Registered Nurse, Care Manager - Remote - 2293598

UnitedHealth Group; California (MO); Hybrid; Confidential; Full time

Job summary

Join a leading healthcare provider committed to transforming health care and improving healthcare for millions. As a Registered Nurse at UnitedHealth Group, you will assess and provide necessary care to patients, ensuring continuity in healthcare management while benefiting from a supportive culture that encourages your growth and development.

Benefits

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase

401k contribution

Qualifications

• Active, unrestricted Registered Nurse license through the State of California.
• 1+ years of experience in care management or a clinical setting.
• 3+ years experience in acute care is preferred.

Responsibilities

• Responsible for providing professional nursing care by assessing and planning for patient needs.
• Monitors and coaches patients using motivational interviewing techniques.
• Consults with the physician to ensure care plans are implemented successfully.

Skills

Patient care prioritization

Motivational interviewing techniques

Clinical coordination

Education

Graduation from an accredited school of nursing

Bachelor of Science in Nursing, BSN

Job description

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

Optum’s Pacific West region is redefining health care with a focus on health equity, affordability, quality, and convenience. From California to Oregon and Washington, we are focused on helping more than 2.5 million patients live healthier lives and helping the health system work better for everyone. At Optum Pacific West, we care. We care for our team members, our patients, and our communities. Join our culture of caring and make a positive and lasting impact on health care for millions.

Schedule: M-F 8-5pm (Rotation schedules) one time a week, two times a month 10am -6:30pm, possible two Saturdays a month
Department: ACO
Locations: Chatsworth

Responsible for providing professional nursing care by assessing, planning, implementing, and evaluating the care of patients under the supervision of a clinician or RN, Supervisor, or RN Charge Nurse. Delegates tasks as needed to professionals and para-professional employees. Coordinates activities and works closely with clinicians and staff to maintain efficient department functions and ensure the successful operation of the department. Responsible for performing operational duties as required under the supervision of the site administrator or designee. Familiar with the Model of Care and NCQA guidelines.

If you are located in Pacific standard time and have CA active, unrestricted Registered Nurse license through the State of California, you will have the flexibility to work remotely* as you take on some tough challenges

Primary Responsibilities:

• Prioritizes patient care needs upon initial visit and addresses emerging issues
• Meets telephonically with patients, patients' families, and caregivers as needed to discuss care and treatment plan
• Identifies and assists with the follow-up of high-risk patients in acute care settings, skilled nursing facilities, custodial and ambulatory settings
• Consults with the physician and other team members to ensure that the care plan is successfully implemented
• Uses protocols and pathways in line with established disease management and care management programs to optimize clinical outcomes and minimize unnecessary institutional care
• Monitors and coaches’ patients using motivational interviewing techniques and behavioral change to maximize self-management
• Oversees provisions for discharge from facilities, including follow-up appointments, home health, social services, transportation, etc., to maintain continuity of care
• Works in coordination with the care team and demonstrates accountability with patient management and outcome
• Discusses Durable Power of Attorney (DPOA) and advanced directive status with patient and PCP when applicable
• Maintains effective communication with the physicians, hospitalists, extended care facilities, patients and families
• Provides accurate information to patients and families regarding resources available to them through health plan benefits, community resources, and referrals
• Participates actively in Monthly Care Management Department meetings and daily huddles
• Documents pertinent patient information and Care Management Plan in Electronic Health Record
• Coordinates care with central departments on assigned patient caseload, including inpatient, long-term care facilities, adult family homes, and home health agencies
• Demonstrates a thorough understanding of the cost consequences resulting from Care Management decisions through utilization reports and systems such as Health Plan Benefits, CM dashboards and reports
• Maintains concise and accurate documentation that supports effective and efficient management of care plans to decrease Emergency and hospital readmissions
• Adheres to departmental policies and procedures.Uses, protects, and discloses HCP patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Participates in training all new care managers

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:

• Graduation from an accredited school of nursing
• Active, unrestricted Registered Nurse license through the State of California
• 1+ years of experience of care management or clinical setting

Preferred Qualifications:

• Bachelor of Science in Nursing, BSN
• 3+ years of experience working in acute care
• 1+ years of previous care management, or discharge planning experience
• ACO Experience
• Ambulatory experience
• Commercial PPO & Sr Experience

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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 hourly pay for this role will range from $28.27 to $50.48 per hour 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.

OptumCareis 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.

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