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UnitedHealth Group Field Nurse Case Manager RN - Anson, Stanly, Union, Pineville - North Carolina in Burnsville, North Carolina

$2,500 Sign-on Bonus for External Candidates

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual’s physical, mental and social needs – helping patients access and navigate care anytime and anywhere.

As a team member of our Senior Community Care (SCC) product, we work with a team to provide care to patients at home in a nursing home, assisted living for senior housing. This life-changing work adds a layer of support to improve access to care.

We’re connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together.

The Senior Community Care (SCC) program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of members in a facility setting. The Optum Care Team RN within SCC provides care to our highest-risk health plan members and is part of an interdisciplinary team consisting of an Advanced Practice Clinician (APC) and a Patient Care Coordinator (PCC). In this role you will have the ability to achieve work life balance. No on-call, no weekends, and no holidays required.

Primary Responsibilities:

  • Ensure accurate and complete documentation

  • Communicate and collaborate with the interdisciplinary care team

  • Collaborate and communicate with PCC to support APC care and scheduling of member

  • Assist the provider / team with various care coordination activities

  • Assist the provider / team with benefit determination associated with Medicare part A, part B, and part D benefits

  • Responsible for collaborating with the primary APC and facility to identify and respond to patient change in condition

  • Assist the provider / team with therapy coordination

  • Participate in facility-based meetings

  • Schedule and participate in family conferences, team meetings, and team case presentations

  • Coordination of training, tracking, and compliance with quality measures

  • Assist in creating and conduct in-services for selected audiences

  • Assist Providers in assuring complete and accurate documentation and coding, medication reconciliation, nursing rounds, assessment, and patient documentation.

  • May write verbal orders from Provider in the chart in compliance with the state RN practice laws, and in compliance with individual nursing facility practices

  • Assist in managing members through an acute medical situation or an exacerbation of a chronic condition, including testing, diagnostics, interventions

  • Assist in managing members during a short term sub-acute rehabilitation episode

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:

  • Associate degree or higher in Nursing (RN)

  • Active and unrestricted license in the state which you reside, or ability to obtain by start date

  • Certified in Basic Life Support

  • Proven ability to complete physical requirements, including lifting a 30-pound bag and ability to perform physical assessment

  • Willing or ability to travel in between facilities

  • Access to reliable transportation

Preferred Qualifications:

  • 1+ years of clinical experience in practice (acute care setting preferred)

  • Experience in meeting the medical needs of patients with complex behavioral, social and/or functional needs

  • Saline Lock insertion experience

  • Understanding of Geriatrics and Chronic Illness

Professionalism:

  • Personal and Professional Accountability

  • Create an environment that facilitates the team to initiate actions that produce positive results

  • Ability to hold self and others accountable for actions and results

  • Answers for one’s own behavior and actions

  • Create an environment in which professional and personal growth are an expectation

  • Integrate high ethical standards and UHG core values into everyday work activities

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.

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