RN Transition Care Manager - The Polyclinic
Company: Optum
Location: Seattle
Posted on: April 24, 2024
Job Description:
$7,500 Sign on Bonus for External Candidates
For those who want to invent the future of health care, here's your
opportunity. We're going beyond basic care to health programs
integrated across the entire continuum of care. Join us to start
Caring. Connecting. Growing together.
Under minimal supervision, responsible for ensuring the continuity
of care in the outpatient setting utilizing the appropriate
resources within the parameters of established contracts and
patients' health plan benefits. Facilitates continuum of patients'
care utilizing advanced nursing knowledge, experience, and skills
to ensure appropriate utilization of resources and patient quality
outcomes. Performs care management functions on-site and
telephonically as the need arises. Works in conjunction with the
care team and PCP as care team leader to develop a patient centered
plan of care.
Primary Responsibilities:
- Prioritizes patient care needs upon initial visit and addresses
emerging issues
- Meets with patients, patients' family and caregivers as needed
to discuss care and treatment plan
- Identifies and assists with the follow-up of high-risk patients
in acute care settings, skilled nursing facilities, custodial and
ambulatory settings
- Consults with physician and other team members to ensure that
care plan is successfully implemented
- Coordinates treatment plans with the care team and triages
interventions appropriate to the skill set of the team members.
Uses protocols and pathways in line with established disease
management and care management programs in order to optimize
clinical outcomes and minimize unnecessary institutional care
- Monitors and coaches patients using techniques of motivational
interviewing and behavioral change to maximize self-management
- Oversees provisions for discharge from facilities including
follow-up appointments, home health, social services,
transportation, etc. in order to maintain continuity of care
- Works in coordination with the care team and demonstrates
accountability with patient management and outcome
- Discusses Durable Power of Attorney (DPOA) and advanced
directive status with patient and PCP when applicable
- Maintains effective communication with the physicians,
hospitalists, extended care facilities, patients, and families
- Provides accurate information to patients and families
regarding resources available to them through health plan benefits,
community resources, and referrals
- Participates actively in Monthly Care Management Department
meetings and daily huddles
- Documents pertinent patient information and Care Management
Plan in Electronic Health Record
- Coordinates care with central departments on assigned patient
caseload, including, inpatient, long term care facilities, adult
family homes, and home health agencies
- Demonstrates a thorough understanding of the cost consequences
resulting from Care Management decisions through utilization
reports and systems such as Health Plan Benefits, CM dashboards and
reports
- Maintains concise and accurate documentation that supports
effective and efficient management of care plans to decrease
Emergency and hospital readmissions 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:
- Graduation from an accredited school of nursing
- Washington State Registered Nurse license
- Basic Life Support for Healthcare providers (AHA) or CPR/AED
for the Professional Rescuer (American Red Cross)
- 3+ years of experience in a clinical setting
- Washington State driver's license and vehicle for work-related
travel
Preferred Qualifications:
- Bachelor of Science in Nursing, BSN
- Telehealth certification
- 3+ years of experience working in acute care
- 1+ years of care management, utilization review or discharge
planning experience
- HMO Experience Washington Residents Only: The salary range for
this role is $58,300 to $114,300 annually. 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: 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.
Keywords: Optum, Kirkland , RN Transition Care Manager - The Polyclinic, Executive , Seattle, Washington
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