RN Case Manager - Seattle - Field

$7500 Sign-on Bonus for External Candidates!

Approximately 70% Field Work / 30% Telephonic Work in the King County Area

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual’s physical,

mental

and social needs – helping patients access and navigate care anytime and anywhere

As a team member of our Optum

At

Home product, together with an interdisciplinary care team we help patients navigate the health care

system, and

connect them to key support services. This preventive care can help patients stay well at home

We’re

connecting care to create a seamless health journey for patients across care settings.

Join us to start

Caring. Connecting. Growing together.

Under minimal supervision, responsible for ensuring the continuity of care in the outpatient setting utilizing the appropriate resources within the parameters of established contracts and patients' health plan benefits. Facilitates continuum of patients' care utilizing advanced nursing knowledge, experience and skills to ensure appropriate utilization of resources and patient quality outcomes. Performs care management functions on-site and telephonically as the need arises. Works in conjunction with the care team and PCP as care team leader to develop a patient centered plan of care.

Primary Responsibilities :

Prioritizes patient care needs upon initial visit and addresses emerging issues

Meets with patients, patients' family 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 physician and other team members to ensure that care plan is successfully implemented

Coordinates treatment plans with the care team and triages interventions appropriate to the skill set of the team members. Uses protocols and pathways in line with established disease management and care management programs in order to optimize clinical outcomes and minimize unnecessary institutional care

Monitors and coaches patients using techniques of motivational interviewing and behavioral change to maximize self-management

Oversees provisions for discharge from facilities including follow-up appointments, home health, social services, transportation, etc. in order 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

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

Basic Life Support for Healthcare providers (AHA) or CPR / AED for the Professional Rescuer (American Red Cross)

Washington State Registered Nurse license.

3+ years of experience in a clinical setting

Washington State driver’s license and vehicle for work-related travel

Travel 70% within the King County Service area

Preferred Qualifications :

Bachelor of Science in Nursing, BSN

Telehealth certification

3+ years of experience working in acute care

1+ years of care management, utilization review or discharge planning experience

HMO experience

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.

UnitedHealth Group is 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 is a drug-free workplace. Candidates

are required to

pass a drug test before beginning employment.