RN Care Manager - Dallas, TX - $3,000 SIGN-ON BONUS

$3,000 SIGN-ON BONUS!

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)

The primary responsibility of the Care Manager RN is to identify, screen, track, monitor and coordinate the care of patients with multiple co-morbidities and/or psychosocial needs and develop a nursing plan of care. They will interact and collaborate with interdisciplinary care team, which includes physicians, transition care managers (i.e., UM inpatient case managers), referral coordinators, pharmacists, social workers, and other educators and nurses. The Care Manager RN also acts as an advocate for members and their families linking them to other members of the care team to help them gain knowledge of their disease process and to identify community resources for continued growth toward the maximum level of independence. The Care Manager RN will participate in interdisciplinary conferences to review clinical assessments, update care plans and determine follow-up frequency with the team. The Care Manager performs non-invasive home and/or in-patient facility, assessments.  Home assessments may include: medication reconciliation, education and a home safety evaluation.

Primary Responsibilities:

• Collaborates effectively with interdisciplinary team to establish an individualized plan of care for members. The interdisciplinary team includes physicians, case managers, referral coordinators, pharmacists, social workers, and other disease educators. Develops interventions to assist the member in meeting short and long term plan of care goals  


• Provide assessments of physical and psycho-social needs in settings not limited to the PCP office, hospital, or member's home


• Develops interventions and processes to assist the patient in meeting short and long term plan of care goals  


• Coordinates and attends member visits with PCP and specialists as needed


• Physical Assessment Tasks may include taking of blood pressure, heart rate, respiratory assessment: Rate, effort, pulse oximetry, peripheral circulation and skin checks on exposed skin, foot checks for edema and skin integrity, home safety evaluation


• Seeks ways to improve job efficiency and makes appropriate suggestions following the appropriate chain of command


• Performs all duties for internal and external customers in a professional and responsible manner having fewer than two complaints per year


• Enters timely and accurate data into designated care management applications and maintains audit scores of 90% or better on a quarterly basis


• Adheres to organizational and departmental policies and procedures


• Takes on-call assignment as directed           


• Maintains current knowledge of health plan benefits and provider network including inclusions and exclusions in contract terms


• With the assistance of the Managed Care/UM teams, guides physicians in their awareness of preferred contracts and providers and facilities


• Attends educational offering to keep abreast of change and comply with licensing requirements and assists in the growth and development of associates by sharing knowledge with others


• Participates in the development of appropriate QI processes, establishing and monitoring indicators 


• Performs all other related duties as assigned

Required Qualifications:

• Undergraduate degree/diploma Nursing


• Minimum 2 years case management experience


• 3 or more years experience in caring for the acutely ill patients with multiple disease conditions


• Registered Nurse with current licensure to practice in the applicable state


• Case Management Certification (CCM) or ability to obtain CCM within one year of employment


• Diverse clinical experience with five or more years experience in caring for the acutely ill patients with multiple disease conditions


• Knowledge of utilization management, quality improvement, discharge planning, and cost management


• Possess planning, organizing, conflict resolution, negotiating and interpersonal skills


• Proficient with Microsoft Office applications including Word, Excel, and Power Point


• Independent problem identification/resolution and decision making skills

Preferred Qualifications:

• Certified Diabetes Educator or Certified Case Manager


• Experience working with psychiatric and geriatric patient populations


• Bilingual (English/Spanish) language proficiency

Diversity creates a healthier atmosphere: 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: RN, registered nurse, case managaer, ccm, home health, patient education, field RN, Dallas, TX