RN Case Manager - Phoenix, AZ $1500 sign on bonus - Full-time / Part-time

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)
 
Optumcare  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.
 
Our Nurse Care managers (NCM) are RNs who are responsible for the coordination of care for patients in the inpatient and community setting to determine medical appropriateness by following medical guidelines and benefit determination. The ultimate goal is to help the patient remain out of the hospital while remaining in a safe home with a quality of life.
 
The Nurse Care Manager acts as a longitudinal advocate for patients from the time the patient is admitted to the hospital until the patient with their care givers have returned to their home. They link the patient and care givers with the network of care team members to help them gain knowledge of their disease process and to identify community resources for continued growth toward the maximum level of independence. The Nurse Care Manager is responsible for the care management activities across the continuum of care including coordination of care, development of a comprehensive care plan with any identified barriers, providing health education, coaching and treatment decision support for patients. The NCM participates in interdisciplinary conferences to review clinical assessments, update care plans and determine follow-up frequency with the team.
 
Apply for this position with your eyes wide open. Click here to view the Realistic Job Preview: http://uhg.hr/Field_Based_Case_Manager_UHCCS
 
***This is a full time, Monday-Friday position. The RN must be able to travel within assigned territory / location or as needed in order to conduct critical face to face assessments. Applicants must be willing to carry a diverse clinical caseload and visit the patient in their home, hospital, SNF and as needed in the PCP’s office. $1500 Sign On Bonus.***
 
Primary Responsibilities:


Collaborates effectively with interdisciplinary team (IDT) to establish an individualized plan of care for members, goals including both short and long term

Works with the Utilization Management RNs, Care Coordinators and other providers to facilitate smooth care transitions

Serves as the primary clinical liaison with hospital, clinical and administrative staff for a smooth, seamless transition to the next level of care

Stratifies and / or validates patient level of risk and communicates during transition process with IDT

Ensures standardized execution of workflow processes, such as increase in admissions, monthly audits, and referral to Care Coordinators

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

Develops interventions and processes to assist the MA and other patients in meeting short and long term plan of care goals

Coordinates and attends member visits with PCP and specialists as needed

Nurse Care Managers work with their supervisor to work their assigned case load in an efficient and effective manner utilizing time management skills to facilitate the total work process

Confers with physician advisors on a regular basis regarding inpatient cases and participates in departmental conferencing

Plans patient transitions, with Utilization Management RNs, Care Coordinators, providers, patient and care givers

Attends and participates in interdisciplinary team meetings as directed

With the assistance of the UM team, guides physicians and hospital staff in their awareness of preferred contracts and providers as well as facilities

Enters timely and accurate data into designated care management applications as needed to communicate patient needs and maintains audit scores of 92% or greater on a quarterly basis as well as to be determined patient satisfactory scores

Required Qualifications:


Current, unrestricted RN license in the state of AZ
2+ years of case management experience
3+ years of experience in an acute care, home health, hospice, geriatric and / or hospital setting
Experience using EMR and CM practice guidelines
Knowledge of discharge planning alternatives options and interdisciplinary approaches
Possess planning, organizing, conflict resolution, negotiating and interpersonal skills
Experience with Microsoft Office applications including Word
Independent problem identification / resolution and decision making skills
Able to prioritize, plan, and handle multiple tasks/demands simultaneously
Reliable transportation including valid driver’s license and automobile insurance and able to attend in person any required meetings
Preferred Qualifications:

Experience working with geriatric over 65 patient populations, individuals with multiple co-morbidities
Bilingual (English / Spanish) language proficiency
CCM certification
Experience with Excel and Power Point
Marketing, sales and business development
At OptumHealth, you will perform within an innovative culture that's focused on transformational change in the health care system. You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact that's greater than you've ever imagined. 
  
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: Registered Nurse, RN, case manager, care manager, case management, managed care, field-based, community based, hospice, geriatrics, location in Arizona, Phoenix, Chandler, Scottsdale, Gilbert, Phoenix, AZ