RN Field Case Manager - SNFs - Lakawana and Wayne Counties PA

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.

Primary Responsibilities

• Ensure accurate and complete documentation
• Communicate and collaborate with the interdisciplinary care team
• 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

Collaborating with the primary advanced practice clinician, (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
• 3+ years of clinical experience in practice
• Proven ability to complete physical requirements, including lifting a 30-pound bag and ability to perform physical assessment
• Access to reliable transportation

Preferred Qualifications

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

Understanding of Geriatrics and Chronic Illness

• Proficient computer skills including the ability to document medical information with written and electronic medical records
• Proven ability to work with diverse care teams in a variety of settings

Proven Effective Communication Skills and Time Management

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from$60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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.