Sr. RN Case Manager

UnitedHealth Group • Milan, TN

3h

About The Position

Medical Center Home Health, part of LHC Group and Optum, is a leading post-acute care partner dedicated to helping people feel their best and creating meaningful connections with patients, families, and communities. The company fosters a culture of Caring, Connecting, and Growing together, offering an environment for performance recognition and career development. As the Home Health Patient Care Manager, the role involves overall supervision and coordination of clinical services, leading an interdisciplinary team to ensure high-quality care for home health patients in accordance with physician-prescribed plans and all applicable laws. UnitedHealth Group, the parent company, is committed to helping people live healthier lives, making the health system work better for everyone, mitigating environmental impact, and delivering equitable care that addresses health disparities. It operates as an Equal Employment Opportunity and drug-free workplace.

Requirements

• Current unrestricted RN licensure in state of practice
• Current driver’s license, vehicle insurance, and access to a dependable vehicle or public transportation

Nice To Haves

• Current CPR certification or ability to complete within 90 days of hire
• Home care experience

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
• Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client

Benefits

• a comprehensive benefits package
• incentive and recognition programs
• equity stock purchase
• 401k contribution

What This Job Offers

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