Case Manager RN - Eugene, OR
Company: Optum
Location: Blachly
Posted on: February 19, 2025
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Job Description:
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 us to start Caring. Connecting.
Growing together. -
As a Long-term Care and Assisted living Optum Registered Nurse you
will function as part of the primary care team, and report to the
Clinical Services Manager (CSM). This role works in close
collaboration with all of the interdisciplinary team members and
may support multiple providers. The RN Case Manager is a flexible
team member who works under the direction of the Advanced Practice
Clinician (APC) and activities are delegated by the APC or the team
Clinical Services Manager (CSM).
Location: Eugene, OR
Standard Hours: Monday - Friday 8AM - 5PM
Primary Responsibilities:
Assist the provider / team with various care coordination
activities in the nursing home
Assist the provider / team with benefit determination associated
with Medicare part A, part B, and part D benefits
Collaborating with the primary APC and nursing facility to identify
and respond to patient Change in Condition
May assist the provider by completing DSTs, re - assessing the
patient, and other activities as delegated by the provider or the
CSM
Assist the provider / team with therapy coordination for members
including possible assessments or follow up on requests and
communicate and collaborate with APC
May perform interval check in on patient progress with therapy
department
May participate in facility-based therapy discussion meetings
Schedule and participate in family conferences, team meetings, and
team case presentations
May assist in the coordination of training, tracking and compliance
with quality measures
May participate in the onboarding of new clinical staff under the
direction of the CSM Manager which could include coordination of
onboarding activities, and participation in other orientation
activities
Participate in facility partnership or Customer Relationship
Management (CRM) meetings under the direction of the APC / CSM
May assist in coordinating CRM meetings, and may participate in and
contribute to the meetings
May assist the team in tracking LearnSource completion for the team
members and CSM
Assist in creating and conduct in - services for selected
audiences
Will document information and activities in the EMR
May assist Providers in assuring complete and accurate
documentation and coding, medication reconciliation, nursing
rounds, assessment, and patient documentation
Assist the team / providers in prioritizing advance Care Planning
and initiating discussions
Collaborates with all key stakeholders, providers, nursing homes,
PCPs, families, interdisciplinary care teams and any other
identified stakeholders
Review the chart and enter HEDIS / Quality information into the
EMR, communicate gaps to the Provider
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
Conducting goals of care conversations
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
Oregon
Ability to obtain an unrestricted Registered Nurse license in the
state of OR within 12 months of employment for telephonic cross
coverage
Certified in Basic Life Support
1+ years of experience with using an Electronic Medical Record
Valid Driver's License with access to reliable transportation that
will enable you to travel up to 100% to visit clients and / or
patient sites within a designated area
Preferred Qualifications:
1+ years of experience in post - acute care, such as long-term
care
1+ years of experience working with the geriatric population
Demonstrated ability to work with diverse care teams in a variety
of settings
Proven effective Communication skills and time management
Demonstrated ability to obtain an unrestricted Registered Nurse
license in the state of Oregon within 12 months of employment for
telephonic cross coverage
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: 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, Eugene , Case Manager RN - Eugene, OR, Executive , Blachly, Oregon
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