Clinic Case Manager RN - Hybrid Role New Orleans, LA

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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

As senior care specialists, we understand the needs of our patients. Primary Care Plus doctors, nurses and staff know how to treat the health challenges that arise with aging. Because we focus on seniors, our doctors see about half of the patients of a typical primary care doctor. This allows more time at every appointment to get to know the patient, to understand individual health goals and to provide effective and highly personalized health care at every opportunity. Primary Care Plus is dedicated to patient health through continuity of care. As a new member of the UnitedHealth Group family of companies, Primary Care Plus is expanding its impact and sense of contribution.

As part of the patient centered medical home team, the RN Case Manager engages in a collaborative process which assesses, plans, implements, coordinates, monitors, and evaluates options and services to meet a patient's health needs. 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.

If you are in New Orleans, LA, you will have the flexibility to work 3 days in the clinic and 2 days at home in this hybrid role.

Primary Responsibilities:

• Works with facility and health plan representatives to coordinate the discharge planning process and transition needs based on patient's diagnoses and status
• Collaboration with the 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
• Providing self-management support to patients in order to improve their health outcomes
• Leads daily / weekly / monthly discussions where patients' goals, outcomes, interventions, and recommendations for improvement are discussed with members of the patient's care team
• Visit members in their homes or hospitals settings 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 RN license in the state of LA
• 3+ years of experience in a clinical setting
• Experience in Case Management, Disease Management, Chronic Care Improvement, and/or Quality Improvement
• Computer/typing proficiency to enter/retrieve data in electronic clinical records and documentation systems; experience with email, internet research, use of online calendars and other software applications
  

Preferred Qualifications:

• Bachelor's in Nursing
• Experienced in a managed care setting
• Experience working with the geriatric population
• Home health experience

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.


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.