Field RN Case Manager

$5,000 sign on bonus for external candidates

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

You push yourself to reach higher and go further. Because for you, it's all about ensuring a positive outcome for patients. In this role, you'll work in the field and coordinate the long-term care needs for patients in the local community. And at every turn, you'll have the support of an elite and dynamic team. Join UnitedHealth Group and our family of businesses and you will use your diverse knowledge and experience to make health care work better for our patients.

The United Healthcare at Home program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of members in their place of residence. The DSNP program combines clinicians providing intensive interventions customized to the needs of each individual, in collaboration with the Interdisciplinary Care Team, which includes the clinician, the member's Primary Care Provider and other providers, and other professionals.

If you are located in the District of Columbia, you will have the flexibility to telecommute* as you take on some tough challenges. Expect to spend about 50-75% of your time in the field visiting our members in their homes or in long-term care facilities in the local area. You'll need to be flexible, adaptable and, above all, patient in all types of situations.

Standard Hours: Monday - Friday normal daytime business hours (no on-call, no weekends and no holidays required).

This is a field based position in the greater Washington DC area and you will be in the field 100% of the time going into members homes.

This position is open to candidates who live in DC, MD, or VA

Primary Responsibilities:

* Assess, plan and implement care management interventions that are individualized for each patient and directed toward the most appropriate, least restrictive level of care

* Develop and implement care plan interventions throughout the continuum of care as a single point of contact

* Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members

* Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team

* Identify appropriate interventions and resources to meet gaps (e.g., psychosocial, transportation, long-term care) based on specific consumer needs from both the health care and psychosocial / socioeconomic dimensions of care

* Document the plan of care in appropriate EHR systems and enter data per specified

* Maintain consumer engagement by establishing rapport, demonstrating empathy, and building a trusting relationship

* Collaborate with primary providers or multidisciplinary team to align or integrate goals to plan of care and drive consistent coordination of care

* Provide ongoing support for advanced care planning.

* Reassess plan of care at appropriate intervals based on initial objectives, significant change of condition, or achievement of goals

* Understand and operate effectively/efficiently within legal/regulatory requirements

* Utilize evidence-based guidelines (e.g., medical necessity guidelines, practice standard)

* Make outbound calls and receive inbound calls to assess members' current health status

* Identify gaps or barriers in treatment plans

* Provide patient education to assist with self-management

* Make referrals to outside sources

* Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction

* Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels

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 Washington DC or willing to obtain within 90 days of hire
• Certified in Basic Life Support
• 1+ years of experience in post - acute care, such as long-term care
• 1+ years of experience with using an Electronic Medical Record
• Valid Driver's License and Access to reliable transportation
• Ability to travel up to 100% to visit members in their homes within Washington DC
• Located within 50 miles of Washington DC

Preferred Qualifications:

• 1+ years of experience working with the geriatric population
• Field based experience going into patients homes
• Experience creating care plans
• Case Management experience
• 1+ years of LTSS (Long Term Services and Supports)
• 1+ years of HCBS (Home and Community Based Services) experience
• Certified Case Management (CCM)

The salary range for this role is $59,500 to $116,600 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

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: OptumCare 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.

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