RN, Case Manager

1 month ago

Torrance, California, United States Optum Full time
Transforming Healthcare with Optum

At Optum, we're redefining healthcare by integrating programs across the entire continuum of care. If you're passionate about inventing the future of healthcare, this is your opportunity to make a meaningful impact.

Key Responsibilities:
  • Prioritize patient care needs and address emerging issues
  • Meet with patients, families, and caregivers to discuss care and treatment plans
  • Identify and assist with the follow-up of high-risk patients in various settings
  • Consult with physicians and team members to ensure successful care plan implementation
  • Use protocols and pathways to optimize clinical outcomes and minimize unnecessary institutional care
  • Monitor and coach patients using motivational interviewing techniques and behavioral change
  • Oversee provisions for discharge from facilities, including follow-up appointments and home health services
  • Work in coordination with the care team and demonstrate accountability with patient management and outcomes
  • Discuss Durable Power of Attorney and advanced directive status with patients and PCPs when applicable
  • Maintain effective communication with physicians, hospitalists, and extended care facilities
  • Provide accurate information to patients and families regarding available resources through health plan benefits and community resources
  • Participate actively in monthly case management department meetings and daily huddles
  • Document pertinent patient information and Case Management Plans in Electronic Health Records
  • Coordinate care with central departments on assigned patient caseload
  • Demonstrate a thorough understanding of the cost consequences of Case Management decisions through utilization reports and systems
  • Maintain concise and accurate documentation to support effective and efficient management of care plans
Requirements:
  • Graduation from an accredited school of nursing
  • Active, unrestricted Registered Nurse license through the State of California
  • 1+ years of experience in a clinical setting or care management
Preferred Qualifications:
  • Bachelor of Science in Nursing, BSN
  • Telehealth certification
  • 3+ years of experience working in acute care
  • 1+ years of experience in care management, utilization review, or discharge planning
  • HMO experience
Benefits:

At Optum, we offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution. We believe in creating a diverse and inclusive work environment that values everyone's contributions.

We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes. Our mission is to help people live healthier lives and make the health system work better for everyone.

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