Nursing Home Care Coordinator RN

3 weeks ago

Greensboro, North Carolina, United States UnitedHealth Group Full time

At UnitedHealth Group, we are creating a new model of care that addresses the physical, mental, and social needs of our patients.

We are seeking a skilled RN Case Manager to join our Senior Community Care team, working with a team to provide care to patients in nursing homes, assisted living facilities, and senior housing.

This role requires face-to-face interaction with members in nursing home facilities, and the RN Case Manager will function as part of the primary care team, reporting to the Clinical Services Manager (CSM).

The RN Case Manager will work under the direction of the Advanced Practice Clinician (APC) and activities will be delegated to the Senior Case Manager by the APC or the team Clinical Services Manager (CSM).

This is a Per Diem/Casual position that will work a minimum of 24 hours per month during Monday - Friday, 8:00 a.m. - 5:00 p.m., and on weekends (optional), Saturday and Sunday, 8:00am - 5:00pm.

Onsite 100% of time at LTC / Nursing Facilities in Greensboro, NC (Guilford County) area.

The RN Case Manager will assist the provider/team with various care coordination activities in the nursing home, including benefit determination associated with Medicare part A, part B, and part D benefits.

Collaborating with the primary APC and nursing facility to identify and respond to patient Change in Condition.

Assist the provider/team with therapy coordination for members including possible assessments or follow up on requests and communicate and collaborate with APC.

May perform interval check in on patient progress with therapy department.

May participate in facility-based therapy discussion meetings.

May assist in the coordination of training, tracking and compliance with quality measures.

Participate in facility partnership or Customer Relationship Management (CRM) meetings under the direction of the APC / CSM.

May assist in coordinating CRM meetings, and may participate in and contribute to the meetings.

Will document information and activities in the EMR.

May assist Providers in assuring complete and accurate documentation and coding, medication reconciliation, nursing rounds, assessment, and patient documentation.

Assist the team/providers in prioritizing advance Care Planning and initiating discussions.

Collaborates with all key stakeholders, providers, nursing homes, PCPs, families, interdisciplinary care teams and any other identified stakeholders.

Review the chart and enter HEDIS / Quality information into the EMR, communicate gaps to the Provider.

May write verbal orders from Provider in the chart in compliance with the state RN practice laws, and in compliance with individual nursing facility practices.

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

1+ years of experience with using an Electronic Medical Record.

Ability to be in Greensboro, NC / Guilford County going into facilities 100% of the time.

1+ years of experience in post-acute care, such as long-term care or critical care.

Proven ability to work with diverse care teams in a variety of settings.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone.

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.

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