RN Field Case Manager

4 weeks ago


Stafford, Texas, United States Optum Full time
Opportunities at Optum

We believe all patients deserve the highest level of medical care. As a member of our team, you will be part of a collaborative environment that shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff, and non-patient-facing roles, you can make a meaningful difference with us as we strive to deliver exceptional care.

Job Summary

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

Key Responsibilities
  • Conducts medical home visits on established Care Coach Connect patients, performing a hands-on exam at each visit.
  • Conducts urgent/acute visits on established Care Coach Connect patients to keep them out of the hospital and receive the best medical care at home.
  • Provides ongoing assessments of the impact of life-limiting and/or chronic illness(es) on the patient's physical, functional, psychosocial, and environmental needs.
  • Assesses for caregiver burnout and provides community resources when appropriate.
  • Implements the individualized plan of care and recommends revisions as necessary.
  • Ability to perform procedures, including wound care and dressing change, phlebotomy, and injections (B12, vaccines).
  • 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.
  • Initiates appropriate preventive and rehabilitative nursing procedures when necessary.
  • Ensures continual assessment of patient and family needs from admission to Care Coach Connect throughout the course of care.
  • Provides ongoing evaluation of the patient and family/caregiver response to care and recommends alteration of the plan when necessary.
  • Attends the interdisciplinary meeting and is a crucial and vocal member of the team.
  • Solves problems by gathering and/or reviewing facts and selecting the best solution from identified alternatives.
  • Conducts telephonic nursing follow-up and case management when necessary.
  • Serves as a resource or consultant for LVN/MA.
  • Attends educational offerings to keep abreast of chronic medical conditions and complies with licensing requirements.
  • Establishes a trusting relationship with identified patients, caregivers, clinic staff members, and Providers.
  • Collaborates with Providers to recommend policies, procedures, and standards that affect the care of the Care Coach Connect Patient.
  • Exhibits professionalism and is courteous with all patients, physicians, and co-workers.
  • Informs the Provider of patient's needs and outcomes of interventions as per standards.
  • Follows Care Coach Connect Providers' orders regarding the scope and frequency of services needed based on acuity and patient/family needs.
  • Coordinates all patient/family services and prioritization of needs with the members of the interdisciplinary team.
  • Documents in the electronic health record progress toward established goals as per standards.
  • Uses the case management approach and refers to other services as needed.
  • Maintains a patient case load, daily visits, and point of care documentation levels as per standards.
  • Performs all other related nursing duties as assigned.
Requirements
  • Registered Nurse with a current license to practice in the state of employment (Texas).
  • Current BLS certification or must obtain certification within 30 days of employment hire date.
  • 3+ years of experience in a physician's office, clinical, hospice, or hospital setting.
  • Demonstrated excellent nursing skills.
  • Proven excellent verbal and written skills.
  • Ability to interact productively with individuals and with multidisciplinary teams.
  • Proficient computer skills, including Microsoft Word, Excel, Access, and Outlook.
  • Excellent organizational and prioritization skills.
  • Valid driver's license within the state of work.
  • Access to reliable transportation for daily travel to various locations as assigned.
  • This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease.
Preferred Qualifications
  • Hospice and Palliative Care Nursing certification.
  • 2+ years of hospice experience.
  • Experience with home visits.
  • Proven knowledge of palliative and hospice medicine.
  • Experience related to advanced care planning and discussions with patients regarding end-of-life wishes.
  • Experience with community-based nursing.
  • Bilingual (English/Spanish) language proficiency.
About UnitedHealth Group

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 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.

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



  • Stafford, Texas, United States Cantex Full time

    Job Summary:The Case Manager position at Cantex is responsible for conducting all aspects of supervision and management of patient care, including LVN and HHA supervision, case conferences, and discharge planning. This role promotes patients' potential during their home health episode and collaborates with the physician, clinical team, and patient in...


  • Stafford, Texas, United States Fluence Analytics Full time

    Job OverviewThe Manufacturing and Field Engineering Manager will oversee the build and commissioning of the ACOMP product. This individual will work closely with the CTO and VP of Technology to manage the company's build and commissioning to meet accelerating demand for the company's products.Key Responsibilities:Maintain constant communication with...


  • Stafford, Texas, United States Elgin Separation Solutions Full time

    Job Title: Field Service SpecialistElgin Separation Solutions is seeking a highly skilled Field Service Specialist to join our team at our Stafford, TX facility.Job Summary:The Field Service Specialist will be responsible for providing technical support and service to our customers, ensuring the efficient operation of our equipment. This role requires strong...


  • Stafford, Texas, United States Cooper Companies Full time

    Job DescriptionCooperSurgical is a leading fertility and women's healthcare company dedicated to delivering innovative assisted reproductive technology and genomic solutions. We are seeking a highly skilled Manufacturing Engineering Manager to join our team.ResponsibilitiesLead the development and implementation of manufacturing processes to ensure...


  • Stafford, Texas, United States United Way of Central New York Full time

    Job SummaryWe are seeking a highly skilled and experienced Senior Manager to lead our United Way Center in Fort Bend County. The successful candidate will be responsible for managing the center's operations, staff, budget, and facility, while also developing and executing a community outreach plan to promote community engagement and resource connections.Key...


  • Stafford, Texas, United States Emerson Full time

    Logistics Manager Job DescriptionEmerson is seeking a skilled Logistics Manager to oversee the supervision of receiving, warehousing, and shipping activities within our manufacturing facility. This is a hands-on leadership role that will coordinate and optimize all logistics operations, including receiving all material, all internal material movement,...


  • Stafford, Texas, United States The Greater Houston Retailers Cooperative Association (GHRA) Full time

    Senior Category Manager Job DescriptionWe are seeking a highly experienced and strategic Senior Category Manager to join our organization.Key Responsibilities:Category Strategy Development: Develop and implement comprehensive category strategies aligned with the overall business objectives, considering market trends, customer insights, and competitive...

  • Accounting Supervisor

    3 weeks ago


    Stafford, Texas, United States Insight Global Full time

    Accounting Supervisor OpportunityInsight Global is seeking an experienced Accounting Supervisor to join one of the largest Chemical Manufacturers in the nation. This role requires a strong background in budgeting, forecasting, and variance analysis, as well as experience with inventory management and manufacturing accounting. The successful candidate will...

  • Accounting Supervisor

    4 weeks ago


    Stafford, Texas, United States Insight Global Full time

    Accounting Supervisor OpportunityInsight Global is seeking an experienced Accounting Supervisor to join our team at a leading Chemical Manufacturer. This role requires a strong background in budgeting, forecasting, and variance analysis, as well as experience with inventory management and manufacturing accounting.Key Responsibilities:Supervise all...


  • Stafford, Texas, United States Groundwater and Environmental Svcs. Full time

    Job DescriptionGroundwater & Environmental Services, Inc. (GES) is seeking an experienced Environmental Engineer to support environmental remediation project activities in Southern California. The position is remote-based and the preferred location is in Houston, TX.Key Responsibilities:Develop remediation plans and specifications to determine the most...


  • Stafford, Texas, United States Atec Full time

    Job SummaryWe are seeking a highly skilled Senior Electrical Engineer to join our team at Atec International. As a key member of our engineering team, you will be responsible for designing and testing electrical components, equipment, and systems.Key ResponsibilitiesCompile and analyze operational, test, and research data to establish Acceptance Test...


  • Stafford, Texas, United States Burnett Specialists Full time

    As a Dedicated Multilingual Administrative Coordinator with Burnett Specialists, you will play a vital role in ensuring the smooth operation of our Administration, Marketing, and Accounting departments. This position requires a detail-oriented individual who can multitask effectively in a fast-paced environment.Key Responsibilities:Administrative...


  • Stafford, Texas, United States Fiserv Full time

    We're Fiserv, a global leader in Fintech and payments, and we move money and information in a way that moves the world.As a Human Resources Business Partner, you will be a business partner with the assigned FOS (Fiserv Output Solutions) leaders.The HR Manager will advise and counsel managers and associates on a variety of local and corporate HR programs; and...

  • Staff Accountant

    4 weeks ago


    Stafford, Texas, United States Jobot Full time

    Job Title: Staff AccountantWe are seeking a highly skilled and detail-oriented Staff Accountant to join our team at Jobot Consulting. As a Staff Accountant, you will play a critical role in maintaining the financial health of our company by performing a variety of accounting tasks.Key Responsibilities:Maintain balance sheet reconciliations and ensure...


  • Stafford, Texas, United States iMedX, a RapidCare Group company Full time

    Job DescriptionRapid Care Transcription, Inc. is seeking a skilled Financial Operations Specialist to manage accounting and financial tasks. This role will ensure the company's overall financial health by performing day-to-day accounting entries, assisting in month-end close processes, and collaborating in budget and forecasting.The ideal candidate has a...


  • Stafford, Texas, United States Elgin Separation Solutions Full time

    Job DescriptionElgin Separation Solutions is seeking a skilled Mechanical Engineer to join our team in Stafford, TX. The successful candidate will be responsible for designing, developing, and testing mechanical systems and components.The ideal candidate will have a strong background in mechanical design, CAD software, and project management. Key...

  • Shop Assistant

    4 weeks ago


    Stafford, Texas, United States Closets by Design Houston South Full time

    Factory and Shop AssistantClosets by Design Houston South is a leading provider of home organizing systems. We design, manufacture, and install custom closets, home office furniture, media systems, wall-beds, garage cabinetry, and more.We seek a motivated and organized individual to join our team as a shop assistant. The ideal candidate will have a passion...


  • Stafford, Texas, United States Samuel Knight International Full time

    Job Title: Chief Financial OfficerOur client, a leading EPC (Engineering, Procurement, and Construction) utility-scale solar company, is seeking a seasoned financial leader to join their executive team as Chief Financial Officer (CFO).Job Summary:The ideal candidate will have a strong track record in raising significant capital, identifying gaps and...


  • Stafford, Texas, United States Puffer-Sweiven Full time

    Job DescriptionPuffer-Sweiven is a leading provider of equipment and services for process control, automation, safety, and reliability. We help process-intensive facilities run more efficiently and safely by delivering quality products, technical support, and knowledgeable staff to implement the needed process solutions.As a local Impact Partner of Emerson,...


  • Stafford, Texas, United States Fort Bend Regional Council On Subst Full time

    Job OverviewThe Fort Bend Regional Council On Subst is seeking a highly skilled Coalition Coordinator to join our team.Key ResponsibilitiesAdvocate for policy changes and support legislative efforts related to substance abuse prevention and mental health promotion.Assist in planning, facilitating, and following up on monthly coalition meetings, youth...