RN Care Coordinators - West Valley City, UT - Full-time / Part-time

There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work.(sm)

Optum Medical Network is a network of health care providers in the Southwest, whose mission is to connect and support providers by working together to deliver the most effective and compassionate care to each and every patient they serve.  Optum Medical Network's focus is to do the right things for patients, physicians, and the community. Optum Medical Network's Core Business is contracting directly with health insurers to deliver a highly personal care management and service model to their patients.  The current focus of Optum Medical Network is on seniors, and those with complex care needs, who most benefit from a high touch model of care.

Primary Responsibilities:

• Making outbound calls to assess members' current health status


• Identifying gaps or barriers in treatment plans


• Providing patient education to assist with self -management


• Interacting with Medical Directors on challenging cases


• Coordinating care for members


• Making referrals to outside sources


• Coordinating services as needed (home health, DME, etc.)


• Educating members on disease processes


• Encouraging members to make healthy lifestyle changes


• Documenting and tracking findings


• Utilizing Milliman criteria to determine if patients are in the correct hospital setting


• Making welcome home calls to ensure that discharged member receive the necessary services and resources


• Case Manager may be required to go onsite to some inpatient hospital or Skilled Nursing Facility Settings
  
  

Required Qualifications:

• Current, unrestricted RN license in the State of Utah


• 2+ years of experience in a hospital setting, acute care, direct care experience or experience as a telephonic Case Manager for an insurance company


• Basic level of experience with Microsoft Word, with the ability to navigate a Windows environment 


• Must be willing to travel on site to local hospitals as well as work out of the office in West Valley City

Preferred Qualifications:

• Bachelor's Degree


• Background in managed care


• Case Management experience


• Certified Case Manager (CCM)


• Experience/exposure with discharge planning


• Experience in utilization review, concurrent review and/or risk management


• Strong organizational skills and multitasking abilities will be keys to success

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: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.


UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.

Job Keywords: RN, Care Coordinator, Telephonic Case Manager, Onsite, Hospital, Managed Care, Medicare