RN Case Manager Position Available In Cheshire, New Hampshire

Job Description:

$7,500 Sign on bonus for External Candidates For those who want to invent the future of health care, here’s youropportunity. We’re going beyond basic care to health programsintegrated across the entire continuum of care. Join us to start-Caring. Connecting. Growing together.

• Optum’s Pacific West region is redefining health care with a focuson health equity, affordability, quality, and convenience.

FromCalifornia, to Oregon and Washington, we are focused on helpingmore than 2.5 million patients live healthier lives and helping thehealth system work better for everyone. At Optum Pacific West, wecare. We care for our team members, our patients, and ourcommunities. Join our culture of caring and make a positive andlasting impact on health care for millions. The Nurse Case Manager is responsible for performing casemanagement within the scope of licensure for patients with complexand chronic care needs by assessing, developing, implementing,coordinating, monitoring and evaluating care plans designed tooptimize health care across the care continuum and ensuring patientaccess to services appropriate to their health needs.

• -Basiccounseling skills and a positive, enthusiastic and helpfulpersonality are a must.

Activities include coordination andoversite of care plans and services of a defined patient populationprogram to promote effective utilization of services and qualitypatient care.

Primary Responsibilities:

• Population Management Analyzes data related to patient populations/conditions anddevelops a plan of action.

Monitors progress over time andinitiates changes as needed Identifies patient populations requiring care managementsupport Assesses patient populations to identify those resources or otherfactors needed to achieve the desired outcome for healthmaintenance or health improvement Coordinates healthcare interventions for populations withsignificant health conditions in which self-management efforts arecritical Maintains appropriate patient educational materials for populationsof patients to meet the needs of patients and families in order toassist with the facilitation of their participation in the plan ofcare Develops strategies to meet the preventive care and healthmaintenance measures for populations of patients Develops professional relationships with community resources thatare used by OMG to care for populations of patients. (e.g. Homehealth, hospice) Disease Management Assists in the management of patients with chronic diseasesfollowing established protocols and systems for disease managementin collaboration with providers Assesses patient learning needs and has the ability to develop andimplement individualized educational or care plans. Reviews,evaluates and revises the plan on an ongoing and timely basis.

• -Develops self-management goals and monitors the progress of thegoals Communicates with a multidisciplinary team (physicians, nurses,therapists, social workers, etc.

) as needed to assist with diseasemanagement Has the ability to oversee and assist the patient with referralnavigation Initiates disease-specific care conferencing as needed Utilizes patient communication strategies, e.g. motivationalinterviewing, to involve the patient in developing a plan of care,goals or other specific measures pertinent to their healthcondition Assesses patient activation and readiness for change and uses theseto develop self-management goals Documents all disease management encounters using standardizedprocesses Utilization Management Possesses analytical skills to assess various patient utilizationmeasures, such as ED, Urgent Care and Hospital Visits Oversees ED, Urgent Care and Hospital admission utilizationrates Collaborates with the Leadership team to develop a plan of actionto maintain acceptable utilization rates Leadership Works collaboratively with the MA, Community Health Worker or LPNClinic Coordinator, to promote activities that support the overallgoals of the organization related to caring for differentpopulations of patients Engages the back office team and partners with leadership tosupport the population, disease and utilization management processgoals and initiatives Effectively communicates with staff members and providers. Can rolemodel excellent communication skills Works collaboratively with the leadership team to ensure that thestaff comprehend and are compliant with the policies and proceduresthat relate to population, disease and utilization management Quality Monitors monthly quality measures, looks for trends and makes plansfor improvements.

• -Identifies problem areas for monitoring andevaluation and is active in analyzing findings, changing practicebased on the findings.
• -Works with the Quality Manager on processand informs staff of trends and areas where improvement isneeded Serves as an educational resource and provides consultation toother staff on utilizing evidence-based criteria to maintainquality measures Participates, as a Clinic Team Member, in Quality ImprovementProjects and Initiatives Perform other duties as assigned
• You’ll be rewarded and recognized for your performance in anenvironment that will challenge you and give you clear direction onwhat it takes to succeed in your role as well as providedevelopment for other roles you may be interested in.

• RequiredQualifications:

• Graduate from an accredited school of nursing Current Oregon Registered Nurse license Current healthcare level BLS/CPR certification or the ability toobtain within 30 days of employment Current Oregon driver license in good standing and reliable ∈surance transportation 3+ years of experience as a licensed RN with recent clinicalexperience or less RN experience with other/related healthcareexperience Knowledge of community resources Demonstrated knowledge and understanding of informationtechnology•Preferred•

Qualifications:

• Experience participating in a team-based model Experience in motivational and health coaching with patients The salary range for this role is $59,500 to $116,600 annuallybased on full-time employment.

Pay is based on several factorsincluding but not limited to local labor markets, education, workexperience, certifications, etc. UnitedHealth Group complies withall minimum wage laws as applicable. In addition to your salary,UnitedHealth Group offers benefits such as, a comprehensivebenefits package, incentive and recognition programs, equity stockpurchase and 401k contribution (all benefits are subject toeligibility requirements). No matter where or when you begin acareer with UnitedHealth Group, you’ll find a far-reaching choiceof benefits and incentives.

• At UnitedHealth Group, our mission is to help people live healthierlives and make the health system work better for everyone.

Webelieve everyone-of every race, gender, sexuality, age, locationand income-deserves the opportunity to live their healthiest life.

Today, however, there are still far too many barriers to goodhealth which are disproportionately experienced by people of color,historically marginalized groups and those with lower incomes. Weare committed to mitigating our impact on the environment andenabling and delivering equitable care that addresses healthdisparities and improves health outcomes

• an enterprise priorityreflected in our mission.
• Diversity creates a healthier atmosphere: OptumCare is an EqualEmployment Opportunity/Affirmative Action employers and allqualified applicants will receive consideration for employmentwithout 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.

OptumCare is a drug-free workplace. Candidates are required to passa drug test before beginning employment.