Registered Nurse Care Coordinator for Skagit and Whatcom Regions
2 weeks ago
$7,500 Sign-on Bonus for External Candidates
Monday to Friday, no nights, weekends, or on-call duties
This position involves making visits to patients in the Skagit and Whatcom regions approximately 75% of the time.
For those looking to shape the future of healthcare, this is your chance. We are advancing beyond basic services to health programs that are integrated throughout the entire care continuum. Join us to begin Caring. Connecting. Growing together.
The Registered Nurse (RN) serves as a vital member of the primary care team and reports directly to the Clinical Services Manager (CSM). This role supports the Advanced Practice Clinician (APC) and our members in coordinating care services. The RN collaborates closely with all team members and may assist multiple providers. Under the guidance of the provider, the RN undertakes activities delegated by the provider or the team CSM. The RN is knowledgeable about and supports the Care Program Models, including the Institutional Special Needs Plan (ISNP), Institutional Special Needs Plan (IESNP), and Transitions to Skilled (TTS), working with the team to achieve program goals. This role will provide support to our members both telephonically and in person in various settings.
Key Responsibilities:
- Foster and maintain open communication and a trusting collaborative relationship with the Integrated Care Team (ICT), member/Responsible Party (RP), and primary caregiver staff.
- Coordinate with various organizational units for seamless benefit coordination, including utilization review staff and pharmacy.
- Assess member status and assist in achieving progress towards established goals; modify the Individual Care Plan (ICP) as needed.
- Handle administrative tasks on behalf of the Primary Care Provider (PCP) and/or APC.
- Engage in program effectiveness evaluation and strategic planning.
- Conduct member visits and rounding as directed by the APC.
- Update the APC on member status for evaluation and ICP adjustments.
- Communicate with members, families/RPs, primary caregivers, and other ICT members during each visit.
- Assist with clinical and quality responsibilities for members, such as addressing gaps in care.
- Represent the APC in meetings and relay updates regarding the ICP to the ICT.
- Deliver clinical educational programs for facility staff.
- Relay information on behalf of the APC to members, families/RPs, and primary caregiver staff.
- Coordinate and collaborate with health plans/clients.
- Assist with Advance Care Planning (ACP).
- Collect clinical data, including functional status, BMI, vital signs, and other relevant information, ensuring results are documented in the Electronic Medical Record (EMR) for APC review.
- Perform care coordination activities within the care setting to ensure member needs are met, including appointments, therapy, and transportation.
- Stay informed about all Model of Care (MOC) updates and documentation requirements.
- Utilize clinical resources independently, including internal Optum platforms.
- Maintain confidentiality of health information in compliance with state and federal regulations, including HIPAA.
Your contributions will be recognized and rewarded in an environment that challenges you while providing clear guidance on achieving success in your role, along with opportunities for development in other areas of interest.
Required Qualifications:
- Current unrestricted Registered Nurse license in Oregon.
- Minimum of 3 years of RN experience.
- At least 1 year of case management experience.
- Experience with electronic medical records.
- Basic proficiency in Microsoft Office and ability to navigate a Windows environment.
- Excellent communication and customer service skills.
- Valid driver's license and willingness to travel locally 75% of the time.
Preferred Qualifications:
- Bachelor of Science in Nursing (BSN).
- Experience in post-acute care settings, such as long-term care or hospice, and/or case management as an RN.
- Experience working with the geriatric population.
- Familiarity with the long-term care business environment.
Washington Residents Only: The salary range for this role is $58,300 to $114,300 annually, based on various factors including local labor markets, education, work experience, and certifications. UnitedHealth Group adheres to all applicable minimum wage laws. In addition to salary, UnitedHealth Group offers a comprehensive benefits package, incentive programs, equity stock purchase options, and 401k contributions, all subject to eligibility requirements.
At UnitedHealth Group, our mission is to help individuals lead healthier lives and enhance the healthcare system for everyone. We believe that everyone, regardless of race, gender, sexuality, age, location, or income, deserves the opportunity to achieve their healthiest life. However, significant barriers to good health persist, disproportionately affecting people of color, historically marginalized groups, and those with lower incomes. We are dedicated to minimizing our environmental impact and delivering equitable care that addresses health disparities and improves outcomes, which is a priority reflected in our mission.
Diversity fosters a healthier workplace: 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.
OptumCare maintains a drug-free workplace. Candidates must pass a drug test prior to employment.
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