UnitedHealth Group Case Manager RN Discharge Planner - Per Diem - Boulder, CO in Boulder, Colorado
We're making a strong connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that's driving the health care industry forward. As an RN Case Manager with UnitedHealth Group, you'll be responsible and accountable for the coordination of patient services through an interdisciplinary approach, which provides clinical and psychosocial support through the continuum of care.
Schedules will vary but this role is anticipated to have 20 hours/week.
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Positions in this function require nurse licensure and certification based on role and grade level. Licensure includes RN and LPN / LVN, depending on grade level, with current unrestricted licensure in applicable state. These roles identify, coordinate, or provide appropriate levels of care under the direct supervision of an RN Manager / Director. Function 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, coordination of care, and medical management consulting. Function may also be responsible for providing health education, coaching and treatment decision support for patients. Includes Health Coach, Health Educator, and Health Advocate roles that require an RN. *Employees in jobs labeled with ‘SCA’ must support a government Service Contract Act (SCA) agreement.
Continuum of care planning that integrates initial assessment of the patient with appropriate post-hospital discharge services
Must demonstrate excellent communication and collaboration skills
Ability to identify gaps and/or barriers in treatment planning
Provide patient, family, and/or caregiver education
Initiate and ensure completion of all necessary paperwork
Provide referrals for community resources to patients / families / caregivers for ongoing support and treatment
Report all relevant information / orders to providers and care team at patient’s next level of care
Must be able to functionally coordinate and discharge plan for all age groups, including the unborn child through geriatric age
Compliance with all regulatory requirements for Joint Commission Standards and CMS guidelines
Work is generally self-directed and not prescribed
Works with more complex issues
Serves as a resource to others
This is a high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with patients, families and caregivers. Strong computer and software navigation skills are critical. You should also be strongly patient-focused and adaptable to changes.
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.
Current, unrestricted RN license in the state of employment
3+ years of experience in a hospital, acute care or direct care setting
Typing skills and have the ability to navigate a Windows based environment
You will be provisioned with appropriate Personal Protective Equipment (PPE) and are required to perform this role with patients and members on site, as this is an essential function of this role
Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained
Background in managed care
Case management experience
Certified Case Manager (CCM)
Experience or exposure to discharge planning
Experience in utilization review, concurrent review or risk management
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)
Colorado Residents Only: The hourly range for Colorado residents is $25.63 to $45.72. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.
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 Case Manager, RN Discharge Planner, RN, Registered Nurse, Boulder, CO, Colorado
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