8 days old

Oncology RN Case Manager - OptumCare - 1500 Sign On Bonus for External Candidates only

Las Vegas, NV 89101
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We're making a strong connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that's driving the health care industry forward. As a Telephone Case Manager RN with UnitedHealth Group, you'll support a diverse member population with education, advocacy and connections to the resources they need to feel better and get well. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Apply today!

Primary Responsibilities:
  • Manage Oncology high risk patients. 
  • Oversee systems for identification of the high-risk oncology patient through EMR, referrals, admissions and discharges and from the providers, staff and payorGather clinical information from the EMR and outside medical reporting to determine risk stratification. This includes a comprehensive assessment of physical emotional, psychosocial and environmental needs of the patient. 
  • Develop a tracking system for patient care coordination and care management across the continuum including care transitions, primary and specialty care.
  • Act as the liaison for other care management and specialty programs, including United Health Care, Southwest medical Associates, Optum Care, and commercial payors and out of the area providers.
  • Communicate with providers and multidisciplinary care team members to facilitate transition of services. 
  • Complete and submit all documentation within established guidelines.
  • Participate in the measurement and evaluation of your work and current practices through the use of clinical audit, outcome measures and reflective practice. Make recommendations for change.
  • Collaborate with multidisciplinary team members in acute, post-acute and outpatient setting to identify patient's needs as it relates to the oncology specialty and assist to identify patient needs such as home health care DME and community services 
  • Assist establishing the case management assessment and document.
  • Document clinical assessments and care plans in the system developed
  • Complete ongoing evaluation and documentation of patient progress in EMR
  • Implement the medical treatment plan by providing counseling regarding the oncology program, initial contact post discharge, counseling regarding the discharge plan and recommendations and treatment adherence issues.
  • Follow-up with patient's 24 to 48 hours post discharge
  • Identify gaps or barriers in treatment plans to ensure that discharged patients receive appropriate resources and services

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.

Posted: 2020-10-13 Expires: 2020-11-13

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.

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Oncology RN Case Manager - OptumCare - 1500 Sign On Bonus for External Candidates only

UnitedHealth Group
Las Vegas, NV 89101

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