Hybrid RN Care Coordinator

2 weeks ago

Marysville, Washington, United States Optum Full time
$7,500 Sign-on Incentive for External Candidates

For those eager to shape the future of healthcare, this is your chance. We are advancing beyond conventional care to health programs that are integrated throughout the entire spectrum of care. Join us to begin Caring. Connecting. Growing together.

Under minimal oversight, you will be responsible for ensuring the seamless transition of care in the outpatient environment by utilizing the appropriate resources within the framework of established agreements and patients' health plan benefits. You will facilitate the continuum of patient care by employing advanced nursing expertise, experience, and skills to guarantee optimal resource utilization and patient quality outcomes. Care management functions will be performed both on-site and via telecommunication as necessary. You will collaborate with the care team and primary care provider (PCP) as the care team leader to formulate a patient-centered care plan.

Key Responsibilities:
  • Assess patient care needs during the initial visit and address any emerging concerns.
  • Engage with patients, their families, and caregivers as necessary to discuss care and treatment strategies.
  • Identify and assist with the follow-up of high-risk patients in various care settings, including acute care, skilled nursing facilities, and ambulatory environments.
  • Consult with physicians and other team members to ensure successful implementation of the care plan.
  • Coordinate treatment strategies with the care team and prioritize interventions appropriate to the skill set of team members. Utilize protocols and pathways aligned with established disease management and care management programs to optimize clinical outcomes and minimize unnecessary institutional care.
  • Monitor and coach patients using motivational interviewing techniques and behavioral change strategies to enhance self-management.
  • Oversee discharge provisions from facilities, including follow-up appointments, home health services, social services, and transportation, to maintain continuity of care.
  • Collaborate with the care team and demonstrate accountability in patient management and outcomes.
  • Discuss Durable Power of Attorney (DPOA) and advanced directive status with patients and PCPs when applicable.
  • 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.
  • Actively participate in Monthly Care Management Department meetings and daily huddles.
  • Document relevant patient information and Care Management Plan in the Electronic Health Record.
  • Coordinate care with central departments on assigned patient caseloads, including inpatient, long-term care facilities, adult family homes, and home health agencies.
  • Demonstrate a comprehensive understanding of the cost implications resulting from Care Management decisions through utilization reports and systems such as Health Plan Benefits, CM dashboards, and reports.
  • Maintain precise and accurate documentation that supports effective and efficient management of care plans to reduce emergency and hospital readmissions.
You will be recognized and rewarded for your performance in an environment that will challenge you and provide clear direction on what it takes to excel in your role, as well as offer development opportunities for other positions you may be interested in.

Required Qualifications:
  • Graduation from an accredited nursing program.
  • Active Registered Nurse license in Washington State.
  • Basic Life Support for Healthcare Providers (AHA) or CPR/AED for the Professional Rescuer (American Red Cross).
  • Minimum of 3 years of experience in a clinical setting.
  • Valid Washington State driver's license and vehicle for work-related travel.
Preferred Qualifications:
  • Bachelor of Science in Nursing (BSN).
  • Certification in Telehealth.
  • At least 3 years of experience in acute care.
  • Minimum of 1 year of experience in care management, utilization review, or discharge planning.
  • Experience with Health Maintenance Organizations (HMOs).
The salary range for this position is $58,300 to $114,300 annually, based on various factors including local labor markets, education, work experience, and certifications. Optum offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contributions (all benefits are subject to eligibility requirements).

At Optum, our mission is to help individuals lead healthier lives and enhance the health system for everyone. We believe that everyone—regardless of race, gender, sexuality, age, location, or income—deserves the opportunity to live their healthiest life. We are committed to addressing health disparities and improving health outcomes, reflecting our mission as a priority.

Diversity fosters a healthier environment: Optum 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.

Optum maintains a drug-free workplace. Candidates are required to pass a drug test prior to commencing employment.

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