Case Manager, RN - WellMed at Eastfield

UnitedHealth Group; Mesquite (TX); On-site; USD 60,000 - 107,000; Full time

Benefits offered by this job

Benefits package

401k contribution

Incentive programs

Job summary

WellMed, part of the Optum family, is seeking a Healthcare Manager to support patients with high-risk conditions and navigate the healthcare system. You will educate, empower, and advocate for patients and families, collaborating with physicians, nurses, pharmacists, and social workers.

The role emphasizes self-directed nursing tasks, care coordination, and comprehensive documentation in the EMR to drive improved health outcomes.

Qualifications

• RN license in state of employment
• BLS certification
• Experience in physician's office or hospital setting
• Knowledge of chronic diseases such as COPD/asthma, diabetes, CHF, IHD
• Strong documentation in EMR
• Excellent verbal and written communication
• Ability to interact with multidisciplinary teams
• Organizational and prioritization skills
• TB screening and immunity proof requirements

Responsibilities

• Identify high-risk patients and support longitudinal care
• Conduct assessments and medication reconciliation
• Provide patient education and refer to appropriate resources
• Assist with care transitions from inpatient to outpatient settings
• Coordinate with providers to update care plans
• Document in EMR and participate in PCC meetings
• Prepare reports for weekly meetings
• Maintain current nursing competencies

Skills

Communication

Interpersonal skills

Organizational skills

Teamwork

Education

Bachelor's degree in Nursing

Associate degree in Nursing

Tools

Electronic medical records (EMR)

Basic computer skills

Job description

Explore opportunities with WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will be part of a team who shares your passion for helping people achieve improved health outcomes. Explore rewarding opportunities for physicians, clinical staff and non-patient-facing roles. Join us and discover the meaning behind Caring. Connecting. Growing together.

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
• Demonstrated excellent verbal and written skills
• Demonstrated solid interpersonal skills
• Demonstrated ability to interact productively with individuals and with multidisciplinary teams
• Demonstrated 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

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

Physical & Mental Requirements:

• Ability to lift up to 35 pounds
• Ability to push or pull heavy objects using up to 35 pounds of force
• Ability to sit for extended periods of time
• Ability to stand for extended periods of time
• Ability to use fine motor skills to operate office equipment and/or machinery
• Ability to receive and comprehend instructions verbally and/or in writing
• Ability to use logical reasoning for simple and complex problem solving

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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