RN Case Manager - Case Management
Company: UnitedHealth Group Inc
Location: Pflugerville
Posted on: May 28, 2023
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Job Description:
RN Case Manager$5,000 Sign on Bonus Available for External
Candidates
Incentive Bonus 2 times a year
18 days of PTO & Closed on Major Holidays
MA Certification Fee Reimbursement - 401K Match
PLEASE NOTE The Sign On Bonus is only available to external
candidates.------Candidates who are currently working for a
UnitedHealth Group, UnitedHealthcare or a related entity in a full
time, part time, or per diem basis ("Internal Candidates") are not
eligible to receive a Sign On Bonus
Do you have compassion and a passion to help others? Transforming
healthcare and millions of lives as a result starts with the values
you embrace and the passion you bring to achieve your life's best
work.(sm)
The Healthcare Manager is responsible for successfully supporting
patients with high risk health conditions to navigate the
healthcare system. The Healthcare Manager assists in developing
patient empowerment by acting as an educator, resource, and
advocate for patients and their families to ensure a maximum
quality of life. The Healthcare Manager interacts and collaborates
with multidisciplinary care teams, to include physicians, nurses,
pharmacists, laboratory technologists, social workers, and other
educators. The Healthcare Manager acts as a resource for clinic
staff. The Healthcare Manager works in a less structured,
self-directed environment and performs all nursing duties within
the scope of a RN license of the applicable state board of
nursing.
Primary Responsibilities:
* Works with the providers and clinic staff to identify patients at
high risk
* Supports longitudinal care of the patient with chronic care
conditions by:
* performing assessment of health conditions
* performing medication reconciliation
* conducting Motivational Interviewing and Self-Management Goal
setting
* providing patient education
* creating referrals to appropriate agencies and resources
* Supports transition of the patient with chronic care conditions
from inpatient to outpatient setting, by:
* performing assessment of transitional needs
* performing medication reconciliation
* establishing and reviewing contingency plan
* providing patient education
* assisting with post discharge needs such as prescriptions,
transportation, Durable Medical Equipment (DME), appointments
* Coordinate with providers to establish or update plan of care
* Performs accurate and timely documentation in the electronic
medical record
* Participates in daily huddles and Patient Care Coordination (PCC)
meetings
* Prepares accurate and timely reports, as required, for weekly
meetings
* Maintains continued competence in nursing practice and knowledge
of current evidence based practices
* May perform clinical tasks within their scope of practice
* Performs all other related duties as assigned
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:
* Bachelor's degree in Nursing or Associate's degree in Nursing
with 4+ years of experience as an RN
* Registered Nurse with an active and unrestricted license to
practice in the state of employment
* Current BLS certification
* 2+ years of experience in a physician's office, clinical or
hospital setting
* Knowledge of chronic diseases, especially COPD/asthma, diabetes,
CHF and IHD
* Proficient computer skills to work efficiently with electronic
medical records
* Proven excellent verbal and written skills
* Proven solid interpersonal skills
* Proven ability to interact productively with individuals and with
multidisciplinary teams
* Proven excellent organizational and prioritization skills
* This position requires Tuberculosis screening as well as proof of
immunity to Measles, Mumps, Rubella, Varicella, Tetanus,
Diphtheria, and Pertussis through lab confirmation of immunity,
documented evidence of vaccination, or a doctor's diagnosis of
disease
* Full COVID-19 vaccination is an essential job function of this
role. Candidates located in states that mandate COVID-19 booster
doses must also comply with those state requirements. UnitedHealth
Group will adhere to all federal, state and local regulations as
well as all client requirements and will obtain necessary proof of
vaccination, and boosters when applicable, prior to employment to
ensure compliance. Candidates must be able to perform all essential
job functions with or without reasonable accommodation
Preferred Qualifications:
* Experience related to patient education and/or motivational
interviewing skills and self-management goal setting
* Fluent written and verbal skills in English and Spanish
To protect the health and safety of our workforce, patients and
communities we serve, UnitedHealth Group and its affiliate
companies require all employees to disclose COVID-19 vaccination
status prior to beginning employment. In addition, some roles and
locations require full COVID-19 vaccination, including boosters, as
an essential job function. UnitedHealth Group adheres to all
federal, state and local COVID-19 vaccination regulations as well
as all client COVID-19 vaccination requirements and will obtain the
necessary information from candidates prior to employment to ensure
compliance. Candidates must be able to perform all essential job
functions with or without reasonable accommodation. Failure to meet
the vaccination requirement may result in rescission of an
employment offer or termination of employment
Careers with WellMed. Our focus is simple. We're innovators in
preventative health care, striving to change the face of health
care for seniors. We're impacting 550,000+ lives, primarily
Medicare eligible seniors in Texas and Florida, through primary and
multi-specialty clinics, and contracted medical management
services. We've joined Optum, part of the UnitedHealth Group family
of companies, and our mission is to help the sick become well and
to help patients understand and control their health in a lifelong
effort at wellness. Our providers and staff are selected for their
dedication and focus on preventative, proactive care. For you, that
means one incredible team and a singular opportunity to do your
life's best work.(sm)
WellMed was founded in 1990 with a vision of being a physician-led
company that could change the face of healthcare delivery for
seniors. Through the WellMed Care Model, we specialize in helping
our patients stay healthy by providing the care they need from
doctors who care about them. We partner with multiple Medicare
Advantage health plans in Texas and Florida and look forward to
continuing growth.
At UnitedHealth Group, our mission is to help people live healthier
lives and make the health system work better for everyone. We
believe everyone-of every race, gender, sexuality, age, location
and income-deserves the opportunity to live their healthiest life.
Today, however, there are still far too many barriers to good
health which are disproportionately experienced by people of color,
historically marginalized groups and those with lower incomes. We
are committed to mitigating our impact on the environment and
enabling and delivering equitable care that addresses health
disparities and improves health outcomes - an enterprise priority
reflected in our mission.
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.
Keywords: UnitedHealth Group Inc, Pflugerville , RN Case Manager - Case Management, Executive , Pflugerville, Texas
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