RN Field Case Manager--SNFs--Lakawana and Wayne Counties PA
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.
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
- 3+ years of clinical experience in practice
- Proven ability to complete physical requirements, including lifting a 30-pound bag and ability to perform physical assessment
- Access to reliable transportation
Nice To Haves
- Experience in meeting the medical needs of patients with complex behavioral, social and/or functional needs
- Understanding of geriatrics and chronic illness
- Proficient computer skills including the ability to document medical information with written and electronic medical records
- Proven ability to work with diverse care teams in a variety of settings
- Proven effective communication skills and time management
Responsibilities
- Ensure accurate and complete documentation
- Communicate and collaborate with the interdisciplinary care team
- 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 advanced practice clinician, (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
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
Education Level
Associate degree
