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).
Standard Hours: Monday - Friday 8AM - 5PM; no nights, weekends, or holidays.
Location: Pasco, Richland, Kennewick, Sunnyside, Toppenish, Yakima, WA
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
Responsible for collaborating with the primary APC and nursing facility to identify and respond to patient Change in Condition
May assist the provider by completing DSTs, re - assessing the patient, and other activities as delegated by the provider or the 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 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
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
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 of Washington
1+ years of experience with using an Electronic Medical Record
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
Ability to obtain an unrestricted Registered Nurse license in the state of Oregon within 12 months of employment for telephonic cross coverage
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
Ability to work with diverse care teams in a variety of settings
1+ years of experience working with the geriatric population
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. 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)
**PLEASE NOTE** The sign-on bonus is only available to external candidates. Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.
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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