Field-Based RN Case Manager – Home Health

Optum; Lakewood (CA); On-site; USD 92,000 - 137,000; Full time

Benefits offered by this job

Sign-on bonus - $7,500

Job summary

Optum Home & Community Care is seeking a Registered Nurse within the Care at Home program to support in-home patient care and care coordination. You will work with an interdisciplinary team to assess health status, set care goals, and manage plan of care for patients in their homes, with emphasis on safe transitions and community referrals.

Required are an active RN license, 2+ years of experience, EMR proficiency, and the ability to travel up to 75% to patient homes.

Qualifications

• Active unrestricted RN licensure in state of residence and state of assignment.
• 2+ years of relevant experience.
• Experience in assessing the medical needs of patients with complex behavioral, social and/or functional needs.
• Proven ability to work with diverse care teams in a variety of settings including non-clinical settings (primarily patient homes).
• Demonstrated solid computer skills, including use of Electronic Medical Records.
• Ability to travel up to 75% of the time for field-based work.
• Valid driver's license and access to reliable transportation.
• Ability to physically navigate home settings, lift 30 pounds, reliable transportation for commuting to member homes.

Responsibilities

• Assess health status within licensure scope and model of care.
• Establish goals to meet identified health care needs.
• Plan, implement, and evaluate responses to the plan of care.
• Collaborate with interdisciplinary team to address medical, functional, and social barriers.
• Work with mental health clinicians to bridge mental and physical health gaps.
• Monitor patient status and coordinate care transitions.
• Maintain patient records and document care and follow-up.

Skills

Clinical assessment

Home health experience

EMR proficiency

Care coordination

Communication

Education

RN licensure

Tools

Electronic Medical Records

Job description

Optum Home & Community Care is seeking a Registered Nurse within the Care at Home program to support in-home patient care and care coordination. You will work with an interdisciplinary team to assess health status, set care goals, and manage plan of care for patients in their homes, with emphasis on safe transitions and community referrals.

Required are an active RN license, 2+ years of experience, EMR proficiency, and the ability to travel up to 75% to patient homes.