RN Case Manager - Long Term Care - Ocean and Monmouth Counties, NJ - Weekends
Location: Lakewood, New Jersey
Internal Number: 121380920
$2,500 Sign-On Bonus for external candidates
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm)
As a Long-term Care and Assisted living Optum Registered Nurse you will function as part of the primary care team, and report to the Clinical Services Manager (CSM). This role works in close collaboration with all of the interdisciplinary team members and may support multiple providers. The RN Case Manager is a flexible team member who works under the direction of the Advanced Practice Clinician (APC) and activities are delegated by the APC or the team Clinical Services Manager (CSM). The Optum Registered Nurse travels to visit members at skilled nursing facilities.
*40 hour work week including weekends (Saturdays and Sundays)
Assist the provider / team with various care coordination activities in the nursing home
Assist the provider / team with benefit determination associated with Medicare part A, part B, and part D benefits
Collaborating with the primary Advanced Practice Clinician, (APC) and nursing facility to identify and respond to patient Change in Condition
May assist the provider by completing Decision Support Tool, (DST), re - assessing the patient, and other activities as delegated by the provider or the Clinical Services Manager (CSM)
Assist the provider / team with therapy coordination for members including possible assessments or follow up on requests and communicate and collaborate with APC
May perform interval check in on patient progress with therapy department
May participate in facility-based therapy discussion meetings
Schedule and participate in family conferences, team meetings, and team case presentations
May assist in the coordination of training, tracking and compliance with quality measures
May participate in the onboarding of new clinical staff under the direction of the CSM Manager which could include coordination of onboarding activities, and participation in other orientation activities
Participate in facility partnership or Customer Relationship Management (CRM) meetings under the direction of the APC / CSM
May assist in coordinating CRM meetings, and may participate in and contribute to the meetings
May assist the team in tracking LearnSource completion for the team members and CSM
Assist in creating and conduct in - services for selected audiences
Will document information and activities in the EMR
May assist Providers in assuring complete and accurate documentation and coding, medication reconciliation, nursing rounds, assessment, and patient documentation.
Assist the team / providers in prioritizing advance Care Planning and initiating discussions
Collaborates with all key stakeholders, providers, nursing homes, PCPs, families, interdisciplinary care teams and any other identified stakeholders
Review the chart and enter HEDIS / Quality information into the Electronic Medical Record (EMR), communicate gaps to the Provider
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
Conducting goals of care conversations
May assist with patient care in the state of Washington, either face-to-face or telephonically
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
More information can be downloaded at: http://uhg.hr/uhgbenefits
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.
Associate degree or higher in Nursing (RN)
Current unrestricted Registered Nurse license in the state
Valid Driver's License with access to reliable transportation that will enable you to travel up to 100% to visit clients and / or patient sites within a designated area
Certified in Basic Life Support
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 in post - acute care, such as long-term care
1+ years of experience working with the geriatric population
1+ years of experience with using an Electronic Medical Records
Ability to work with diverse care teams in a variety of settings
Effective communication skills and time management
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. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.
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.