23 days old

RN Case Manager - Field Based - Fort Wayne, IN - 919637

Fort Wayne, IN 46802
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  • Job Code
    919637

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)

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The RN functions as part of the primary care team, and reports to the Clinical Services Manager. The RN performs activities that fall within the RN scope of practice. This role works in close collaboration with all of the team members, and may support multiple providers. The RN understands and supports the ISNP models of care, and works in collaboration with the team to meet the goals of the program.

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This is a field based position that will require travel between skilled nursing facilities in Fort Wayne, Anderson and Muncie, IN.

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Monday - Friday, days

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Primary Responsibilities:

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  • New Enrollees: Reviews nursing home medical records and forwards them to the pree team for entry into Pathway (EMR) to facilitate NP initial visit
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  • Makes nursing home rounds to identify high acuity patients
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  • Researches and follows up on HEDIS/Medicare Star Quality measures and collaborates with NP to meet requirements and close gaps in care
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  • Functions as part of the overall team and is accountable for supporting the team in meeting team and market goals
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  • Assist in completing assessments for lower acuity members
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  • Provide education to nursing home facility staff
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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.

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Required Qualifications:

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  • Current RN license in the state of IN
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  • 3+ years of nursing experience
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  • Experience with care coordination
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  • Solid assessment skills
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  • Solid Microsoft Office skills
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  • Experience with using an Electronic Medical Record
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  • You will be provisioned with appropriate Personal Protective Equipment (PPE) and are required to perform this role with patients and members on site, as this is an essential function of this role.
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  • Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained.
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Preferred Qualifications:

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  • BSN
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  • Familiarity with the long term care business environment
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  • Experience with HEDIS quality measures
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  • Experience with medical record chart reviews / audits
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  • Experience working with the geriatric population
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  • Acute and / or Long Term Care experience
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  • Excellent critical thinking skills
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  • Excellent oral and written communication skills
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  • Detail oriented, able to multi - task and remain flexible with assignments
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  • Ability to work independently and be self - driven in an environment that includes a variety of personalities and skill sets
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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)

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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.

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UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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Job Keywords: Registered Nurse, RN, HEDIS, Quality, Long Term Care, Nursing Home, Medical Review, Audit, Geriatric, Fort Wayne, Anderson, Muncie, IN, RN, RN Case Manager, Long Term Care,Indiana

Posted: 2021-03-26 Expires: 2021-04-25

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 Case Manager - Field Based - Fort Wayne, IN - 919637

UnitedHealth Group
Fort Wayne, IN 46802

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