Nurse Case Manager jobs at AmTrust Financial - 49 jobs
Global insurance Clinical Care Manager - Bilingual Japanese RN - Remote
Unitedhealth Group 4.6
Tampa, FL jobs
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together
The Global insurance Clinical Care Manager - Bilingual Japanese RN will perform prospective, concurrent, and retrospective reviews and non-urgent travel requests for Global Expat members located outside the United States.
This is a 24/7 operation, and while your primary schedule will follow the hours listed above, occasional flexibility may be required to support members in Japan. You may need to adjust your schedule to accommodate their time zone, which could include early mornings, late nights, or weekends as business needs arise. These instances are rare and typically involve completing member outreach and any associated case review and documentation.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
This position supports the Eastern time zone (EST) which is 3:00pm-11:00 pm. If you reside in Central time zone (CST) hours would be 2:00pm-10:00pm for Mountain time zone (MST) hours would be 1:00pm-9:00pm, for Pacific time zone (PST) hours are 12:00pm-8:00pm. Monday- Friday with potential to work limited overnight and/or weekend hours based on client or member needs.
Primary Responsibilities:
A GI CCM must consider both US and international care standards and regulatory guidelines. They must be able to work in multiple platforms and comfortable communicating with members and providers to obtain information needed to perform the clinical review
Must also be willing to be cross trained to assist Clinical Health Managers in pre-admission and post-discharge member outreaches
The clinical team is also involved in fraud investigations, identifying multiple fraudulent clients and claims
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:
Registered Nurse with an active unrestricted United States license
Must be bilingual in Japanese and English, with strong verbal and written communication skills
3+ years of experience in medical-surgical inpatient acute care
Experience with working in collaboration with Medical Director to review care plans make recommendations. Ability to advocate on behalf of the member's needs while considering contractual limitations
Proven experience in Clinical Coverage Review, Medical Claim Review or Clinical Appeals
Proven communication skills at all levels
Proven ability to be flexible and display a positive attitude
Proven solid problem-solving, organizational and crisis management skills
Proven ability to function confidently and efficiently in fast paced work environment
Proven ability to foster team cohesion in an international virtual environment
Proven ability to provide empathetic and courteous service while working effectively with co-workers face-to-face or remotely in dynamic and emergent situations
Demonstrated cultural competence and awareness of the challenges of healthcare delivery in the global arena and the potential impact on the health and safety of expatriates, business travelers and UHC Global members
Proven advanced software skills with ability to work in multiple platforms with clinical case reviews
Proven advanced skills with Microsoft Office - Excel, Word
Ability to work in the Eastern time zone (EST) which is 3:00pm-11:00 pm. If you reside in Central time zone (CST) hours would be 2:00pm-10:00pm for Mountain time zone (MST) hours would be 1:00pm-9:00pm, for Pacific time zone (PST) hours are 12:00pm-8:00pm. Monday- Friday with potential to work limited overnight and/or weekend hours based on client or member needs
Preferred Qualifications:
Bachelor's degree
2+ years of experience in utilization management or casemanagement in a managed care or hospital environment
Experience in international healthcare and/or air medical transport
Experience in discharge planning and/or chart review
International travel experience
Demonstrated familiarity with InterQual criteria guidelines
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
$72.8k-130k yearly 3d ago
Looking for a job?
Let Zippia find it for you.
Behavioral Health Case Manager - Remote in Missouri
Unitedhealth Group 4.6
Saint Joseph, MO jobs
The Optum family of businesses, is seeking a Behavioral Health CaseManager to join our team in Missouri. As a member of the Optum Behavioral Care team, you'll be an integral part of our vision to make healthcare better for everyone. The Behavioral Health CaseManager will provide telephonic and in-person support for both direct referrals and data identified referrals. This requires clinical expertise and the ability to negotiate the complexities involved with special needs conditions such as substance use, suicidality/homicide, major depression, ADHD, eating disorders, and severe mental illness. This position may require minimal field work to meet with members at local facilities in the future.
**Primary Responsibilities:**
+ Facilitate member education and involvement of caregiver in the delivery of interventions
+ Provide advocacy and support to member and family members, including caregiver support & appropriate referral to applicable / needed resources
+ Ensure that members understand treatment options and are effectively linked to treatment resources
+ Promote health, wellness and optimal psychosocial functioning for member (identify caregiver gaps, facilitate education and respite support)
+ Consider the member's needs holistically to identify gaps in care requiring intervention
+ Exhibit excellent customer service in engaging providers in collaborative planning
+ Create and maintain appropriate clinical records
+ Participate as directed in clinical rounds with other members of the team and other external health care management organizations / vendors, as applicable. Also participate in advancing the Quality Improvement Program
+ Conduct condition specific research to meet member needs
+ Maintain success stories which can be utilized to promote program
+ Provide casemanagement support for individuals who meet diagnostic requirements including engagement of member and/ or family making available support throughout the entire continuum of treatment
+ Explanation of authorization process
+ Complete discharge follow-up & if needed, discharge planning / support
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:**
+ Master's degree in Psychology, Social Work, Counseling, or Marriage and Family Counseling or Licensed Ph.D.
+ Active, unrestricted clinical license to practice independently without supervision in the state of Missouri
+ 2+ years of post-licensure experience in a related mental health environment
+ 1+ years of casemanagement experience
+ Proven intermediate level computer skills including proficiency with MS Office Suite
+ Access to high-speed internet (Broadband Cable, DSL, Fiber) and a dedicated workspace at home
+ Reside in Missouri
**Preferred Qualifications:**
+ Hospital experience including intakes, assessments, discharge planning, and/or casemanagement
+ Community mental health experience including casemanagement
+ Experience doing chart reviews
+ Experience consulting with facility and/or hospital staff to coordinate treatment plans
+ Dual diagnosis experience with mental health and substance abuse
+ Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
+ Experience with government funded programs
**Explore opportunities at Optum Behavioral Care.** We're revolutionizing behavioral health care delivery for individuals, clinicians and the entire health care system. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while **Caring. Connecting. Growing together.**
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
_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._
_OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
$58.8k-105k yearly 60d+ ago
Behavioral Health Case Manager - Remote in Missouri
Unitedhealth Group 4.6
Kansas City, MO jobs
The Optum family of businesses, is seeking a Behavioral Health CaseManager to join our team in Missouri. As a member of the Optum Behavioral Care team, you'll be an integral part of our vision to make healthcare better for everyone. The Behavioral Health CaseManager will provide telephonic and in-person support for both direct referrals and data identified referrals. This requires clinical expertise and the ability to negotiate the complexities involved with special needs conditions such as substance use, suicidality/homicide, major depression, ADHD, eating disorders, and severe mental illness. This position may require minimal field work to meet with members at local facilities in the future.
**Primary Responsibilities:**
+ Facilitate member education and involvement of caregiver in the delivery of interventions
+ Provide advocacy and support to member and family members, including caregiver support & appropriate referral to applicable / needed resources
+ Ensure that members understand treatment options and are effectively linked to treatment resources
+ Promote health, wellness and optimal psychosocial functioning for member (identify caregiver gaps, facilitate education and respite support)
+ Consider the member's needs holistically to identify gaps in care requiring intervention
+ Exhibit excellent customer service in engaging providers in collaborative planning
+ Create and maintain appropriate clinical records
+ Participate as directed in clinical rounds with other members of the team and other external health care management organizations / vendors, as applicable. Also participate in advancing the Quality Improvement Program
+ Conduct condition specific research to meet member needs
+ Maintain success stories which can be utilized to promote program
+ Provide casemanagement support for individuals who meet diagnostic requirements including engagement of member and/ or family making available support throughout the entire continuum of treatment
+ Explanation of authorization process
+ Complete discharge follow-up & if needed, discharge planning / support
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:**
+ Master's degree in Psychology, Social Work, Counseling, or Marriage and Family Counseling or Licensed Ph.D.
+ Active, unrestricted clinical license to practice independently without supervision in the state of Missouri
+ 2+ years of post-licensure experience in a related mental health environment
+ 1+ years of casemanagement experience
+ Proven intermediate level computer skills including proficiency with MS Office Suite
+ Access to high-speed internet (Broadband Cable, DSL, Fiber) and a dedicated workspace at home
+ Reside in Missouri
**Preferred Qualifications:**
+ Hospital experience including intakes, assessments, discharge planning, and/or casemanagement
+ Community mental health experience including casemanagement
+ Experience doing chart reviews
+ Experience consulting with facility and/or hospital staff to coordinate treatment plans
+ Dual diagnosis experience with mental health and substance abuse
+ Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
+ Experience with government funded programs
**Explore opportunities at Optum Behavioral Care.** We're revolutionizing behavioral health care delivery for individuals, clinicians and the entire health care system. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while **Caring. Connecting. Growing together.**
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
_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._
_OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
$58.8k-105k yearly 60d+ ago
Behavioral Health Case Manager - Remote in Missouri
Unitedhealth Group Inc. 4.6
Kansas City, MO jobs
The Optum family of businesses, is seeking a Behavioral Health CaseManager to join our team in Missouri. As a member of the Optum Behavioral Care team, you'll be an integral part of our vision to make healthcare better for everyone. The Behavioral Health CaseManager will provide telephonic and in-person support for both direct referrals and data identified referrals. This requires clinical expertise and the ability to negotiate the complexities involved with special needs conditions such as substance use, suicidality/homicide, major depression, ADHD, eating disorders, and severe mental illness. This position may require minimal field work to meet with members at local facilities in the future.
Primary Responsibilities:
* Facilitate member education and involvement of caregiver in the delivery of interventions
* Provide advocacy and support to member and family members, including caregiver support & appropriate referral to applicable / needed resources
* Ensure that members understand treatment options and are effectively linked to treatment resources
* Promote health, wellness and optimal psychosocial functioning for member (identify caregiver gaps, facilitate education and respite support)
* Consider the member's needs holistically to identify gaps in care requiring intervention
* Exhibit excellent customer service in engaging providers in collaborative planning
* Create and maintain appropriate clinical records
* Participate as directed in clinical rounds with other members of the team and other external health care management organizations / vendors, as applicable. Also participate in advancing the Quality Improvement Program
* Conduct condition specific research to meet member needs
* Maintain success stories which can be utilized to promote program
* Provide casemanagement support for individuals who meet diagnostic requirements including engagement of member and/ or family making available support throughout the entire continuum of treatment
* Explanation of authorization process
* Complete discharge follow-up & if needed, discharge planning / support
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:
* Master's degree in Psychology, Social Work, Counseling, or Marriage and Family Counseling or Licensed Ph.D.
* Active, unrestricted clinical license to practice independently without supervision in the state of Missouri
* 2+ years of post-licensure experience in a related mental health environment
* 1+ years of casemanagement experience
* Proven intermediate level computer skills including proficiency with MS Office Suite
* Access to high-speed internet (Broadband Cable, DSL, Fiber) and a dedicated workspace at home
* Reside in Missouri
Preferred Qualifications:
* Hospital experience including intakes, assessments, discharge planning, and/or casemanagement
* Community mental health experience including casemanagement
* Experience doing chart reviews
* Experience consulting with facility and/or hospital staff to coordinate treatment plans
* Dual diagnosis experience with mental health and substance abuse
* Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
* Experience with government funded programs
Explore opportunities at Optum Behavioral Care. We're revolutionizing behavioral health care delivery for individuals, clinicians and the entire health care system. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while Caring. Connecting. Growing together.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
$58.8k-105k yearly 60d ago
Behavioral Health Case Manager - Remote in Missouri
Unitedhealth Group 4.6
OFallon, MO jobs
The Optum family of businesses, is seeking a Behavioral Health CaseManager to join our team in Missouri. As a member of the Optum Behavioral Care team, you'll be an integral part of our vision to make healthcare better for everyone. The Behavioral Health CaseManager will provide telephonic and in-person support for both direct referrals and data identified referrals. This requires clinical expertise and the ability to negotiate the complexities involved with special needs conditions such as substance use, suicidality/homicide, major depression, ADHD, eating disorders, and severe mental illness. This position may require minimal field work to meet with members at local facilities in the future.
**Primary Responsibilities:**
+ Facilitate member education and involvement of caregiver in the delivery of interventions
+ Provide advocacy and support to member and family members, including caregiver support & appropriate referral to applicable / needed resources
+ Ensure that members understand treatment options and are effectively linked to treatment resources
+ Promote health, wellness and optimal psychosocial functioning for member (identify caregiver gaps, facilitate education and respite support)
+ Consider the member's needs holistically to identify gaps in care requiring intervention
+ Exhibit excellent customer service in engaging providers in collaborative planning
+ Create and maintain appropriate clinical records
+ Participate as directed in clinical rounds with other members of the team and other external health care management organizations / vendors, as applicable. Also participate in advancing the Quality Improvement Program
+ Conduct condition specific research to meet member needs
+ Maintain success stories which can be utilized to promote program
+ Provide casemanagement support for individuals who meet diagnostic requirements including engagement of member and/ or family making available support throughout the entire continuum of treatment
+ Explanation of authorization process
+ Complete discharge follow-up & if needed, discharge planning / support
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:**
+ Master's degree in Psychology, Social Work, Counseling, or Marriage and Family Counseling or Licensed Ph.D.
+ Active, unrestricted clinical license to practice independently without supervision in the state of Missouri
+ 2+ years of post-licensure experience in a related mental health environment
+ 1+ years of casemanagement experience
+ Proven intermediate level computer skills including proficiency with MS Office Suite
+ Access to high-speed internet (Broadband Cable, DSL, Fiber) and a dedicated workspace at home
+ Reside in Missouri
**Preferred Qualifications:**
+ Hospital experience including intakes, assessments, discharge planning, and/or casemanagement
+ Community mental health experience including casemanagement
+ Experience doing chart reviews
+ Experience consulting with facility and/or hospital staff to coordinate treatment plans
+ Dual diagnosis experience with mental health and substance abuse
+ Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
+ Experience with government funded programs
**Explore opportunities at Optum Behavioral Care.** We're revolutionizing behavioral health care delivery for individuals, clinicians and the entire health care system. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while **Caring. Connecting. Growing together.**
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
_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._
_OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
$58.8k-105k yearly 60d+ ago
Telephonic Case Manager RN Medical Oncology
Unitedhealth Group 4.6
Dallas, TX jobs
The Telephonic CaseManager RN in Medical Oncology provides remote nursing support by coordinating patient care, educating members, and ensuring adherence to treatment plans. This role involves assessing patient health, identifying barriers, and connecting patients with necessary resources to improve health outcomes. Working primarily via telephone, the position requires strong clinical expertise, communication skills, and proficiency in healthcare technology systems.
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.
We're making a solid 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 CaseManager 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!
The Telephonic CaseManager RN Medical/Oncology will identify, coordinate, and provide appropriate levels of care. The Telephonic CaseManager RN Medical/Oncology is responsible for clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating). This includes casemanagement, coordination of care, and medical management consulting.
This is a full-time, Monday - Friday, 8am-5pm position in your time zone.
You'll enjoy the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
• Make outbound calls and receive inbound calls to assess members current health status
• Identify gaps or barriers in treatment plans
• Provide patient education to assist with self-management
• Make referrals to outside sources
• Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction
• Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels
This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. Solid computer and software navigation skills are critical. You should also be solidly patient-focused and adaptable to changes.
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:
• Current, unrestricted RN license in state of residence
• Active Compact RN License or ability to obtain upon hire
• 3+ years of experience in a hospital, acute care or direct care setting
• Proven ability to type and have the ability to navigate a Windows based environment
• Have access to high-speed internet (DSL or Cable)
• Dedicated work area established that is separated from other living areas and provides information privacy
Preferred Qualifications
• BSN
• Certified CaseManager (CCM)
• 1+ years of experience within Medical/Oncology
• Casemanagement experience
• Experience or exposure to discharge planning
• Experience in a telephonic role
• Background in managed care
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
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.
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.
Keywords:
telephonic casemanagement, oncology nurse, patient education, care coordination, medical management, healthcare advocacy, remote nursing, chronic disease management, UnitedHealth Group, RN license
$45k-52k yearly est. 1d ago
Lead Clinical Review Nurse - Correspondence
Centene 4.5
Remote
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Location: Position is remote. Prefer candidate to live in PST time zone.
Schedule: Looking for someone who will work Tuesday-Saturday. 8-5 PST.
Position Purpose: Oversees correspondence letters based and supports overall team needs. Reviews outcomes in accordance with National Committee for Quality Assurance (NCQA) standards. Works with senior management to identify and implement opportunities for improvement.
Oversees the clinical review of outcomes including creating and editing correspondence letters with the correspondence team based on determinations in accordance with National Committee for Quality Assurance (NCQA) standards
Manages the audits of correspondence to ensure they are processed in accordance with Federal, State, and NCQA standards
Provides expert insight and guidance on the clinical review process of correspondence to ensure compliance with all applicable State and Federal regulations
Provides subject matter expertise insights to investigate and resolve issues including comprehensive review of clinical documentation, clinical criteria/guidelines, and policy, including insurance rejections due to coding issues and escalates as appropriate to resolve issues in a timely manner
Acts as a point of contact for escalated, advanced issues and/or questions related to correspondence with the state, local, and federal agencies including third party payer and providers to ensure issues are resolved in a timely manner
Oversees clinical quality and process improvement initiatives related to clinical quality indicators and financial metrics
Manages data needed to identify trends and provide recommendations to senior management of process improvements within utilization managementManages and oversees cases to ensure timely resolution and logs of actions and/or decisions are appropriately documented
Provides training and education to the interdepartmental teams on training needed within the utilization management team based on trends
Partners with leadership to improve processes and procedures to prevent recurrences based on industry best practices
Provides guidance, subject matter expertise and training as needed
Performs other duties as assigned
Complies with all policies and standards
Education/Experience: Requires Graduate from an Accredited School of Nursing or Bachelor's degree in Nursing and 5 - 7 years of related experience.
Expert knowledge of Medicare and Medicaid regulations preferred.
Expert knowledge of utilization management processes preferred.
License/Certification:
LPN - Licensed Practical Nurse - State Licensure required- Compact License
Location: Position is remote. Prefer candidate to live in PST time zone.
Schedule: Looking for someone who will work Tuesday-Saturday. 8-5 PST.
Pay Range: $35.49 - $63.79 per hour
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
$35.5-63.8 hourly Auto-Apply 46d ago
Clinical Review Nurse - Concurrent Review
Centene 4.5
Remote
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning according to care policies and guidelines. Assists evaluating inpatient services to validate the necessity and setting of care being delivered to the member.
This is a 100% remote role. Must have a Oregon LPN or RN license.
One of the following shifts will be needed:
Sunday - Thursday 8-5pm OR 9-6pm
Tuesday - Saturday 8-5pm OR 9-6pm
Friday - Monday 10 hour shifts
Performs concurrent reviews of member for appropriate care and setting to determine overall health and appropriate level of care
Reviews quality and continuity of care by reviewing acuity level, resource consumption, length of stay, and discharge planning of member
Works with Medical Affairs and/or Medical Directors as needed to discuss member care being delivered
Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in health management systems according to utilization management policies and guidelines
Works with healthcare providers to approve medical determinations or provide recommendations based on requested services and concurrent review findings
Assists with providing education to providers on utilization processes to ensure high quality appropriate care to members
Provides feedback to leadership on opportunities to improve appropriate level of care and medically necessity based on clinical policies and guidelines
Reviews member's transfer or discharge plans to ensure a timely discharge between levels of care and facilities
Collaborates with care management on referral of members as appropriate
Performs other duties as assigned
Complies with all policies and standards
This is a 100% remote role. One of the following shifts will be needed:
Sunday - Thursday 8-5pm OR 9-6pm
Tuesday - Saturday 8-5pm OR 9-6pm
Friday - Monday 10 hour shifts
Education/Experience: Requires Graduate from an Accredited School of Nursing or Bachelor's degree in Nursing and 2 - 4 years of related experience.
2+ years of acute care experience required.
Clinical knowledge and ability to determine overall health of member including treatment needs and appropriate level of care preferred.
Knowledge of Medicare and Medicaid regulations preferred.
Knowledge of utilization management processes preferred.
License/Certification:
LPN - Licensed Practical Nurse - State Licensure required - Must have an Oregon license
Registered Nurse - Must have an Oregon license
This is a 100% remote role. One of the following shifts will be needed:
Sunday - Thursday 8-5pm OR 9-6pm
Tuesday - Saturday 8-5pm OR 9-6pm
Friday - Monday 10 hour shifts
Pay Range: $27.02 - $48.55 per hour
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
$27-48.6 hourly Auto-Apply 6d ago
Registered Nurse - Field Assessor- Remote (Per Diem)
Unitedhealth Group 4.6
Alamosa, CO jobs
**Explore opportunities with [agency name],** a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.**
As the Registered Nurse you will provide and direct provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies. You will also coordinate total plan of care with other health care professionals involved in care and helps to achieve and maintain continuity of patient care by planning and exchanging information with physician, agency personnel, patient, family, and community resources.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Provide high-quality clinical services within scope of practice and infection control standards
+ Coordinate care with other members of the patient/client's care team from admission to discharge
+ Complete clinical nursing assessments per federal/state program requirements and payer needs
+ Ensure patient/client eligibility and medical necessity for services as defined by payer and agency policy
+ Develop and revise individualized plans of care/service plans with other community providers
+ Ensure plan of care frequency and duration meets patient needs and initiate revisions with physician approval
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:**
+ Current and unrestricted RN licensure in the state of practice
+ Current driver's license, vehicle insurance and access to a dependable vehicle or public transportation
+ Current CPR certification
+ Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client **State Specific Requirements:**
+ LA:
+ 1+ years of clinical experience as a Registered Nurse
+ 1+ years of clinical experience as a Registered Nurse
+ 1+ years of clinical experience as a Registered Nurse may be waived for a Registered Nurse with recent clinical experience as an LPN
+ RN licensure must have no restrictions **Preferred Qualifications:**
+ 1+ years of RN experience
+ Able to work independently
+ Good communication, writing, and organizational skills
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
**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.
_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._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
$28.3-50.5 hourly 13d ago
Registered Nurse - Field Assessor- Remote (Per Diem)
Unitedhealth Group Inc. 4.6
Alamosa, CO jobs
Explore opportunities with [agency name], a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.
As the Registered Nurse you will provide and direct provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies. You will also coordinate total plan of care with other health care professionals involved in care and helps to achieve and maintain continuity of patient care by planning and exchanging information with physician, agency personnel, patient, family, and community resources.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
* Provide high-quality clinical services within scope of practice and infection control standards
* Coordinate care with other members of the patient/client's care team from admission to discharge
* Complete clinical nursing assessments per federal/state program requirements and payer needs
* Ensure patient/client eligibility and medical necessity for services as defined by payer and agency policy
* Develop and revise individualized plans of care/service plans with other community providers
* Ensure plan of care frequency and duration meets patient needs and initiate revisions with physician approval
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:
* Current and unrestricted RN licensure in the state of practice
* Current driver's license, vehicle insurance and access to a dependable vehicle or public transportation
* Current CPR certification
* Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client
State Specific Requirements:
* LA:
* 1+ years of clinical experience as a Registered Nurse
* 1+ years of clinical experience as a Registered Nurse
* 1+ years of clinical experience as a Registered Nurse may be waived for a Registered Nurse with recent clinical experience as an LPN
* RN licensure must have no restrictions
Preferred Qualifications:
* 1+ years of RN experience
* Able to work independently
* Good communication, writing, and organizational skills
* All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
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.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
$28.3-50.5 hourly 13d ago
Field Nurse Case Manager
Unitedhealth Group 4.6
Columbus, OH jobs
Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere.
As a team member of our Optum At Home product, together with an interdisciplinary care team we help patients navigate the health care system, and connect them to key support services. This preventive care can help patients stay well at home.
We're connecting care to create a seamless health journey for patients across care settings. Join us to start **Caring. Connecting. Growing together.**
Registered Nurses in the Optum at Home program work with patients primarily in their home setting. They perform as part of a care team including a Nurse Practitioner, Behavioral Health Advocate, Care Navigator and other supporting team members. They deliver role appropriate patient care through in-home visits, telephonic outreach and consultations, and interdisciplinary team activities.
The Field CaseManager RN may perform care and counsel of the ill, injured, or infirm, in the promotion and maintenance of health with individuals, groups, or both throughout the life span. They help to manage health problems and coordinate health care for the Optum at Home patients in accordance with State and Federal rules and regulations and the nursing standards of care. This includes (but is not limited to) assessment of health status, development and implementation of plan of care, and ongoing evaluation of patient status and response to the plan of care. Clinical management is conducted in collaboration with other care team members.
**Primary Responsibilities:**
+ Reports to RN Manager
+ Assess the health status of members as within the scope of licensure and with the frequency established in the model of care
+ Establish goals to meet identified health care needs
+ Plan, implement and evaluate responses to the plan of care
+ Work collaboratively the multidisciplinary team to engage resources and strategies to address medical, functional, and social barriers to care
+ Works closely with mental health clinicians to help bridge the gap between mental and physical health
+ Consult with the patient's PCP, specialists, or other health care professionals as appropriate
+ Assess patient needs for community resources and make appropriate referrals for service
+ Facilitate the patient's transition within and between health care settings in collaboration with the primary care physician and other treating physicians
+ Completely and accurately document in patient's electronic medical record
+ Provide patients and family members with counseling and education regarding health maintenance, disease prevention, condition trajectory and need for follow up as appropriate during each patient visit
+ Verify and document patient and/or family understanding of condition, plan of care and follow up recommendations
+ Actively participate in organizational quality initiatives
+ Participate in collaborative multidisciplinary team meetings to optimize clinical integration, efficiency, and effectiveness of care delivery
+ Maintain credentials essential for practice, to include licensure, certification (if applicable) and CEUs
+ Demonstrate a commitment to the mission, core values and goals of UnitedHealthcare and its healthcare delivery including the ability to integrate values of compassion, integrity, performance, innovation and relationships in the care provided to our member
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.
Years of post-high school education can be substituted/is equivalent to years of experience.
**Required Qualifications:**
+ Current unrestricted licensure as RN in Ohio
+ 2+ years of relevant experience
+ Experience in assessing the medical needs of patients with complex behavioral, social and/or functional needs
+ Demonstrated ability to work with diverse care teams in a variety of settings including non-clinical settings (primarily patient homes)
+ Proven solid computer skills, including use of electronic medical records
+ Ability to travel 100% of the time for field-based work within 60 miles of residence
+ Valid driver's license
+ Access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area
**Preferred Qualification:**
+ Field based experience
+ Casemanagement experience
+ Proven effective time management and communication skills
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
_OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
$58.8k-105k yearly 10d ago
Field Nurse Case Manager
Unitedhealth Group Inc. 4.6
Grove City, OH jobs
Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere.
As a team member of our Optum At Home product, together with an interdisciplinary care team we help patients navigate the health care system, and connect them to key support services. This preventive care can help patients stay well at home.
We're connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together.
Registered Nurses in the Optum at Home program work with patients primarily in their home setting. They perform as part of a care team including a Nurse Practitioner, Behavioral Health Advocate, Care Navigator and other supporting team members. They deliver role appropriate patient care through in-home visits, telephonic outreach and consultations, and interdisciplinary team activities.
The Field CaseManager RN may perform care and counsel of the ill, injured, or infirm, in the promotion and maintenance of health with individuals, groups, or both throughout the life span. They help to manage health problems and coordinate health care for the Optum at Home patients in accordance with State and Federal rules and regulations and the nursing standards of care. This includes (but is not limited to) assessment of health status, development and implementation of plan of care, and ongoing evaluation of patient status and response to the plan of care. Clinical management is conducted in collaboration with other care team members.
Primary Responsibilities:
* Reports to RN Manager
* Assess the health status of members as within the scope of licensure and with the frequency established in the model of care
* Establish goals to meet identified health care needs
* Plan, implement and evaluate responses to the plan of care
* Work collaboratively the multidisciplinary team to engage resources and strategies to address medical, functional, and social barriers to care
* Works closely with mental health clinicians to help bridge the gap between mental and physical health
* Consult with the patient's PCP, specialists, or other health care professionals as appropriate
* Assess patient needs for community resources and make appropriate referrals for service
* Facilitate the patient's transition within and between health care settings in collaboration with the primary care physician and other treating physicians
* Completely and accurately document in patient's electronic medical record
* Provide patients and family members with counseling and education regarding health maintenance, disease prevention, condition trajectory and need for follow up as appropriate during each patient visit
* Verify and document patient and/or family understanding of condition, plan of care and follow up recommendations
* Actively participate in organizational quality initiatives
* Participate in collaborative multidisciplinary team meetings to optimize clinical integration, efficiency, and effectiveness of care delivery
* Maintain credentials essential for practice, to include licensure, certification (if applicable) and CEUs
* Demonstrate a commitment to the mission, core values and goals of UnitedHealthcare and its healthcare delivery including the ability to integrate values of compassion, integrity, performance, innovation and relationships in the care provided to our member
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.
Years of post-high school education can be substituted/is equivalent to years of experience.
Required Qualifications:
* Current unrestricted licensure as RN in Ohio
* 2+ years of relevant experience
* Experience in assessing the medical needs of patients with complex behavioral, social and/or functional needs
* Demonstrated ability to work with diverse care teams in a variety of settings including non-clinical settings (primarily patient homes)
* Proven solid computer skills, including use of electronic medical records
* Ability to travel 100% of the time for field-based work within 60 miles of residence
* Valid driver's license
* Access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area
Preferred Qualification:
* Field based experience
* Casemanagement experience
* Proven effective time management and communication skills
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
**Explore opportunities** with a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.**
As the Registered Nurse you will provide and direct provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies. You will also coordinate total plan of care with other health care professionals involved in care and helps to achieve and maintain continuity of patient care by planning and exchanging information with physician, agency personnel, patient, family, and community resources.
**Primary Responsibilities:**
+ Provide high-quality clinical services within scope of practice and infection control standards
+ Coordinate care with other members of the patient/client's care team from admission to discharge
+ Complete clinical nursing assessments per federal/state program requirements and payer needs
+ Ensure patient/client eligibility and medical necessity for services as defined by payer and agency policy
+ Develop and revise individualized plans of care/service plans with other community providers
+ Ensure plan of care frequency and duration meets patient needs and initiate revisions with physician approval
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:**
+ Current and unrestricted RN licensure in the state of practice
+ Current driver's license, vehicle insurance and access to a dependable vehicle or public transportation
+ Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client **State Specific Requirement:**
+ CA: 1+ years of experience in professional nursing **Preferred Qualifications:**
+ Able to work independently
+ Good communication, writing, and organizational skills
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
_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._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
$28.3-50.5 hourly 13d ago
Registered Nurse Case Manager Hospice - PRN
Unitedhealth Group 4.6
Columbus, OH jobs
Explore opportunities with Caretenders Hospice, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.**
As the Registered NurseCaseManager, you will assume full nursing responsibility for the delivery of the Plan of Care for each hospice patient. Continuously evaluating personal and professional performance and making necessary changes to increase productivity and quality of care delivered. You'll also develop the patient's Plan of care in collaboration with other professionals and implement treatment strategies based on scientific nursing theory that promotes physical, psychosocial, emotional, and spiritual well-being. Familiar with the concepts and needs of patients/families who are facing death and dying.
**Primary Responsibilities:**
+ Makes the initial nursing evaluation in determining eligibility for hospice services during visit within forty-eight (48) hours of referral
+ Identifies the patient's/family's physical, psychosocial, and environmental needs and re-assesses as needed, no less than every fifteen (15) days
+ Initiates and coordinates the plan of care
+ Documents problems, appropriate goals, interventions, and patient/family response to hospice care
+ Collaborates with the patient/family, attending physician and other members of the IDG in providing patient and family care daily
+ Instructs and supervises the patient/family in self-care techniques when appropriate
+ Maintains accurate and relevant clinical notes regarding the patient's condition 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:**
+ Current and unrestricted RN licensure in the state of practice
+ 1+ years of clinical experience
+ Current CPR Certification
+ Current driver's license, valid vehicle insurance, and access to a dependable vehicle, or public transportation
+ Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client
**Preferred Qualifications:**
+ Able to work independently
+ Good communication, writing, and organizational skills
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
_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._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
$58.8k-105k yearly 4d ago
Registered Nurse Case Manager Hospice - PRN
Unitedhealth Group Inc. 4.6
Columbus, OH jobs
Explore opportunities with Caretenders Hospice, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.
As the Registered NurseCaseManager, you will assume full nursing responsibility for the delivery of the Plan of Care for each hospice patient. Continuously evaluating personal and professional performance and making necessary changes to increase productivity and quality of care delivered. You'll also develop the patient's Plan of care in collaboration with other professionals and implement treatment strategies based on scientific nursing theory that promotes physical, psychosocial, emotional, and spiritual well-being. Familiar with the concepts and needs of patients/families who are facing death and dying.
Primary Responsibilities:
* Makes the initial nursing evaluation in determining eligibility for hospice services during visit within forty-eight (48) hours of referral
* Identifies the patient's/family's physical, psychosocial, and environmental needs and re-assesses as needed, no less than every fifteen (15) days
* Initiates and coordinates the plan of care
* Documents problems, appropriate goals, interventions, and patient/family response to hospice care
* Collaborates with the patient/family, attending physician and other members of the IDG in providing patient and family care daily
* Instructs and supervises the patient/family in self-care techniques when appropriate
* Maintains accurate and relevant clinical notes regarding the patient's condition
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:
* Current and unrestricted RN licensure in the state of practice
* 1+ years of clinical experience
* Current CPR Certification
* Current driver's license, valid vehicle insurance, and access to a dependable vehicle, or public transportation
* Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client
Preferred Qualifications:
* Able to work independently
* Good communication, writing, and organizational skills
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
$58.8k-105k yearly 4d ago
RN Case Manager Hospice
Unitedhealth Group Inc. 4.6
Columbus, OH jobs
Explore opportunities with Caretenders Hospice, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.
As the Registered NurseCaseManager, you will assume full nursing responsibility for the delivery of the Plan of Care for each hospice patient. Continuously evaluating personal and professional performance and making necessary changes to increase productivity and quality of care delivered. You'll also develop the patient's Plan of care in collaboration with other professionals and implement treatment strategies based on scientific nursing theory that promotes physical, psychosocial, emotional, and spiritual well-being. Familiar with the concepts and needs of patients/families who are facing death and dying.
Primary Responsibilities:
* Makes the initial nursing evaluation in determining eligibility for hospice services during visit within forty-eight (48) hours of referral
* Identifies the patient's/family's physical, psychosocial, and environmental needs and re-assesses as needed, no less than every fifteen (15) days
* Initiates and coordinates the plan of care
* Documents problems, appropriate goals, interventions, and patient/family response to hospice care
* Collaborates with the patient/family, attending physician and other members of the IDG in providing patient and family care daily
* Instructs and supervises the patient/family in self-care techniques when appropriate
* Maintains accurate and relevant clinical notes regarding the patient's condition
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:
* Current and unrestricted RN licensure in the state of practice
* 1+ years of clinical experience
* Current CPR Certification
* Current driver's license, valid vehicle insurance, and access to a dependable vehicle, or public transportation
* Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client
Preferred Qualifications:
* Able to work independently
* Good communication, writing, and organizational skills
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
$58.8k-105k yearly 26d ago
Registered Nurse Case Manager Hospice - PRN
Unitedhealth Group 4.6
Moraine, OH jobs
Explore opportunities with Caretenders Hospice, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.**
**\#LHCJobs**
As the Registered NurseCaseManager, you will assume full nursing responsibility for the delivery of the Plan of Care for each hospice patient. Continuously evaluating personal and professional performance and making necessary changes to increase productivity and quality of care delivered. You'll also develop the patient's Plan of care in collaboration with other professionals and implement treatment strategies based on scientific nursing theory that promotes physical, psychosocial, emotional, and spiritual well-being. Familiar with the concepts and needs of patients/families who are facing death and dying.
**Primary Responsibilities:**
+ Makes the initial nursing evaluation in determining eligibility for hospice services during visit within forty-eight (48) hours of referral
+ Identifies the patient's/family's physical, psychosocial, and environmental needs and re-assesses as needed, no less than every fifteen (15) days
+ Initiates and coordinates the plan of care
+ Documents problems, appropriate goals, interventions, and patient/family response to hospice care
+ Collaborates with the patient/family, attending physician and other members of the IDG in providing patient and family care daily
+ Instructs and supervises the patient/family in self-care techniques when appropriate
+ Maintains accurate and relevant clinical notes regarding the patient's condition 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:**
+ Current and unrestricted RN licensure in the state of practice
+ 1+ years of clinical experience
+ Current CPR Certification
+ Current driver's license, valid vehicle insurance, and access to a dependable vehicle, or public transportation
+ Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client
**Preferred Qualifications:**
+ Able to work independently
+ Good communication, writing, and organizational skills
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
_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._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
$58.8k-105k yearly 26d ago
Registered Nurse Case Manager Hospice - PRN
Unitedhealth Group Inc. 4.6
Moraine, OH jobs
Explore opportunities with Caretenders Hospice, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.
#LHCJobs
As the Registered NurseCaseManager, you will assume full nursing responsibility for the delivery of the Plan of Care for each hospice patient. Continuously evaluating personal and professional performance and making necessary changes to increase productivity and quality of care delivered. You'll also develop the patient's Plan of care in collaboration with other professionals and implement treatment strategies based on scientific nursing theory that promotes physical, psychosocial, emotional, and spiritual well-being. Familiar with the concepts and needs of patients/families who are facing death and dying.
Primary Responsibilities:
* Makes the initial nursing evaluation in determining eligibility for hospice services during visit within forty-eight (48) hours of referral
* Identifies the patient's/family's physical, psychosocial, and environmental needs and re-assesses as needed, no less than every fifteen (15) days
* Initiates and coordinates the plan of care
* Documents problems, appropriate goals, interventions, and patient/family response to hospice care
* Collaborates with the patient/family, attending physician and other members of the IDG in providing patient and family care daily
* Instructs and supervises the patient/family in self-care techniques when appropriate
* Maintains accurate and relevant clinical notes regarding the patient's condition
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:
* Current and unrestricted RN licensure in the state of practice
* 1+ years of clinical experience
* Current CPR Certification
* Current driver's license, valid vehicle insurance, and access to a dependable vehicle, or public transportation
* Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client
Preferred Qualifications:
* Able to work independently
* Good communication, writing, and organizational skills
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
$58.8k-105k yearly 26d ago
Registered Nurse - Field Assessor - LTS - Remote
Unitedhealth Group 4.6
Lake Katrine, NY jobs
**Explore opportunities with the LHC** **Group** , a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.**
As the Registered Nurse you will provide and direct provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies. You will also coordinate total plan of care with other health care professionals involved in care and helps to achieve and maintain continuity of patient care by planning and exchanging information with physician, agency personnel, patient, family, and community resources.
**Primary Responsibilities:**
+ Provide high-quality clinical services within scope of practice and infection control standards
+ Coordinate care with other members of the patient/client's care team from admission to discharge
+ Complete clinical nursing assessments per federal/state program requirements and payer needs
+ Ensure patient/client eligibility and medical necessity for services as defined by payer and agency policy
+ Develop and revise individualized plans of care/service plans with other community providers
+ Ensure plan of care frequency and duration meets patient needs and initiate revisions with physician approval
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:**
+ Current and unrestricted RN licensure in the state of practice
+ Current driver's license, vehicle insurance and access to a dependable vehicle or public transportation
+ Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client **Preferred Qualifications:**
+ 1+ years of RN experience
+ Current CPR certification
+ Able to work independently
+ Good communication, writing, and organizational skills
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
_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._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
$28.3-50.5 hourly 13d ago
Registered Nurse - Field Assessor - LTS - Remote
Unitedhealth Group Inc. 4.6
Lake Katrine, NY jobs
Explore opportunities with the LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.
As the Registered Nurse you will provide and direct provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies. You will also coordinate total plan of care with other health care professionals involved in care and helps to achieve and maintain continuity of patient care by planning and exchanging information with physician, agency personnel, patient, family, and community resources.
Primary Responsibilities:
* Provide high-quality clinical services within scope of practice and infection control standards
* Coordinate care with other members of the patient/client's care team from admission to discharge
* Complete clinical nursing assessments per federal/state program requirements and payer needs
* Ensure patient/client eligibility and medical necessity for services as defined by payer and agency policy
* Develop and revise individualized plans of care/service plans with other community providers
* Ensure plan of care frequency and duration meets patient needs and initiate revisions with physician approval
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:
* Current and unrestricted RN licensure in the state of practice
* Current driver's license, vehicle insurance and access to a dependable vehicle or public transportation
* Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client
Preferred Qualifications:
* 1+ years of RN experience
* Current CPR certification
* Able to work independently
* Good communication, writing, and organizational skills
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.