Onsite RN Case Manager - San Jose, CA

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)  
   
Onsite Case Managers will lead the new frontier in care coordination in the emerging provider market through full partnerships with health systems, hospitals, physicians, communities, patients and their families. In this role, the Case Manager will interact and collaborate daily with hospital licensed caregivers, health system physicians, internal and external vendors, patients and families. The Onsite Case Manager will be integral to the identification of population health management opportunities as well as the strategic development and design of these services.  
   
Value is demonstrated through a reduction in the hospital readmission rates of select patients and improved adherence to evidence based medicine guidelines and industry quality standards. The Case Manager implements wide reaching change by contributing to the transformation of a health care system that meets the demand for safe, quality, patient centered and affordable care.     
 
Primary Responsibilities:  

Manage targeted population daily census   
Identify those patients appropriate for face to face contact  
Meet with patients and caregivers / families while inpatient to establish relationship and engage in transitional case management process  
Assess adequacy of discharge plan and risk associated with compliance  
Complete assessments, address any identified barriers to compliance across the continuum  
Develop care plan and interventions with patient and family input  
Proactive post discharge follow-up; telephonically or in home as appropriate  
Coordination of post discharge care with primary care physician  
Interact in a collegial and collaborative fashion with hospital clinical staff to include: RNs, Social Workers, UR / UM, physicians, and non-clinical support staff  
Communicate regularly with patients and families, with hospital team, and document regularly in required systems for outcome reporting  
Promote cost effective health care with aligned health system networks

Required Qualifications: 

Current, unrestricted RN license in your state of residence 
3+ years 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 
Preferred Qualifications: 

Bachelor's Degree 
Managed care experience 
Home Health Care and / or Field Based Case Management experience  
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: 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:   RN, Registered Nurse, Case Manager, Managed Care, Utilization Review, CCM, Discharge Planning, San Jose, California, CA, Stanford, El Camino Medical Center
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