Senior Community Care RN Case Manager

2 weeks ago


Jacksonville, Florida, United States UnitedHealth Group Inc Full time
Job Summary

We are seeking a highly skilled and compassionate Registered Nurse (RN) to join our Senior Community Care team as a Case Manager. In this role, you will work closely with our interdisciplinary team to provide high-quality care to patients in their homes, nursing facilities, and assisted living settings.

Key Responsibilities
  • Assist the provider team with various care coordination activities, including benefit determination and patient assessment.
  • Collaborate with the primary Advanced Practice Clinician (APC) and nursing facility to identify and respond to patient changes in condition.
  • May assist the provider by completing Decision Support Tools (DSTs), reassessing patients, and performing other activities as delegated by the provider or Clinical Services Manager (CSM).
  • Assist the provider team with therapy coordination, including scheduling and participating in family conferences, team meetings, and team case presentations.
  • May participate in facility-based therapy discussion meetings and assist in the coordination of training, tracking, and compliance with quality measures.
  • May assist in the onboarding of new clinical staff under the direction of the CSM Manager.
  • Participate in facility partnership or Customer Relationship Management (CRM) meetings under the direction of the APC/CSM.
  • May assist in coordinating CRM meetings and participate in and contribute to the meetings.
  • May assist the team in tracking LearnSource completion for the team members and CSM.
  • Assist in creating and conducting in-services for selected audiences.
  • Will document information and activities in the Electronic Medical Record (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 Electronic Medical Record (EMR), communicate gaps to the Provider.
  • May write verbal orders from Provider in the chart in compliance with the state RN practice laws and individual nursing facility practices.
  • Conducting goals of care conversations.
  • May assist with patient care in the state of Washington, either face-to-face or telephonically.
What We Offer
  • Competitive base pay.
  • A full and comprehensive benefit program.
  • Performance rewards.
  • A management team that demonstrates their commitment to your success.
Requirements
  • Associate degree or higher in Nursing (RN).
  • Current unrestricted Registered Nurse license in the state of Florida.
  • Certified in Basic Life Support.
  • Valid driver's license with access to reliable transportation that will enable you to travel up to 100% to visit clients and/or patient sites within a designated area.
Preferred Qualifications
  • For new RN graduates, proven ability to obtain an unrestricted Registered Nurse license in the state of Florida within 12 months of employment.
  • 1+ years of experience in post-acute care, such as long-term care.
  • 1+ years of experience working with the geriatric population.
  • 1+ years of experience with using an electronic medical records.
  • Bilingual English/Spanish.
  • Proven ability to work with diverse care teams in a variety of settings.
  • Proven effective communication skills and time management.

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.


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