RN Case Manager

2 weeks ago

Irvine, California, United States Optum Full time
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. Optum's Pacific West region is redefining health care with a focus on health equity, affordability, quality, and convenience.

From California to Oregon and Washington, we are focused on helping more than 2.5 million patients live healthier lives and helping the health system work better for everyone.

At Optum Pacific West, we care. We care for our team members, our patients, and our communities. Join our culture of caring and make a positive and lasting impact on health care for millions.
Meet telephonically with patients, families, and caregivers as needed to discuss care and treatment plans
Consult with the physician and other team members in Interdisciplinary Team meetings to ensure the care plan is successfully implemented
Use protocols and pathways aligned with established disease and care management programs to optimize clinical outcomes and minimize unnecessary institutional care
Oversee provisions for discharge from facilities, including follow-up appointments, home health, social services, transportation, etc., to maintain continuity of care
Work in coordination with the care team and demonstrates accountability with patient management and outcome
Maintain effective communication with physicians, hospitalists, extended care facilities, patients, and families
Provide accurate information to patients and families regarding available resources through health plan benefits, community resources, and referrals
Participate actively in Care Management Department meetings and huddles as scheduled
Document pertinent patient information and Care Management Plans in Electronic Health Records within compliance standards
Assessment of patients with or without caregivers and family and review of medical records or information for Care Plan development, education of conditions and providing resources

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.

Graduation from an accredited school of nursing
~ 1+ years of experience in a clinical setting or care management

Bachelor of Science in Nursing, BSN
~ Telehealth certification
~3+ years of experience working in acute care
~1+ years of care management, utilization review or discharge planning experience
~ California Residents Only:
The hourly range for this role is $28.95 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable.

In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

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.

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