Registered Nurse - Field Case Manager

Optum; Washington (District of Columbia); On-site; USD 59,000 - 117,000; Full time

Job summary

An established industry player is seeking a dedicated Registered Nurse - Field Case Manager to join their innovative team. This role offers the chance to make a real impact in the lives of patients by providing personalized care management in the comfort of their homes. With a focus on collaboration and advocacy, you will work closely with interdisciplinary teams to ensure quality care and support for members. Enjoy a rewarding career with a competitive salary, generous sign-on bonus, and a comprehensive benefits package. If you're passionate about improving health outcomes and thrive in a dynamic environment, this opportunity is for you.

Benefits

Medical Insurance

Vision Insurance

401(k)

Tuition Assistance

Disability Insurance

Sign-on Bonus

Qualifications

• Current unrestricted RN license in DC or willing to obtain within 90 days.
• 2+ years of experience with MS Office and 1+ years in post-acute care.

Responsibilities

• Assess and implement individualized care management interventions.
• Communicate health-related information for coordinated care.

Skills

Patient Advocacy

Care Management

Communication

Documentation

Empathy

Education

Registered Nurse License

Basic Life Support Certification

Tools

Electronic Medical Record Systems

MS Word

Excel

Outlook

Job description

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$5,000 Sign-on Bonus for External Candidates

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.

The United Healthcare at Home program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care for members in their place of residence. The DSNP program combines clinicians providing intensive interventions customized to the needs of each individual, in collaboration with the Interdisciplinary Care Team, which includes the clinician, the member’s Primary Care Provider, other providers, and professionals.

This position is open to candidates who live in DC, MD, or VA.

This is a field-based position in the greater Washington DC area. Expect to spend about 50-75% of your time in the field visiting our members in their homes or in long-term care facilities in the local area. You’ll need to be flexible, adaptable, and, above all, patient in all types of situations.

Standard Hours: Monday – Friday, normal daytime business hours (no on-call, no weekends, and no holidays required).

Primary Responsibilities:

• Assess, plan, and implement care management interventions that are individualized for each member and directed toward the most appropriate, least restrictive level of care.
• Develop and implement care plan interventions throughout the continuum of care as a single point of contact.
• Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members.
• Advocate for members and families as needed to ensure the member’s needs and choices are fully represented and supported by the health care team.
• Identify appropriate interventions and resources to meet gaps (e.g., psychosocial, transportation, long-term care) based on specific consumer needs from both the health care and psychosocial/socioeconomic dimensions of care.
• Document the plan of care in appropriate EHR systems and enter data as specified.
• Maintain consumer engagement by establishing rapport, demonstrating empathy, and building a trusting relationship.
• Collaborate with primary providers or multidisciplinary team to align or integrate goals to plan of care and drive consistent coordination of care.
• Provide ongoing support for advanced care planning.
• Reassess plan of care at appropriate intervals based on initial objectives, significant change of condition, or achievement of goals.
• Understand and operate effectively/efficiently within legal/regulatory requirements.
• Utilize evidence-based guidelines (e.g., medical necessity guidelines, practice standards).
• Make outbound calls and receive inbound calls to assess members’ current health status.
• Identify gaps or barriers in treatment plans.
• Provide member education to assist with self-management.
• Make referrals to outside sources.
• Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction.
• Support members with condition education, medication reviews, and connections to resources such as Home Health Aides or Meals on Wheels.

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:

• Current unrestricted Registered Nurse license in Washington DC or willing to obtain within 90 days of hire.
• Certified in Basic Life Support.
• 2+ years of experience working with MS Word, Excel, and Outlook.
• 1+ years of experience in post-acute care, such as long-term care.
• 1+ years of clinical case management experience.
• 1+ years of experience using an Electronic Medical Record.
• Valid Driver’s License and access to reliable transportation.
• Ability to work in a field-based capacity in Washington, D.C.
• Reside within 50 miles of Washington, DC.

Preferred Qualifications:

• Certified Case Management (CCM).
• 1+ years of experience working with the geriatric population.
• 1+ years of LTSS (Long Term Services and Supports).
• 1+ years of HCBS (Home and Community Based Services) experience.
• Field-based experience going into members’ homes.
• Experience creating care plans.
• Background in managing populations with complex medical or behavioral needs.

The salary range for this role is $59,500 to $116,600 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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 employer 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.

Seniority level

• Seniority level

  Associate

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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Inferred from the description for this job

Medical insurance

Vision insurance

401(k)

Tuition assistance

Disability insurance

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