Description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together

As part of the patient centered medical home team, the RN Care Manager engages in a collaborative process which assesses, plans, implements, coordinates, monitors, and evaluates options and services to meet a patient's health needs through communication and available resources to promote quality, cost-effective outcomes.

The RN Care Manager collaborates with clinical teams in various health care settings in support of the patient, to include acute care, skilled nursing care setting, long term acute care setting, rehab facilities, custodial care, ambulatory care settings, and the patient's home. The RN Care Manager will facilitate the coordination of care resulting in more efficient utilization of health care resources, decreased hospital readmissions and improved health outcomes.

***THIS IS A HYBRID ROLE. YOU WILL WORK THREE DAYS IN THE CLINIC AND TWO DAYS IN A VIRTUAL CAPACITY. ***

Primary Responsibilities:

• Discharge Planning:
  • Works with facility navigator to coordinate DC process and transition needs based on patient's diagnoses and status
• Care Coordination and Patient Support:
  • Collaboration with the entire clinic team to proactively manage high risk patients by ensuring appropriate:
    • Frequency of PCP visits, Specialist referrals, Testing/screenings
  • Medication Management to include medication reconciliation post discharge and medication adherence
  • Chronic disease education
  • Coordinate home visits when necessary to assess patient's needs
  • Providing self-management support to patients in order to improve their health outcomes
• Utilization Management:
  • Review Home Health recertification for necessity
  • Assessing appropriate use of services: Emergency room, admissions and re-admissions
  • Review utilization reports to determine possible interventions/care coordination
• Clinic Team Communication: Leads daily/weekly/monthly discussions where patients' goals, outcomes, interventions, and recommendations for improvement are discussed with members of the patient's care team
• Clinic Support: Assist in Clinic Daily Duties as needed

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 Registered Nurse License in LA
• 3+ years of experience in a clinical setting
• Proven knowledge of computers
• Proven thorough knowledge of HIPAA compliance
• Reside within a commutable distance of Monroe, LA

Preferred Qualifications:

• Current CPR certification
• Experience with EMR
• Proven knowledge of Disease Management, Chronic Care Improvement, and /or Quality Improvement experience in a manage care

Core Competencies:

• Professionalism
• Excellent written and oral communication skills
• Critical thinking /sound judgment
• Solid problem solving and organizational skills
• Self-Motivated and able to carry out assignments with minimal assistance
• Ability to work well with a diverse group of people
• Ability to prioritize
• Ability to lead a team to accomplish quality goals and initiatives

Physical Demands/Working Conditions:

• Ability to travel by personal vehicle between various hospitals and member's residence on a routine basis
• Must be available to work extended hours, overtime and non-traditional hours as needed

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 $60,200 to $107,400 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 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.