RN Case Manager - Optum at Home - Remote in CST

Optum is seeking a RN Case Manager to join our Home-based Medical Care team in Englewood, CO. Optum is a clinician-led care organization, that is creating a seamless health journey for patients across the care continuum.

As a member of the broader Home and Community Care team, you’ll help bring home-based medical care to complex, chronic patients. This life-changing work helps give older adults more days at home.

At Optum, the integrated medical teams who practice within Home and Community Care are creating something new in health care. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We’re connecting care to create a seamless health journey for patients across care settings. Join our team, it’s your chance to improve the lives of millions while Caring. Connecting. Growing together.

Registered Nurses in the Optum at Home program work with patients who reside in their home setting with visit completion virtually. They perform as part of a care team including the ability to refer to a Nurse Practitioner, Behavioral Health Case Manager, Care Navigator and other supporting team members. Â They deliver role appropriate case management through virtual outreach and consultations, and interdisciplinary team activities.

The Registered Nurse may perform care and counsel of the ill, injured, or infirm, in the promotion and maintenance of health with individuals, groups, or both throughout the life span. They help to manage health problems and coordinate health care for the Optum at Home patients in accordance with State and Federal rules and regulations and the nursing standards of care. Â This includes (but is not limited to) assessment of health status, development, and implementation of plan of care, and ongoing evaluation of patient status and response to the plan of care. Case management is conducted in collaboration with other care team members.

This is a Monday-Friday, days position. This is a work at home position.

If you are located in Colorado, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary 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
• Completes post discharge assessments evaluating members for clinical and social needs timely and effectively
• Educates members on disease process and medications to include completion of the Medication Reconciliation - Post Discharge
• 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

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications
• Current unrestricted licensure as RN in the state you reside
• Compact multistate RN license
• 2+ years of experience as an RN
• 1+ years of Case Management experience
• 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
• Computer literate and able to navigate the Internet
• Quiet workspace and access to install secure high-speed internet via cable/DSL in home

Preferred Qualifications
• Certified Case Manager (CCM)
• Telephonic Case Management experience
• Bilingual
• Proven effective time management and communication skills
• Proven excellent administrative and organizational skills and the ability to effectively communicate with seniors and their families
• Proven ability to work with diverse care teams
• Reside in one of the following states: GA, IA, MO, AR or NC
• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

The salary range for this role is $59,500 to $116,600 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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