Optum Field Based RN Case Manager- West Valley City, UT
January 10, 2018
West Valley City, Utah
Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. This is the place to do your life's best work.(sm)As a Field - Based Case Manager, you'll wear many hats, and work in a variety of environments. Your core responsibilities will be to help manage our high risk patients in the community along with helping case manage and authorize appropriate stays in our skilled nursing, long term acute care and acute inpatient rehab facilities. You may also act as an intermediary between providers and members - serving in numerous roles, such as educator, evaluator, service coordinator, community resource researcher and more. The result? Fewer hospitalizations, ER visits and costly service gaps; and a less stressed, more effective health care system for us all. Want more flexibility, want more autonomy? Work from your own home and coordinate a visiting schedule that is mutually beneficial to you and the members we serve.What makes your clinical career greater with UnitedHealth Group? You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere. Flexibility to work Wednesday - Sunday. Weekend coverage is mandatory. Primary Responsibilities: Do utilization management for Medicare advantage members for skilled nursing, long term acute care and acute inpatient rehab facilities Work with the facilities to identify high risk patients and help facilitate referrals to other resources in our network Work with our high risk population to insure they are at the right level of care at all times with follow up, insuring MD appointments are made and resources are set up for them to reduce the readmissions back to community facilities Help with many pilot programs and projects to enhance the overall care for our members Assist members with the transition from a care facility back to their home Prepare communication for facilities and members following a benefit appeal
Required Qualifications: Current, unrestricted RN license in the State of Utah Must be willing to travel to local SNFs or other locations within service delivery area 3+ years clinical experience in one of the following areas: skilled nursing, case management, utilization management, community nursing, public nursing, geriatric population Flexibility to work Wednesday - Sunday; weekend coverage is mandatory Computer / typing proficiency to enter / retrieve data in electronic clinical records; experience with email, internet research, use of online calendars and other software applications Ability to communicate complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others Preferred Qualifications: Case Management experience including Certification in Case Management Skilled nursing or field based case management Problem solving skills; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action Medicare, Managed Care experience Experience working with the needs of vulnerable populations who have chronic or complex bio - psychosocial needs Experience in Home & Community based or Long Term Care services delivery 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: 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: Case Manager, RN, Clinical, Field Based, acute care, Skilled, SNF, West Valley City, UT, Utah
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.