Nurse Case Manager New York License

3 weeks ago

New Hyde Park, United States UnitedHealth Group Full time

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

Registered Nurses in the Optum at Home program work with patients who reside in their home setting with visit completion virtually. They perform as part of a care team including the ability to refer to a Nurse Practitioner, Behavioral Health Case Manager, Care Navigator and other supporting team members.  They deliver role appropriate case management through virtual outreach and consultations, and interdisciplinary team activities.

The Registered Nurse may perform care and counsel of the ill, injured, or infirm, in the promotion and maintenance of health with individuals, groups, or both throughout the life span. They help to manage health problems and coordinate health care for the Optum at Home patients in accordance with State and Federal rules and regulations and the nursing standards of care.  This includes (but is not limited to) assessment of health status, development, and implementation of plan of care, and ongoing evaluation of patient status and response to the plan of care. Case management is conducted in collaboration with other care team members.

This is a Monday-Friday, days position. This is a work at home position, but you must live in New York state.

If you are located in the state of New York, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

  • Assess the health status of members as within the scope of licensure and with the frequency established in the model of care

  • Establish goals to meet identified health care needs

  • Plan, implement and evaluate responses to the plan of care

  • Work collaboratively the multidisciplinary team to engage resources and strategies to address medical, functional, and social barriers to care

  • Works closely with mental health clinicians to help bridge the gap between mental and physical health

  • Consult with the patient’s PCP, specialists, or other health care professionals as appropriate

  • Assess patient needs for community resources and make appropriate referrals for service

  • Facilitate the patient’s transition within and between health care settings in collaboration with the primary care physician and other treating physicians

  • Completely and accurately document in patient’s electronic medical record

  • Provide patients and family members with counseling and education regarding health maintenance, disease prevention, condition trajectory and need for follow up as appropriate during each patient visit

  • Verify and document patient and/or family understanding of condition, plan of care and follow up recommendations

  • Actively participate in organizational quality initiatives

  • Participate in collaborative multidisciplinary team meetings to optimize clinical integration, efficiency, and effectiveness of care delivery

  • Maintain credentials essential for practice, to include licensure, certification (if applicable) and CEUs

  • Demonstrate a commitment to the mission, core values and goals of UnitedHealthcare and its healthcare delivery including the ability to integrate values of compassion, integrity, performance, innovation and relationships in the care provided to our members

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:

  • Current unrestricted licensure as RN in New York

  • 2+ years of experience as an RN

  • 1+ years of Case Management experience

  • Experience in assessing the medical needs of patients with complex behavioral, social and/or functional needs

  • Ability to travel up to 25% of the time for company meetings and training

  • Computer literate and able to navigate the Internet

  • Quiet workspace and access to install secure high-speed internet via cable/DSL in home

Preferred Qualifications:

  • Proven computer skills, including us of Electronic Medical Records

  • Bilingual

  • Reside in New York state

  • Effective time management and communication skills

  • Excellent administrative and organizational skills and the ability to effectively communicate with seniors and their families

  • Ability to work with diverse care teams

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

New York Residents Only: The hourly range for this role is $28.03 to $54.95 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). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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.

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