RN Case Manager - Case Management

Company: UnitedHealth Group Inc
Location: Pflugerville
Posted on: May 28, 2023

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