RN Care Coordinator Lewis County

Optum; Chehalis (WA); On-site; USD 58,300 - 114,300; Full time

Job summary

OptumCare is hiring an RN to join the primary care team, visiting patients in the Lewis County area and coordinating care with the APC/ISNP/IESNP programs. The role is M-F with no nights, weekends, or on-call duties, and involves both telephonic and in-person member support in clinics and home settings.

The successful candidate will have an unrestricted WA RN license, 3+ years RN experience, and 1+ year in case management, with EMR and MS Office proficiency and strong communication skills.

Qualifications

• Current unrestricted Registered Nurse license in Washington state.
• 3+ years of RN experience.
• 1+ years of case management experience.
• Experience with using electronic medical records.
• Basic Microsoft Office skills with the ability to navigate in a Windows environment.
• Proven excellent communication and customer service skills.
• Valid driver's license and ability to travel locally 75% of the time.

Responsibilities

• Establishes and maintains communication and a trusting collaborative relationship with the ICT, member/RP, and primary caregiver staff in the ALC and APC.
• Communicates with multiple organizations and operational units for seamless coordination of benefits, e.g., utilization review staff, provider relations liaison, pharmacy, etc.
• Reviews member status and assists in achieving progress toward goals; adjusts the ICP as necessary.
• Performs administrative functions for or on behalf of the PCP and/or APC.
• Participates in program effectiveness analysis and planning.
• Performs member visits and rounding as established and directed by the APC.
• Communicates status of member with APC for evaluation and ICP updates.
• Communicates with member, family/RP, primary caregivers of the community, and other members of the ICT during each member visit.
• Assists with other clinical and quality responsibilities for member, e.g., gaps in care.
• Attends meetings on behalf of the APC and communicates updates to the ICP with the ICT.
• Provides clinical educational programs for facility staff.

Skills

RN license

RN experience

Case management

EMR experience

MS Office

Communication

Driver's license

Education

BSN

Job description

$7,500 Sign-on Bonus for External Candidates!

M-F no nights, weekends or on-call!

This position will be visiting patients in the Lewis County area.

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.

An RN functions as part of the primary care team and reports to the Clinical Services Manager (CSM). The RN supports the APC and our members to coordinate care services, working closely with the team and potentially supporting multiple providers. The RN works under the direction of the provider, with activities delegated by the provider or the team CSM. The RN understands and supports the CPM models of care, including Institutional Special Needs Plan (ISNP), Institutional Special Needs Plan (IESNP), and Transitions to Skilled (TTS), collaborating with the team to achieve program goals. This role supports members telephonically and in person in patient settings and home settings.

Primary Responsibilities

• Establishes and maintains communication and a trusting collaborative relationship with the ICT, member/RP, and primary caregiver staff in the ALC and APC.
• Communicates with multiple organizations and operational units for seamless coordination of benefits, e.g., utilization review staff, provider relations liaison, pharmacy, etc.
• Reviews member status and assists in achieving progress toward goals; adjusts the ICP as necessary.
• Performs administrative functions for or on behalf of the PCP and/or APC.
• Participates in program effectiveness analysis and planning.
• Performs member visits and rounding as established and directed by the APC.
• Communicates status of member with APC for evaluation and ICP updates.
• Communicates with member, family/RP, primary caregivers of the community, and other members of the ICT during each member visit.
• Assists with other clinical and quality responsibilities for member, e.g., gaps in care.
• Attends meetings on behalf of the APC and communicates updates to the ICP with the ICT.
• Provides clinical educational programs for facility staff.
• Communicates information on behalf of the APC to the member, family/RP, and primary caregiver staff at the ALC.
• Coordinates and collaborates with the health plan/client.
• Assists with ACP.
• Collects data including functional status, BMI, vital signs, urine test for proteinuria, IFOBT specimen, and other clinical data; records results in EMR and reviews them with the APC.
• Performs care coordination activities within the ALC to ensure member needs are met, e.g., external provider appointments, therapy needs, durable medical equipment (DME), and transportation.
• Stays abreast of all Model of Care (MOC), documentation, and policy updates communicated via email, newsletters, and team meetings.
• Maintains an understanding of and utilizes clinical resources independently, including but not limited to Resource1, iCoreCodeGenius, Sparq, Learnsource, and other Optum internal sites.
• Maintains confidential health information according to state and federal regulations, including HIPAA.

You will be rewarded and recognized for your performance in an environment that challenges you and provides clear direction on what it takes to succeed in your role, as well as development opportunities for other roles you may be interested in.

Required Qualifications

• Current unrestricted Registered Nurse license in Washington state
• 3+ years of RN experience
• 1+ years of case management experience
• Experience with using electronic medical records
• Basic Microsoft Office skills with the ability to navigate in a Windows environment
• Proven excellent communication and customer service skills
• Valid driver's license and ability to travel locally 75% of the time

Preferred Qualifications

• BSN
• Experience working in post-acute care, such as long-term care or hospice, and/or case management experience as an RN
• Experience working with the geriatric population
• Familiarity with the long-term care business environment

Washington Residents Only

The salary range for this role is $58,300 to $114,300 annually. 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.

OptumCare is an Equal Employment Opportunity/Affirmative Action employer; 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.