Field-Based Post-Acute Care Coordinator

4 weeks ago

Scottsdale, Arizona, United States Optum Full time
Job Summary

We are seeking a highly skilled and compassionate Field-Based Post-Acute Case Manager to join our team. As a key member of our primary care team, you will play a vital role in supporting our members in eligible clinical services during skilled nursing facility admission.

Key Responsibilities
  • Engage with OptumCare Arizona members in eligible clinical services during skilled nursing facility admission
  • Collaborate with health partners, members, and the interdisciplinary care team to facilitate appropriate discharge planning
  • Travel to designated skilled nursing facilities throughout Maricopa County, Arizona
  • Participate in weekly interdisciplinary team meetings at the skilled nursing facility
  • Perform utilization management, utilization review, or concurrent review (onsite or telephonic)
  • Coordinate and assure appropriate levels of care to members
  • Collaborate with the care team to meet patient-centric affordability goals and quality outcomes
  • Ensure regulatory compliance requirements are met
  • Provide medical management services, including case management, psychosocial assessments, and interventions to aid patients in improving their wellbeing
  • May identify, coordinate, or provide appropriate levels of care under the direct supervision of an RN or MD
Requirements
  • Current, unrestricted Master of Social Work license in the state of Arizona (LMSW, LCSW) or Current, unrestricted registered nurse (RN) license in the state of Arizona
  • Experience working with Medicare members
  • Experience with Microsoft Office
  • Demonstrated knowledge of utilization management, quality improvement, discharge planning with transitions of care
  • Proven working knowledge of hospice and palliative care
  • Proven working knowledge of skilled nursing facilities & long term acute care facilities
  • Proven planning, organizing, conflict resolution, negotiating, and interpersonal skills
  • Proven ability to autonomously prioritize, plan, and manage multiple tasks/demands simultaneously
About OptumCare

At OptumCare, 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: OptumCare 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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