20 days old

RN Care Manager - Superior, CO

Boulder, CO 80302
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  • Job Code
    892849

RN Care Manager

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)

As a member of the care team, the RN Care Manager will support continuous, comprehensive, coordinated care, with an emphasis on prevention, acute care follow up, and chronic disease management for patient populations, including those patients who are most vulnerable.

The RN Care Manager is recognized as a key member of the patient care team within the family practice and internal medicine clinics. Specifically, the RN Care Manager will provide health education to patients, assist patients with chronic disease self-management, coordinate referrals with specialists, and connect patients with appropriate care and community resources. The RN Care Manager will be responsible for coordinating and providing a patient-centered partnership with the patient care team to ensure a positive patient experience with care transitions. The RN Care Manager will recognize those patients with high health care utilization and work collaboratively within the care team to reduce unwarranted high-cost care.

Primary Responsibilities:

  • Work cooperatively and collaboratively as a member of a care team with primary care providers, medical assistants, care coordinators, and other clinic staff to provide care to patients based on best practices and evidenced based medicine
  • Assess and provide services for patients across the lifespan from newborn to geriatric
  • Provide nursing assessment and comprehensive health management to patients under longitudinal and episodic care management
  • Facilitate communication among care teams  to address patient needs and barriers to care. Take immediate action to problem solve when necessary.
  • Review patient-centered goals to create and document a plan of care under provider’s guidance or established protocols. Elements of the care plan include treatment goals, patient goals, medication reconciliation, assessment of medication understanding and adherence, barriers to care, next steps, and follow-up plan
  • Develop and maintain trusting longitudinal relationships with patients and caregivers/family/significant other(s) while maintaining appropriate boundaries that are HIPAA compliant
  • Use clinical judgment in providing patient education and referrals for appropriate and timely care for referral in the community as necessary
  • Encourage patient self-management of chronic conditions
  • Facilitate transitions of care from hospitals, emergency room visits, urgent cares, and skilled nursing facilities. Provide timely follow-up including calling patients to reconcile medications, arrange appointments, assess understanding of discharge plan, and provide resources as needed
  • Update patient health records to reflect current condition, treatment plans, medications, etc. and remove outdated or lapsed conditions/medications. Assure services provided are consistent with the Joint Commission, ADAD and 27-10 regulations
  • Ensure that patient medication lists are current and accurate. Assess patient understanding of medications and adherence to medication regimen and address barriers to following treatment plan
  • Participate in quality improvement processes Use patient registries to identify high-risk patients and assist in implementation of plan of care for patients (i.e., immunizations, screenings, medication adherence, diet, etc.)
  • Maintain knowledge of financial considerations and limitations of patient insurance coverage as appropriate
  • Support development and updates to a community resource directory and maintain a working relationship with providers in the referral network
  • Maintain working knowledge of health laws, protocols, managed care contracts, and insurance.
  • Perform effectively in stressful and/or emergency situations and demonstrate knowledge and use of emergency procedures and equipment
  • Function as ambulatory clinic liaison, providing consultation/problem-solving between programs, medical staff, community professionals, and outside agencies
  • Serve on assigned committees
  • Adhere to standard precautions as appropriate, which may include:
    • the use of protective barriers (e.g., gloves, masks, gowns, pocket masks, and/or safety glasses)
    • handling and disposing of infectious waste appropriately
    • hand washing
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Posted: 2020-09-29 Expires: 2020-11-01

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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RN Care Manager - Superior, CO

UnitedHealth Group
Boulder, CO 80302

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