RN Case Manager - Optum at Home - Remote in CST
About the position 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 with 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 Requirements • 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 Nice-to-haves • 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 Benefits • Comprehensive benefits package • Incentive and recognition programs • Equity stock purchase • 401k contribution Apply tot his job