Senior Case Manager RN

UnitedHealth Group; Rogers (AR); On-site; USD 85,000 - 128,000; Full time

Benefits offered by this job

Comprehensive benefits

Incentive programs

401k contribution

Job summary

UnitedHealth Group seeks an experienced Home Health Patient Care Manager to supervise the interdisciplinary team and coordinate clinical services across the home health spectrum. The role ensures continuity of high-quality care according to physician plans and regulatory standards.

Responsibilities include managing referrals, initiating start of care, coordinating benefits and approvals, and ensuring individualized patient care while monitoring daily assessments and plans of care.

Qualifications

• Current unrestricted RN licensure in state of practice.
• Valid driver's license, vehicle insurance, and access to reliable transportation.
• RN licensure must have no restrictions.
• CPR certification (preferred) or ability to obtain within 90 days of hire (preferred).
• Home care experience (preferred).

Responsibilities

• Provides clinical services within the scope of practice per plan of care and coordinated with the health care team.
• Receives referrals, assigns clinicians, reviews orders, and initiates start of care visits.
• Coordinates patient home health benefits, medical necessity, and insurance approvals.
• Ensures patient needs are continually assessed and care is individualized per physician orders.
• Reviews assessments and plans of care daily and advises clinicians as appropriate.
• Delivers care to patients regardless of age, race, creed, color, sex, disability, or financial condition.

Skills

Clinical nursing

Home care

Education

RN licensure

Job description

Explore opportunities with Access Home Health, a part of LHC Group. As part of the Optum family of businesses, we provide home health, hospice and community-based services that help people receive quality care where they feel most comfortable: at home. Rooted in personalized care, we support patients and provide comfort through each stage of their health journey, while building trusted relationships along the way. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.

As the Home Health Patient Care Manager, you are responsible for the overall supervision and coordination of clinical services. Coordinates and supervises an interdisciplinary team of staff to assure the continuity of high quality care to home health patients assigned to the team's area in accordance with physician prescribed plan of care, and all applicable state and federal laws and regulations.

Primary Responsibilities:

• Provides clinical services within the scope of practice, as defined by the state laws governing the practice of nursing, in accordance with the plan of care, and in coordination with other members of the health care team
• Receives referrals, ensures appropriate clinician assignments, evaluate patient orders, and plot start of care visits
• Coordinates determination of patient home health benefits, medical necessity, and ongoing insurance approvals
• Ensures patient needs are continually assessed and care rendered is individualized to patient needs, appropriate and reasonable, meets home health eligibility criteria, and is in accordance with physician orders
• Reviews assessments and plans of care daily, per assigned workflow, and consults clinicians with recommendations, as appropriate
• Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client

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 RN licensure in state of practice
• Current driver's license, vehicle insurance, and access to a dependable vehicle or public transportation

State Specific Requirement:

• RN licensure must have no restrictions .AK, AL, AR, AZ, CO, CT, DE, FL, GA, ID, IL, IN, KY, MA, MI, MD, MN, MO, MS, NC, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, TN, TX, VA, WA, WI, WV:

Preferred Qualifications:

• Current CPR certification or ability to complete within 90 days of hire
• Home care experience

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 salary for this role will range from $85,196 to $127,794 annually 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 help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group and its affiliated brands are 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.

UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidatesare required topass a drug test before beginning employment.