RN Case Manager Field Based - Optum at Home - Little Rock, AR

UnitedHealth Group•Little Rock, AR

12h•$29 - $52•Onsite

About The Position

Optum Home & Community Care, part of the Optum family of businesses, is building an integrated care model to holistically address individuals' physical, mental, and social needs, helping patients access and navigate care anytime and anywhere. As a member of the Optum Care at Home team, this role contributes to an interdisciplinary care environment, assisting patients in navigating the healthcare system and connecting them to key support services. This preventive care aims to help patients stay well at home, adding a layer of support to improve access to care and create a seamless health journey across care settings. Registered Nurses in the Optum at Home program primarily work with patients in their home setting, as part of a care team that includes a Nurse Practitioner, Behavioral Health Advocate, Care Navigator, and other supporting members. They deliver appropriate patient care through in-home visits, telephonic outreach and consultations, and interdisciplinary team activities. The Registered Nurse performs care and counsel for the ill, injured, or infirm, promoting and maintaining health for individuals and groups throughout the life span. They manage health problems and coordinate healthcare for Optum at Home patients in accordance with State and Federal rules and regulations and nursing standards of care, including assessment of health status, development and implementation of a plan of care, and ongoing evaluation of patient status and response to the plan of care. Clinical management is conducted in collaboration with other care team members.

Requirements

Current unrestricted licensure as a RN in state of practice
2+ years of experience as a Registered Nurse
Experience in assessing the medical needs of patients with complex behavioral, social and/or functional needs
Computer literate and able to navigate the Internet
Proven ability to work with diverse care teams in a variety of settings including non-clinical settings (primarily patient homes)
Ability to travel up to 75%25 of the time for field based work
Valid driver’s license and access to reliable transportation

Nice To Haves

Home health experience
Geriatric experience
Proven computer skills, including us of electronic medical records
Proven effective time management and communication skills
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 health care needs
Plan, implement and evaluate responses to the plan of care
Work collaboratively 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