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RN Care Coordinator Per Diem
2 months ago
Up to 2 days a week flexible schedule with no weekends or holidays.
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. An RN functions as part of the primary care team, and reports to the Clinical Services Manager (CSM). The supports the APC and our members to coordinate care services. The RN understands and supports the CPM models of care Institutional Special Needs Plan (ISNP), Institutional Special Needs Plan (IESNP) and Transitions to Skilled (TTS), and works in collaboration with the team to meet the goals of the program. Establishes and maintains communication and a trusting collaborative relationship with the ICT, member/RP and primary caregiver staff in the ALC and APC
* Communicates with multiple organizations operational units for seamless coordination of benefits, i.e., utilization review staff, provider relations liaison, pharmacy, etc.
* Performs administrative functions for or on behalf of the PCP and/or APC
* Communicates with member, family/RP, primary caregivers of the community and other members of the ICT with each member visit
* Assists with other clinical and quality responsibilities for member, e.g., gaps in care
* Provides clinical educational programs for facility staff
* Communicates information on behalf of the APC to the member, family/RP and primary caregiver staff at the ALC
* Coordinates and collaborates with the health plan/client
* Performs collection of data including functional status, BMI, vital signs, urine test for proteinuria, IFOBT specimen collection, and other clinical data. Performs care coordination activities within the ALC to ensure member needs are met. (member external provider appointments, therapy needs, durable medical equipment (DME) and transportation)
* Stays abreast of all Model of Care (MOC) , documentation and policy updates communicated email, newsletters and team meetings
* Maintains confidential health information according to state and federal regulations including HIPAA
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.
Experience with using an electronic medical records
* Basic Microsoft Office skills with the ability to navigate in a Window's environment
* Valid driver's license and the ability to travel locally 75% of the time
Experience working in post- acute care, such as long term care or hospice and/or Case Management experience as an RN
* Familiarity with the long term care business environment
* At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. 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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.
