RN Care Manager Hybrid

1 week ago

Marysville, Washington, United States Optum Full time
Care Manager RN Job Summary

We are seeking a skilled RN Care Manager to join our team. As a Care Manager RN, you will be responsible for ensuring the continuity of care in the outpatient setting, utilizing advanced nursing knowledge and skills to ensure appropriate utilization of resources and patient quality outcomes.

Key Responsibilities:
  • Prioritize patient care needs upon initial visit and address emerging issues
  • Meet with patients, patients' family and caregivers as needed to discuss care and treatment plan
  • Identify and assist with the follow-up of high-risk patients in acute care settings, skilled nursing facilities, custodial and ambulatory settings
  • Consult with physician and other team members to ensure that care plan is successfully implemented
  • Coordinate treatment plans with the care team and triage interventions appropriate to the skill set of the team members
  • Monitor and coach patients using techniques of motivational interviewing and behavioral change to maximize self-management
  • Oversee provisions for discharge from facilities including follow-up appointments, home health, social services, transportation, etc. in order to maintain continuity of care
  • Work in coordination with the care team and demonstrate accountability with patient management and outcome
  • Discuss Durable Power of Attorney (DPOA) and advanced directive status with patient and PCP when applicable
  • Maintain effective communication with the physicians, hospitalists, extended care facilities, patients, and families
  • Provide accurate information to patients and families regarding resources available to them through health plan benefits, community resources, and referrals
  • Participate actively in Monthly Care Management Department meetings and daily huddles
  • Document pertinent patient information and Care Management Plan in Electronic Health Record
  • Coordinate care with central departments on assigned patient caseload, including, inpatient, long term care facilities, adult family homes, and home health agencies
  • Demonstrate a thorough understanding of the cost consequences resulting from Care Management decisions through utilization reports and systems such as Health Plan Benefits, CM dashboards and reports
  • Maintain concise and accurate documentation that supports effective and efficient management of care plans to decrease Emergency and hospital readmissions
Requirements:
  • Graduation from an accredited school of nursing
  • Washington State Registered Nurse license
  • Basic Life Support for Healthcare providers (AHA) or CPR/AED for the Professional Rescuer (American Red Cross)
  • 3+ years of experience in a clinical setting
  • Washington State driver's license and vehicle for work-related travel
Preferred Qualifications:
  • 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
  • HMO experience

We offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution. At Optum, 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. 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.

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.

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