Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. This is the place to do your life's best work.(sm) Field-based RN Case Managers will lead the new frontier in care coordination in the emerging provider market through full partnerships with health systems, hospitals, physicians, communities, patients and their families. As the Field-based RN Case Manager you will interact and collaborate daily with hospital licensed caregivers, health system physicians, internal and external vendors, patients and families. You will be integral to the identification of population health management opportunities as well as the strategic development and design of these services. Value is demonstrated through a reduction in the hospital readmission rates of select patients and improved adherence to evidence based medicine guidelines and industry quality standards. The Field-based RN Case Manager implements wide reaching change by contributing to the transformation of a health care system that meets the demand for safe, quality, patient centered and affordable care. Field Based RN Case Managers will be in the field at least 75% of the time Primary Responsibilities:Manage targeted population daily census Identifying those patients appropriate for face to face contact Meeting with patients, caregivers and families while inpatient to establish relationship and engage in transitional case management process Assess adequacy of discharge plan and risk associated with compliance Complete assessments, address any identified barriers to compliance across the continuum Develop care plan and interventions with patient and family input Proactive post discharge follow-up; telephonically or in home as appropriate Coordination of post discharge care with primary care physician Interact in a collegial and collaborative fashion with hospital clinical staff to include: RNs, Social Workers, UR / UM, physicians, and non-clinical support staff Communicate regularly with patients and families, with hospital team, and document regularly in required systems for outcome reporting Promote cost effective health care with aligned health system networks
Required Qualifications:Current, unrestricted RN license in the State of residence 3+ years of clinical experience as a Registered Nurse in a hospital setting, acute care or direct care experience Proficient with Microsoft Word, with the ability to type and navigate multiple systems within a Windows environment Available to be in the field at least 75% of the timePreferred Qualifications:BSN Managed Care experience Case Management experience Certified Case Manager (CCM) (required within 30 months of hire date) Utilization Management Experience with discharge planning Field-Based experience (i.e. home health) Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm) Diversity creates a healthier atmosphere: UnitedHealth Group 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.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Job Keywords: Field Based, Case Manager, Case Management, Utilization Management, Nurse, RN, BSN, CCM, Home Health, Richardson, Dallas, TX, Texas, Telecommute, Telecommuter, Telecommuting
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.