RN Field Case Manager - Georgetown County SC

$2,500 Sign-on Bonus for External Candidates

No on-call, no weekends and no holidays required

Optum Home & Community Care, part of the Optum 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) team, we work to provide care to patients in nursing homes, senior housing and assisted living settings. 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 settings. Join us to start Caring. Connecting. Growing together.

The Optum SCC program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of members. The Optum SCC SL RN will be managing members in a community setting to include personal homes, group homes, and assisted living facility setting. Optum is transforming care delivery with innovative and personalized care. As one of the largest employers of APCs, Optum offers unparalleled career development opportunities.

Primary Responsibilities

• Ensure accurate and complete documentation
• Communicate and collaborate with the interdisciplinary care team
• Support the telehealth visits in the field, the RN sets up members for telehealth with the APC
• 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 APC in obtaining compliant related documentation for transfer to stay in a SNF

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 RN license in SC
• Certified in Basic Life Support
• 3+ years of clinical experience in practice

Ability to complete physical requirements, including moving a 30-pound bag and ability to perform physical assessment

Proficient in Microsoft Office products including Word, Excel and Teams

Proficient computer skills, including the ability to document medical information with written and electronic medical records

• Highly adaptable to the changing needs of our members daily
• Proven ability to develop and maintain positive customer relationships
• Proven effective communication skills and time management
• Access to reliable transportation and willingness to travel in between member locations daily

Preferred Qualifications

• 1+ years of experience working in long-term care, home health, hospice and/or case management
• Experience in meeting the medical needs of patients with complex behavioral, social and/or functional needs
• Understanding of older adults and chronic illness
• Understanding of Advanced Illness and end of life discussions
• Proven ability to work with diverse care teams in a variety of settings

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
• Ability to provide solid customer service and maintain respectable customer relationships

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.