Field RN Case Manager - Home Health & Care Coordination

Jobtome

Lynnwood (PA)

On-site

USD 92,000 - 137,000

Full time

14 days+

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Benefits offered by this job

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Job summary

Optum Home & Community Care is seeking a Registered Nurse Case Manager to join the Care at Home program. You will deliver in-home assessments, develop and monitor plans of care, and coordinate with PCPs and other providers in a home-based setting.

Requirements include active RN licensure in your state, 2+ years of nursing experience, EMR proficiency, and the ability to travel up to 75%. A valid driver’s license and reliable transportation are essential.

Qualifications

Active unrestricted RN licensure in state of residence and state of assignment.
Minimum 2+ years of relevant nursing experience.
Experience assessing medical needs of patients with complex behavioral, social, or functional needs.
Ability to travel up to 75% for field-based work.
Valid driver's license and reliable transportation.
Ability to navigate home settings and assist with transitions between care settings.

Responsibilities

Assess health status of patients 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.
Bridge gaps between mental and physical health with mental health clinicians.
Document in electronic medical records and coordinate referrals as needed.
Educate patients and families on health maintenance and follow-up needs.
Participate in quality initiatives and team meetings.