Sr RN Case Manager

UnitedHealth Group•Memphis, TN

3d•$72,800 - $130,000

About The Position

Explore opportunities with Baptist Trinity Home Care, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.

Requirements

Current unrestricted RN licensure in state of practice
Current CPR certification
Current driver’s license, vehicle insurance, and access to a dependable vehicle or public transportation
Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client

Nice To Haves

Home care experience
Able to work independently
Good communication, writing, and organizational skills

Responsibilities

Provides clinical services within the scope of practice, as defined by the state laws governing the practice of nursing, in accordance with the plan of care, and in coordination with other members of the health care team
Receives referrals, ensures appropriate clinician assignments, evaluate patient orders, and plot start of care visits
Coordinates determination of patient home health benefits, medical necessity, and ongoing insurance approvals
Ensures patient needs are continually assessed and care rendered is individualized to patient needs, appropriate and reasonable, meets home health eligibility criteria, and is in accordance with physician orders
Reviews assessments and plans of care daily, per assigned workflow, and consults clinicians with recommendations, as appropriate