Registered Nurse Case Manager-Baltimore/DC
Company: UnitedHealth Group
Location: Baltimore
Posted on: November 20, 2023
Job Description:
$2,500 Sign-on Bonus for External CandidatesOptum 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 Optum At Home
product, together with an interdisciplinary care team we help
patients navigate the health care system, and connect them to key
support services. This preventive care can help patients stay well
at home. - -We're connecting care to create a seamless health
journey for patients across care settings. Join us to start Caring.
Connecting. Growing together. -We're making a strong connection
between exceptional patient care and outstanding career
opportunities. The result is a culture of performance that's
driving the health care industry forward. As a Telephone Case
Manager RN with UnitedHealth Group, you'll support a diverse member
population with education, advocacy and connections to the
resources they need to feel better and get well. Instead of seeing
a handful of patients each day, your work may affect millions for
years to come. Ready for a new path? Apply today!Primary
Responsibilities:
- Build relationship with the member and the hospital staff
- Collaborate with facility Case Management/Discharge Planning
team to coordinate care and identify priority needs/members
- Engage with facility Case Management/Discharge Planning teams
and the member/family or caregiver to prepare for transitions and
assist in facilitating the discharge plan
- Enter timely and accurate discharge date and disposition of
member into case management tool
- Notify Clinical Programs (such as CTP. TTS, PAT, or House Call
practitioners) of discharge disposition
- Make outbound calls and receive inbound calls to assess
members' current health status during the 30-day post discharge
period
- Act as a liaison between the facility and inpatient care
manager to coordinate clinical information necessary to facilitate
medical necessity determinations
- Identify gaps or barriers in treatment plans
- Provide patient education to assist with self-management
- Make referrals to outside sources
- Provide a complete continuum of quality care through close
communication with members via in-person or on-phone
interaction
- Support members with condition education, medication reviews
and connections to resources such as Home Health Aides or Meals on
WheelsThis is high volume, customer service environment. You'll
need to be efficient, productive and thorough dealing with our
members over the phone. Strong computer and software navigation
skills are critical. You should also be strongly patient-focused
and adaptable to changes.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.Years
of post-high school education can be substituted/is equivalent to
years of experience.Required Qualifications:
- Current unrestricted Registered Nurse license in the state of
MD and DC
- 3+ years of experience in a hospital, acute-care or direct care
setting
- Data entry experience into case management systems
- Demonstrate a proficiency in computer skills to navigate a
windows-based environment, including internet searches, program
navigation, and the use of multiple screens and tabs
- Proven ability to be credentialed at assigned hospital and meet
all hospital occupational health requirements (drug screening,
licensure and immunizations)
- Access to reliable transportation and ability to travel to
hospital location for primary work sitePreferred Qualifications:
- Case management experience or CCM certification
- Experience or exposure to discharge planning, utilization
review, concurrent review, or risk managementUnitedHealth Group is
working to create the health care system of tomorrow. -Already
Fortune 5, we are totally focused on innovation and change. We work
a little harder. We aim a little higher. We expect more from
ourselves and each other. And at the end of the day, we're doing a
lot of good. -Through our family of businesses and a lot of
inspired individuals, we're building a high-performance health care
system that works better for more people in more ways than ever.
Now we're looking to reinforce our team with people who are
decisive, brilliant - and built for speed. -Come to UnitedHealth
Group, and share your ideas and your passion for doing more. We
have roles that will fit your skills and knowledge. We have diverse
opportunities that will fit your dreams.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.
Keywords: UnitedHealth Group, Baltimore , Registered Nurse Case Manager-Baltimore/DC, Healthcare , Baltimore, Maryland
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