12 days old

Disease Management Nurse - Orlando, FL - 943952

Orlando, FL 32801
Apply Now
Apply on the Company Site
  • Job Code
    943952

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

""

The Disease Management Nurse reports to the Manager of Delegation Compliance and is responsible for the oversight of Disease Management and Complex Care Management Programs. This role acts under the direction of the clinical supervisor and/or physician, in the provision of direct patient care in accordance with the Company protocols and established standards of nursing practice.

""

Primary Responsibilities:

""
    ""
  • Consistently exhibits behavior and communication skills that demonstrate commitment to superior customer service, including quality and care and concern with each and every internal and external customer
  • ""
  • Represents the Company in a professional manner, following all Company policies and procedures
  • ""
  • Uses, protects, and discloses patients protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
  • ""
  • Performs telephonic Case Management, which includes patient evaluation and education regarding disease and early symptom identification
  • ""
  • Participates in the identification, collection, and analysis of data for potential enrollment of members to the Disease Management program
  • ""
  • Applies critical thinking skills and problem-solving techniques to the disease management process
  • ""
  • Accurately conducts a thorough and objective holistic evaluation of the patients current status, including psychosocial, physical, financial, and educational needs, prognosis, and past and present treatment course and services
  • ""
  • Partners with physicians for effective clinical management and utilization of resources for patient population
  • ""
  • Provides clinical direction and coordination to the interdisciplinary team to formulate and implement a plan of care
  • ""
  • Maintains current knowledge of disease processes, available resources, and treatment options appropriate to patient population
  • ""
  • Consistently documents all activities according to policy, including automated systems
  • ""
  • Continuously demonstrates a positive attitude and understanding of case/disease management, supports team building, and is motivated to fulfill department objectives
  • ""
  • Maintains ongoing communication of the action plan and timeline to the center for implementation
  • ""
  • Consistently demonstrates excellent communication and interpersonal skills with supervisor, case manager, physicians, clinic staff, and corporate personnel
  • ""
  • Identifies opportunities and readily participates in performance improvement activities
  • ""
  • Acts as a liaison for member as needed
  • ""
  • Performs additional duties as assigned
  • "
""

Youll 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:

""
    ""
  • Valid Florida State LPN or RN license
  • ""
  • Ability to educate member as well as clinic personnel on the DM Program
  • ""
  • Ability to travel locally
  • "
""

Preferred Qualifications:

""
    ""
  • CCM certification
  • ""
  • 5+ years of experience in the healthcare field
  • ""
  • 2+ years Case Management / Disease Management experience
  • ""
  • Critical Care experience
  • ""
  • Knowledge and skill in the application of the techniques and practices of the nursing profession
  • ""
  • Ability to understand and implement case and disease management philosophy and principles
  • ""
  • Ability to establish and maintain effective working relationships with Members and their families, Health Plans and local personnel
  • "
""

""

If the hired individual resides in Florida (office based or telecommuting) this position requires the AHCA Level II background check (fingerprinting) by the State of Florida for all clinicians that have direct face to face contact with members OR employees who will have access to confidential patient data and will require renewal every five years.

""

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care 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: Disease Management Nurse,Orlando, FL, Florida

Posted: 2021-07-13 Expires: 2021-08-12

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

Sponsored by:
ADP Logo

Before you go...

Our free job seeker tools include alerts for new jobs, saving your favorites, optimized job matching, and more! Just enter your email below.

Share this job:

Disease Management Nurse - Orlando, FL - 943952

UnitedHealth Group
Orlando, FL 32801

Join us to start saving your Favorite Jobs!

Sign In Create Account
Powered ByCareerCast