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Care Coach Connect RN Case Manager Midland TX and Surrounding Areas
2 months ago
We believe all patients are entitled to the highest level of medical care. Here, 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 meaningful difference with us as you discover the meaning behind Caring.
Job SummaryThe 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- 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 with the goal of keeping the patient out of the hospital in order to 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
- Assess for caregiver burnout, and provide community resources when appropriate
- Implement the individualized plan of care and recommend revisions to the plan as necessary
- Ability to perform procedures, to include, but not limited to: a. Wound care and dressing change b. Phlebotomy c. injection (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 appropriate
- Ensure 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
- Registered Nurse with a current license to practice in the state of employment
- 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
- Demonstrate experience of excellent nursing skills
- Proficient computer skills, including Microsoft Word, Excel, Access, and Outlook
- Demonstrate ability to interact productively with individuals and with multidisciplinary teams
- Have reliable transportation for daily travel to various locations as assigned, up to 80% of the time
- Valid driver's license within the state of work
- Hospice and Palliative Care Nursing certification
- 2+ years of hospice experience
- Experience with home visits
- Experience related to advanced care planning and discussions with patients regarding end-of-life wishes
- Experience with community-based nursing
- Knowledge of palliative and hospice medicine
- Bilingual (English/Spanish) language proficiency
- Proven excellent verbal and written skills
- Proven excellent organizational and prioritization skills
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
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
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.
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:
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 is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.