Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration, and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)
Traveler/Float Case Manager Registered Nurses in the Optum at Home program work with patients primarily in their home setting. They perform as part of a care team including a Nurse Practitioner, Behavioral Health Advocate, Care Navigator and other supporting team members. They deliver role appropriate patient care through in-home and virtual visits, consultations, and interdisciplinary team activities.
The Optum Dual Special Needs Plan (DSNP) at Home program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of members in their place of residence. The DSNP program combines Optum trained clinicians providing intensive interventions customized to the needs of everyone, in collaboration with the Interdisciplinary Care Team, which includes the Optum clinician, the member’s Primary Care Provider and other providers, and other professionals.
The Traveler/Float Case Manager Registered Nursessupports the overall patient care management process for members in In-Home DSNP program. The Traveler/Float Case Manager Registered Nurses provides oversight, guidance and support for the patient care plan as developed in collaboration with the interdisciplinary care team along with the health plan and additional heath care vendors to meet the needs of the patient. The Traveler/Float Case Manager Registered Nurses coordinates and provides appropriate levels of care under the direct supervision of an RN/APC or MD. This position is responsible for clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring, and evaluating). This includes case management, in home visit assessments, coordination of care, and medical management consulting. The Traveler/Float Case Manager Registered Nurses will also be responsible for home visits, transition of care management, providing health education, coaching and treatment decision support for members in At Home DSNP program.
Standard Hours: Monday - Friday 8AM - 6PM Central Time;(variable 8-hour shift), no nights, weekends, or holidays.
Location:Columbia, St. Louis, Maryland Heights, Mountain Grove, Springfield (Southern Missouri)
Assess the health status of members as within the scope of licensure and with the frequency established in the model of care
Establish goals to meet identified health care needs
Ensure members are obtaining preventative care to meet STARS\HEDIS measures
Plan, implement and evaluate responses to the plan of care
Work collaboratively the multidisciplinary team to engage resources and strategies to address medical, functional, and social barriers to care
Works closely with mental health clinicians to help bridge the gap between mental and physical health
Consult with the patient’s PCP, specialists, or other health care professionals as appropriate
Assess patient needs for community resources and make appropriate referrals for service
Facilitate the patient’s transition within and between health care settings in collaboration with the primary care physician and other treating physicians
Completely and accurately document in patient’s electronic medical record
Provide patients and family members with counseling and education regarding health maintenance, disease prevention, condition trajectory and need for follow up as appropriate during each patient visit
Verify and document patient and/or family understanding of condition, plan of care and follow up recommendations
Actively participate in organizational quality initiatives
Participate in collaborative multidisciplinary team meetings to optimize clinical integration, efficiency, and effectiveness of care delivery
Maintain credentials essential for practice, to include licensure, certification (if applicable) and CEUs
Demonstrate a commitment to the mission, core values and goals of UnitedHealthcare and its healthcare delivery including the ability to integrate values of compassion, integrity, performance, innovation and relationships in the care provided to our members
What are the reasons to consider working for UnitedHealth Group? Put it all together – competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:
Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
Medical Plan options along with participation in a Health Spending Account or a Health Saving account
Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
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.
Associates Degree or higher in Nursing OR Registered Nurse Diploma
Current unrestricted licensure as RN in state of Missouri
2+ years of experience as an RN
Experience in assessing the medical needs of patients with complex behavioral, social and/or functional needs
Ability to work with diverse care teams in a variety of settings including non-clinical settings (primarily patient homes)
Access to reliable transportation, as well as a valid driver’s license that will enable you to travel up to 100 % of the time to visit clients
Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation.
1+ years of experience working with the geriatric population
Bilingual or Multilingual
Understanding of Medicare, Medicaid, and Health Plan benefit structures
Solid computer skills, including use of Electronic Medical Records
Effective time management and communication skills
To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care 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)
**PLEASE NOTE** The sign-on bonus is only available to external candidates. Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.
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.
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