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RN Case Manager

1 month ago


Gastonia, North Carolina, United States UnitedHealth Group Full time
Optum Home & Community Care: A New Approach to Healthcare

At Optum Home & Community Care, we're revolutionizing the way healthcare is delivered. Our integrated care model addresses the physical, mental, and social needs of individuals, providing seamless access to care anytime and anywhere.

Job Summary

We're seeking a highly skilled Registered Nurse Case Manager to join our team. As a key member of our Senior Community Care (SCC) product, you'll work closely with a team to provide care to patients in their homes, nursing homes, and assisted living facilities.

Responsibilities
  • Collaborate with the primary Advanced Practice Clinician (APC) and nursing facility to identify and respond to patient changes in condition.
  • Assist with benefit determination associated with Medicare Part A, Part B, and Part D benefits.
  • Participate in facility-based therapy discussion meetings and schedule and participate in family conferences, team meetings, and team case presentations.
  • Document information and activities in the Electronic Medical Record (EMR).
  • Assist with therapy coordination for members, including assessments and follow-up on requests.
  • May write verbal orders from the provider in the chart, in compliance with state RN practice laws and individual nursing facility practices.
Requirements
  • Current, unrestricted RN license in the state of North Carolina.
  • Valid Driver's License with access to reliable transportation.
  • 1+ years of experience with using an Electronic Medical Record.
  • Ability to work in Gastonia, NC, and visit facilities 100% of the time.
Preferred Qualifications
  • 1+ years of experience in post-acute care, such as long-term care or critical care.
  • 1+ years of experience working with the geriatric population.
  • Proven ability to work with diverse care teams in various settings.
  • Proven effective communication skills and time management.

We're committed to creating a healthier atmosphere for our employees and patients. 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.