*$2,500 Sign-On Bonus for External Candidates*

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual’s physical, mental and social needs – helping patients access and navigate care anytime and anywhere.

As a team member of our Senior Community Care (SCC) product, we work with a team to provide care to patients at home in a nursing home, assisted living for senior housing. This life-changing work adds a layer of support to improve access to care. 

We’re connecting care to create a seamless health journey for patients across care settings. Join our team, it’s your chance to improve the lives of millions while doing your life’s best work.(sm) 

The Case Manager is responsible for assisting the Nurse Practitioner in coordinating and managing the transitions and care efficiencies of patients residing in a SNF for a short term skilled stay. The CM will focus on patient experience, readmission prevention, length of stay management and transition planning to ensure safe and timely transition to the next level of care upon discharge.

The RN will meet with patients, families, SNF case managers to assess needs, gaps in services, progress related to care plan goals and readiness for transition to next level of care. All of the care provided is in collaboration and communication with the advanced practice nurse practitioner.

If you are located in Sun City, Peoria or Surprise you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Care Coordination
  • Assist the provider/team with various care coordination activities in the nursing home and/or assisted living community (AL)
  • RN works in collaboration with the nursing facilities/AL community to assist in coordinating transportation when appropriate
• Benefit Determination
  • Assist the provider/team with benefit determination associated with Medicare part A, part B, and part D benefits
  • The RN is responsible for collaborating with the nursing facility/AL to identify and respond to patient Change in Condition
  • RN may assist the provider by re-assessing the patient, and other activities to support BD, as delegated by the provider or the CSM
• Therapy Coordination
  • Assist the provider/team with therapy coordination for patients including possible assessments or follow up on requests and communicate/collaborate with NP
  • The RN may perform interval check in on patient progress with therapy department
  • The RN may participate in facility based therapy discussion meetings
• Team Support
  • Schedule and participate in family conferences, team meetings, and team case presentations
  • Assist in the coordination of N95 fit testing, CPR training/recertification, tracking compliance with infection control measures, tracking TAP data etc.
  • Participate in the onboarding of new clinical staff under the direction of the CSM- the RN may coordinate onboarding activities, and participate in other orientation activities under the direction of the CSMs or DCOs
  • Participate in facility partnership or Customer Relationship Management (CRM) meetings under the direction of the NP/CSM- the RN may assist in coordinating CRM meetings, and may participate in and contribute to the meetings
  • The RN may assist the team in tracking LearnSource completion for the team members and CSM
• In-servicing
  • Assist in creating and conduct in-services for selected audiences
• Documentation
  • Will document information and activities in the EMR
  • RN may assist Providers in assuring complete and accurate coding
• Advanced Care Planning
  • Assist the team/providers in prioritizing advance Care Planning and initiating discussions
• Communication
  • Collaborates with all key stakeholders; providers, nursing homes/assisted living facilities, PCPs, families, interdisciplinary care teams and any other identified stakeholders
• Support of contracted providers
  • May support contracted providers with above activities and other selected duties in appropriate markets Quality/HEDIS 
• Quality/HEDIS
  • The RN will review the chart and enter HEDIS/Quality information into the EMR
  • The RN may identify gaps in the HEDIS/Quality measures and communicate these to the NP for resolution. i.e. missing vaccinations, lab work etc. 
  • The RN may assist with managing the annual flu vaccine initiative; communicate with families, nursing staff, identify gaps
  • The RN may do the Medication Reconciliation post hospital, skilled event or ER visit
• Patient Care
  • Patient assessment for Change in Condition - RN may perform a nursing assessment on a patient within scope of practice, communicate findings back to NP
  • The RN may make rounds and identify high risk patients
  • Regularly rounds and examines skilled patients through-out skilled stay to evaluate the following:
    • Risk for return to acute
    • Length of stay (opportunities for discharge working with facility CM to assist)
    • Identify change in condition and communicate with APC
    • Completes accurate and timely documentation in the EMR
    • The RN may gather information for rounds and enter into preliminary note as described in the documentation section 
    • The RN 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.

Required Qualifications:

• Current unrestricted Registered Nurse license in the state of practice
• 3 years of RN experience
• Valid driver's license with appropriate insurance
• Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Preferred Qualifications:

• Baccalaureate degree
• 3 years experience in post-acute care, such as long-term care or hospice and/or Case Management experience as an RN
• Experience with using an Electronic Medical Record
• Experience working with the geriatric population
• Familiarity with the long-term care business environment
• Basic Microsoft Office skills with the ability to navigate in a Window's environment
• Proven excellent communication and customer service skills

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment

Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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