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UnitedHealth Group OptumCare RN Case Manager in West Valley City, Utah

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work. Diversity creates a healthier atmosphere: 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. Candidates are required to pass a drug test before beginning employment.

The RN Case Manager serves as a longitudinal advocate for members across the continuum of care, including hospital admissions, transitions from acute care facilities and to the next level of care such as the member’s home, as well as facilitation of communication with the primary care physician (PCP). The RN Case Manager assists in the coordination of care, develops a comprehensive care plan and provides assistance and resources for the member within the community setting to help members remain in their home. Working closely with the patient, the RN Case Manager provides support and education for the patient to manage their own health.

Primary Responsibilities:

  • Collaborates effectively with the interdisciplinary team (IDT) to complete an individualized comprehensive plan of care including facilitating transitions of care

  • Provides assessments of physical, psycho-social and transition needs within the patient’s actual settings not limited to the PCP office, hospital, SNF and/or patient’s home

  • Develops interventions and processes to assist the patient and care givers in meeting short and long term goals

  • Initiate appropriate community-based referrals

  • Demonstrates and implements case management principles, processes and current standards of care when creating and implementing individualized plan of care and interventions

  • Timely and accurate documentation into designated case management applications

  • Other duties as requested

Required Qualifications:

  • Registered Nurse with a current, unrestricted license to practice in the state of Utah

  • 2+ years of case management experience

  • 3+ years of fast paced background in acute care, home health, hospice, geriatric and /or community settings

  • Proficient knowledge of chronic diseases; COPD, Asthma, Diabetes, CHF, Depression, PVD and CAD

  • Knowledge of discharge planning options and interdisciplinary approaches to decreasing post-discharge complications and avoidable readmissions to the acute care setting for OptumCare-Utah members

  • One of the following certifications: ACM, CCM, CMC, and/or CMCN

  • If not certified in Case Management, required within first year of employment

Preferred Qualifications:

  • Bachelor’s degree

  • Experience working with Medicare population and individuals with multiple co-morbidities

  • Experience working with Centers for Medicare and Medicaid Services, especially Medicare and Medicare Advantage programs

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work. SM

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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 is a drug-free workplace. Candidates are required to pass a drug test before beginning employment

Job Keywords: RN, Case management, CCM, acute care, geriatric, home health, hospice

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