Case Manager RN - Per Diem - Boulder, CO
Company: Optum
Location: Broomfield
Posted on: September 29, 2024
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Job Description:
Optum is a global organization that delivers care, aided by
technology to help millions of people live healthier lives. The
work you do with our team will directly improve health outcomes by
connecting people with the care, pharmacy benefits, data and
resources they need to feel their best. Here, you will find a
culture guided by diversity and inclusion, talented peers,
comprehensive benefits and career development opportunities. Come
make an impact on the communities we serve as you help us advance
health equity on a global scale. Join us to start -Caring.
Connecting. Growing together. - -
The -Case Manager RN -is responsible and accountable for
coordination of patient services through an interdisciplinary
process, which provides a clinical and psychosocial approach
through the continuum of care. -Through concurrent case management,
patients will be assessed to determine appropriateness of
admission, continued hospitalization, as well as appropriate level
of care. Discharge planning will begin at the time of (or prior to)
admission, and reassessed ongoing throughout the course of
hospitalization. -Quality and Risk Management issues will also be
monitored for and reported as appropriate.
Location: -4747 Arapahoe Ave, Boulder, CO 80303 (Boulder Community
Health)
Schedule: -Minimum of two working days per pay period which would
include -the ability to commit to 1 weekday and ability to commit
to 1 weekend day -
Primary Responsibilities:
Directly communicates with staff, physicians, patients and
families
Coordinates patient care processes to achieve desired quality
outcomes and identifies/controls inappropriate resource
utilization
Facilitates patient and family education and promotes continuity of
care to achieve optimal patient outcomes. -Assures patient rights
by offering a choice when appropriate
Reviews the patient plan of care with the multi-disciplinary team.
-Facilitates and participates in multi-disciplinary team care
conferences for patients with complex problems. -Communicates in
the medical record and verbally with the team to coordinate
interventions and facilitate continuity of care
Daily communication and collaboration with the patient care staff
to provide continuous assessment, evaluation and continuum planning
to assure the patient receives the appropriate level of care at the
appropriate time. -Facilitates the implementation of nursing
interventions as indicated by the multi-disciplinary team plan of
care that enhances and compliments the skill level of the nursing
staff
Functions without direct supervision, utilizing time constructively
and organizing assignments for maximum productivity. -Arranges
schedule to facilitate meeting with physicians for patient care
rounds, team meetings and other opportunities to improve
communication
An initial assessment is required to be completed for all
inpatients within 36 hours of admission (Per employee average
caseload of 12 patients per day)
Excess Days per Patient discharge should remain under 1.39 days per
contract requirements
A discharge summary is required for all patient discharges
Individual Expectation: Employees are to document a daily
intervention on all patients
Operation Expectation: Employees are required to lead daily
Interdisciplinary Rounds for their patients on a specific medical
unit to drive timely discharges and plans of care
CMS Compliance: All Medicare and Medicare Advantage patients are
required a delivery notice for MOON & IMM documentation. All
patients are also required to be provided with choice for discharge
dispositions
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:
Associate's Degree (or higher)
Valid unrestricted RN License in the state of Colorado OR -Master
of Social Work (MSW) Degree
Ability to commit to working 1 weekend day per pay period (1
weekend day every 2 weeks)
Preferred Qualifications:
Bachelor of Science in Nursing (BSN)
Case Management Certification -
3+ years of recent clinical or case management experience in area
of specialization -
Knowledge/understanding of community resources, policies, and
procedures
Soft Skills:
Solid analytical, critical thinking and organizational skills -
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Colorado Residents Only: -The hourly range for Colorado residents
is -$28.03 to $54.95 -per hour. -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. -
Application Deadline: -This will be posted for a minimum of 2
business days or until a sufficient candidate pool has been
collected. Job posting may come down early due to volume of
applicants. -
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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.
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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. -
#RPO #RED
Keywords: Optum, Broomfield , Case Manager RN - Per Diem - Boulder, CO, Executive , Broomfield, Colorado
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