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Hours Full-time, Part-time
Location Salt Lake City, UT
Salt Lake City, Utah

About this job


Provider Based Case Management! Salt Lake City! 


Multiple Openings!


 


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)


 


 


Field-based 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, YOU will interact and collaborate face-to-face and telephonically daily with hospital licensed caregivers, health system physicians, internal and external vendors, patients and families.  YOU 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 Field-based 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.



 


Due to continued growth, we are looking for Field-Based RN Case Managers to work with assigned provider groups in the Salt Lake City Metro Area.  The Case Managers will have a home based office (telecommute).  The Case Managers will be spending part of the time in the field visiting provider offices and members homes, and part of the time conducting telephonic case management. 

Responsibilities:




  • Identifying those patients appropriate for face to face contact
    meeting with patients and caregivers/families while inpatient to establish relationship and engage in transitional case management process


  • Resolve discharge plan discrepancies and educate patient prior to discharge


  • 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, SWs, UR/UM, physicians, and nonclinical 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


  • Manage targeted population daily census

Requirements


Requirements:



  • Current, unrestricted RN license in the State of Utah

  • Minimum 2 years of experience in a hospital setting, acute care or direct care experience

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

  • Must have a reliable vehicle, current and unrestricted driver's license and proof of auto insurance

 


Additional Assets Preferred:



  • BSN

  • Managed Care experience

  • Case Management experience

  • Certified Case Manager (CCM)

  • Experience with discharge planning

  • Experience in homehealth is a plus!

  • Experience with the chronic/complex population (i.e. Heart Failure) is a plus!

 



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, 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, Nurse, Case Manager, Case Management, field based, BSN, home health, chronic, complex, Salt Lake City, Utah, UT, UHG, UnitedHealth Group, Optum, Optum Medical Network