Registered Nurse RN Inpatient Case Manager Austin Texas
Company: Optum
Location: Georgetown
Posted on: February 1, 2025
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Job Description:
Opportunities at WellMed, part of the Optum family of
businesses. We believe all patients are entitled to the highest
level of medical care. Here, you will join a team who shares your
passion for helping people achieve better health. With
opportunities for physicians, clinical staff and non-patient-facing
roles, you can make a difference with us as you discover the
meaning behind Caring. Connecting. Growing together.
The Nurse Case Manager II (NCM) is responsible for patient case
management for longitudinal engagement, coordination for discharge
planning, transition of care needs and outpatient patient
management through the care continuum. Nurse Case Manager will
identify, screen, track, monitor and coordinate the care of
patients with multiple co-morbidities and/or psychosocial needs and
develop a patients action plan and/or discharge plan. They will
perform reviews of current inpatient services, and determine
medical appropriateness of inpatient and outpatient services
following evaluation of medical guidelines and benefit
determination. The Nurse Case Manager will provide continuity of
care for members to an appropriate lower level of care in
collaboration with the hospitals/physician team, acute or skilled
facility staff, ambulatory care team, and the member and/or
family/caregiver. The Nurse Case Manager will coordinate, or
provide appropriate levels of care under the direct supervision of
an RN Manager or MD. Function is responsible for clinical
operations and medical management activities across the continuum
of care (assessing, planning, implementing, coordinating,
monitoring and evaluating). This includes case management,
coordination of care, and medical management consulting. Function
may also be responsible for providing health education, coaching
and treatment decision support for patients. The Nurse Case Manager
will act as an advocate for patients and their families guide them
through the health care system for transition planning and
longitudinal care. The Nurse Case Manager will work in partnership
with an assigned Care Advocate and Social Worker.This is a
full-time position which requires 25% to 50% traveling around the
Austin, TX and counties areas supporting IP HR Patients. Rotating
Paid On-Calls / Mileage ReimbursementPrimary Responsibilities:
At UnitedHealth Group, our mission is to help people live healthier
lives and make the health system work better for everyone. We
believe everyoneof every race, gender, sexuality, age, location and
incomedeserves 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.By
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Keywords: Optum, Georgetown , Registered Nurse RN Inpatient Case Manager Austin Texas, Healthcare , Georgetown, Texas
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