Field Clinical Registered Nurse

1 week ago

Mount Vernon, New York, United States Optum Full time

Opportunity Overview:

For those passionate about shaping the future of healthcare, this position offers a unique chance to contribute to comprehensive health programs that span the entire spectrum of care. We are committed to Caring. Connecting. Growing together.

Your drive to achieve excellence is evident as you focus on delivering positive patient outcomes. In this role, you will operate in the community, managing the long-term care requirements of patients. You will be supported by a dedicated and skilled team, ensuring that your expertise is utilized to enhance patient care.

Program Insight:

The United Healthcare at Home initiative is a comprehensive care delivery model that facilitates clinical care for members in their residences. This program emphasizes personalized interventions tailored to individual needs, in collaboration with an Interdisciplinary Care Team, which includes clinicians, primary care providers, and other healthcare professionals.

Core Work Schedule: Monday – Friday, 8:00am – 5:00pm

Key Responsibilities:

  • Evaluate, strategize, and execute individualized care management interventions for each patient, aiming for the most suitable and least restrictive care level.
  • Conduct timely outreach and in-person visits for members newly eligible for services, completing necessary assessments in the electronic medical record (EMR).
  • Identify and initiate referrals for healthcare and community-based services, including financial, psychosocial, and state support services.
  • Develop and implement care plans throughout the care continuum, serving as a primary point of contact.
  • Communicate essential health-related information to all stakeholders to ensure quality, coordinated care.
  • Advocate for patients and families to ensure their needs and preferences are represented within the healthcare team.
  • Identify appropriate interventions and resources to address gaps in care based on individual needs.
  • Document care plans in relevant electronic health record systems and maintain accurate data entry.
  • Engage consumers by building rapport, demonstrating empathy, and fostering trust.
  • Collaborate with primary providers and multidisciplinary teams to align care goals and enhance coordination.
  • Provide ongoing support for advanced care planning.
  • Reassess care plans at appropriate intervals based on objectives or significant changes in condition.
  • Understand and operate within legal and regulatory frameworks.
  • Utilize evidence-based guidelines to inform care practices.
  • Make and receive calls to assess members' health statuses and identify treatment barriers.
  • Educate patients to support self-management of their health.
  • Facilitate referrals to external resources as needed.
  • Ensure a complete continuum of quality care through effective communication with members.
  • Support members with education on conditions, medication reviews, and connections to resources.

This role operates in a high-volume, customer-focused environment, requiring efficiency and thoroughness in member interactions. Strong computer skills and adaptability to change are essential.

Why Consider a Career with Optum?

We offer a competitive compensation package, comprehensive benefits, performance rewards, and a management team dedicated to your success. Our benefits include:

  • Accrued Paid Time Off starting with your first pay period, plus 8 Paid Holidays.
  • Medical plan options with Health Spending Account or Health Savings Account participation.
  • Dental, Vision, Life & AD&D Insurance, Short-term and Long-term Disability coverage.
  • 401(k) Savings Plan and Employee Stock Purchase Plan.
  • Education reimbursement and employee discounts.
  • Employee Assistance Program and Referral Bonus Program.
  • Voluntary benefits such as pet insurance and legal insurance.

We recognize and reward your performance in an environment that challenges you while providing clear guidance for success and opportunities for professional development.

Required Qualifications:

  • Active, unrestricted Registered Nurse (RN) license.
  • 1+ years of experience in a community health setting.
  • 1+ years of experience in community-based care management for long-term care or home health.
  • Demonstrated competency in managing intensive case management services.
  • Must reside within a specified distance of the service area.

Preferred Qualifications:

  • Certified Case Manager (CCM) certification.
  • Experience managing populations with complex medical or behavioral needs.
  • Experience with home care services and community-based settings.
  • Experience in case management and related areas.
  • Field-based work experience.

Additional Considerations:

  • Knowledge of community organizations providing resources for members.
  • Understanding of Medicaid LTSS and behavioral health services.
  • Ability to travel within the assigned region for member visits.
  • Proficient in computer skills, including EHR documentation.

At Optum, we are committed to improving health outcomes and addressing health disparities. We believe in equitable care for all individuals, regardless of their background.

Optum is an Equal Employment Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to protected characteristics.

Optum maintains a drug-free workplace, and candidates are required to pass a drug test prior to employment.

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