Care Coach Connect RN Case Manager Amarillo, TX and Surrounding Cities

3 weeks ago

Midland, Texas, United States UnitedHealth Group Inc Full time
Care Coach Connect RN Case Manager Job Description

At UnitedHealth Group, we believe all patients are entitled to the highest level of medical care. As a Care Coach Connect RN Case Manager, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff, and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together.


Job Summary

The Care Coach Connect RN/Case Manager coordinates care and provides initial ongoing nursing assessment of the patient and family needs and coordination of the patient's plan of care with interdisciplinary team members and the Care Coach Connect supervising clinician.


Responsibilities
  1. Conducts medical home visits on established Care Coach Connect patients performing a hands-on exam at each visit
  2. Conducts urgent/acute visits on established Care Coach Connect patients with the goal of keeping the patient out of the hospital in order to receive the best medical care at home
  3. Provides ongoing assessments of the impact of life-limiting and/or chronic illness(es) on the patient's physical, functional, psychosocial, and environmental needs
  4. Assess for caregiver burnout, and provide community resources when appropriate
  5. Implement the individualized plan of care and recommend revisions to the plan as necessary
  6. Ability to perform procedures, to include, but not limited to: a. Wound care and dressing change b. Phlebotomy c. injection (B12, vaccines)
  7. Ability to conduct an advanced care discussion with a patient and their family and properly document their wishes in the electronic medical record. Consults and educates the patient/family and other caregivers regarding the disease process, pain and symptom management, end of life care, and processes for dealing with issues of ethical concern
  8. Initiates appropriate preventive and rehabilitative nursing procedures when appropriate
  9. Ensure continual assessment of patient and family needs from admission to Care Coach Connect throughout the course of care
  10. Provides ongoing evaluation of the patient and family/caregiver response to care, and recommends alteration of the plan when necessary. 12. Attends the interdisciplinary meeting and is a crucial and vocal member of the team
  11. Solves problems by gathering and/or reviewing facts and selecting the best solution from identified alternatives. Decision making is usually based on prior practice or policy, with some interpretation. Applies individual reasoning to the solution of a problem devising or modifying processes and writing procedures
  12. Conducts telephonic nursing follow-up and case management when necessary
  13. Serves as a resource or consultant for LVN/MA
  14. Attends educational offerings to keep abreast of chronic medical conditions and complies with licensing requirements
  15. Establishes a trusting relationship with identified patients, caregivers, clinic staff members, and Providers
  16. Collaborates with the providers to recommend policies, procedures, and standards which affect the care of the Care Coach Connect Patient
  17. Exhibits professionalism and is courteous with all patients, physicians, and co-workers
  18. Informs the provider of patient's needs and outcomes of interventions as per standards
  19. Follows Care Coach Connect providers' orders regarding the scope and frequency of services needed based on acuity and patient/family needs
  20. Coordinates all patient/family services and prioritization of needs with the members of the interdisciplinary team
  21. Documents in the electronic health record progress toward established goals as per standards
  22. Uses the case management approach and refers to other services as needed
  23. Maintains a patient case load, daily visits, and point of care documentation levels as per standards
  24. Performs all other related nursing duties as assigned

Requirements

Required Qualifications:

  1. Registered Nurse with a current license to practice in the state of employment
  2. Current BLS certification or must obtain certification within 30 days of employment hire date
  3. 3+ years of experience in a physician's office, clinical, hospice, or hospital setting
  4. Demonstrate experience of excellent nursing skills
  5. Proficient computer skills, including Microsoft Word, Excel, Access, and Outlook
  6. Demonstrate ability to interact productively with individuals and with multidisciplinary teams
  7. Have reliable transportation for daily travel to various locations as assigned, up to 80% of the time
  8. Valid driver's license within the state of work

Preferred Qualifications:

  1. Hospice and Palliative Care Nursing certification
  2. 2+ years of hospice experience
  3. Experience with home visits
  4. Experience related to advanced care planning and discussions with patients regarding end-of-life wishes
  5. Experience with community-based nursing
  6. Knowledge of palliative and hospice medicine
  7. Bilingual (English/Spanish) language proficiency
  8. Proven excellent verbal and written skills
  9. Proven excellent organizational and prioritization skills

Physical & Mental Requirements

Ability to lift up to 100 pounds Ability to push or pull heavy objects using up to pounds of force Ability to sit for extended periods of time Ability to stand for extended periods of time Ability to use fine motor skills to operate office equipment and/or machinery Ability to properly drive and operate a company vehicle Ability to receive and comprehend instructions verbally and/or in writing Ability to use logical reasoning for simple and complex problem solving


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 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.


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

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