Opportunities with Homecare Dimensions. For more than 20 years, Homecare Dimensions has been bringing compassionate and skilled care into the homes of patients throughout Southern Texas. Our focus on combining empathy with quality of care enables us to effectively act as a supportive partner to primary care providers. And that makes our organization a perfect fit to Optum and the UnitedHealth Group family of businesses. Career opportunities with Homecare Dimensions provide you with flexibility, autonomy and incredible support. More importantly, you'll discover the tools, resources, training and technology that only a leader like Optum can provide. Want to make a bigger difference? Join us and start doing your life's best work.(sm) **This position will work Friday-Sunday or Saturday through Monday. Excellent compensation, benefits within 30 days, bonus potential, annual reviews.** The RN Case Manager position is responsible for verification of appropriate incoming orders, completed orders and authorization of insurance benefits. Receive and respond to all incoming calls from referral sources or potential patients, exchange information to identify patients' needs, and determine the Company's ability to meet them. Enter referral information in system including clinical information and orders for services if available. Serves as the initial client contact to obtain patient demographics, type of referral, and type of insurance and insures the information is accurate. Responsible for staffing all new referrals, scheduling of patient visits daily per physician orders, review schedules often for any unassigned visits to be staffed and next day schedules. Will be responsible for weekend on-call for the home health and intake department. Primary Responsibilities:Accepts and records initial client information to include type of referral, type of insurance, and patient demographics Enter referral or order into EMR system both for home health Verifies information with patient including demographics, insurance carrier, physician and pertinent information to help in the completion of the referral Support team members of intake in reviewing orders received from physician office, hospital and case managers for accuracy and the supported documentation in order to serve the patient for home health Follow up with referral source when questions arise in reference to an incomplete order or new referral Develop and maintain a working knowledge of all services and resources provided by the Company and available within the community Requests the referral source fax orders on all patients Will receive report for weekend from intake and home health staff Notifies pharmacy and home health when verification of new referral is complete Ensures information inputted into the EMR system is accurate and complete to ensure timeliness of patient care, obtaining authorization for services requested Responsible for scheduling all physician orders, new referrals and schedules appropriate field staff member on a daily basis Retrieves lab results from previous day Responsible for scheduling per physician order and ensuring re-authorization department has updated order in order to obtain authorization from physician office
Required Qualifications:Current and unrestricted TX RN license Excellent computer skills 3+ years clinical experience This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease Preferred Qualifications: Managed care background Home healthcare experience Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 90,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm) 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. Job Keywords: RN, case manager, San Antonio, Texas, TX
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.