish goals to meet identified healthcare needs
- Plan, implement and evaluate responses to the plan of care
- Work collaboratively with the multidisciplinary team to engage resources and strategies to address medical, functional, and social barriers to care
- Works closely with mental health clinicians to help bridge the gap between mental and physical health
- Consult with the patient’s PCP, specialists, or other health care professionals as appropriate
- Assess patient needs for community resources and make appropriate referrals for service
- Facilitate the patient’s transition within and between health care settings in collaboration with the primary care physician and other treating physicians
- Completely and accurately document in patient’s electronic medical record
- Provide patients and family members with counseling and education regarding health maintenance, disease prevention, condition trajectory and need for follow up as appropriate during each patient visit
- Verify and document patient and/or family understanding of condition, plan of care and follow up recommendations
- Actively participate in organizational quality initiatives
- Participate in collaborative multidisciplinary team meetings to optimize clinical integration, efficiency, and effectiveness of care delivery
- Maintain credentials essential for practice, to include licensure, certification (if applicable) and CEUs
- Demonstrate a commitment to the mission, core values and goals of UnitedHealthcare and its healthcare delivery including the ability to integrate values of compassion, integrity, performance, innovation and relationships in the care provided to our members
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
