Case Manager RN, Per Diem - Asheboro, NC

Optum • Asheboro, NC

431d

About The Position

The Case Manager RN position at Optum is a per diem role focused on providing integrated care to patients in nursing home and assisted living settings. The RN will collaborate with a primary care team to address the physical, mental, and social needs of patients, ensuring seamless access to care. This role involves direct patient interaction, care coordination, and support for various healthcare activities, primarily within the Asheboro, NC area.

Requirements

• Current, unrestricted RN license in the state of North Carolina
• Valid Driver's License with access to reliable transportation
• 1+ years of experience with using an Electronic Medical Record
• Ability to be in Asheboro, NC going into facilities 100% of the time

Nice To Haves

• 1+ years of experience in post-acute care, such as long-term care or critical care
• 1+ years of experience working with the geriatric population
• Proven ability to work with diverse care teams in a variety of settings
• Proven effective Communication skills and time management

Responsibilities

• Assist the provider/team with various care coordination activities in the nursing home
• Assist the provider/team with benefit determination associated with Medicare part A, part B, and part D benefits
• Collaborate with the primary APC and nursing facility to identify and respond to patient Change in Condition
• May assist the provider by completing DSTs, re-assessing the patient, and other activities as delegated by the provider or the CSM
• Assist the provider/team with therapy coordination for members including possible assessments or follow up on requests and communicate and collaborate with APC
• May perform interval check in on patient progress with therapy department
• Participate in facility-based therapy discussion meetings
• Schedule and participate in family conferences, team meetings, and team case presentations
• Assist in the coordination of training, tracking and compliance with quality measures
• Participate in facility partnership or Customer Relationship Management (CRM) meetings under the direction of the APC / CSM
• May assist in coordinating CRM meetings, and may participate in and contribute to the meetings
• Assist the team in tracking LearnSource completion for the team members and CSM
• Assist in creating and conduct in-services for selected audiences
• Document information and activities in the EMR
• Assist Providers in assuring complete and accurate documentation and coding, medication reconciliation, nursing rounds, assessment, and patient documentation
• Assist the team/providers in prioritizing advance Care Planning and initiating discussions
• Collaborate with all key stakeholders, providers, nursing homes, PCPs, families, interdisciplinary care teams and any other identified stakeholders
• Review the chart and enter HEDIS / Quality information into the EMR, communicate gaps to the Provider
• Write verbal orders from Provider in the chart in compliance with the state RN practice laws, and in compliance with individual nursing facility practices

Benefits

• Paid time off

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Industry: Insurance Carriers and Related Activities
• Education Level: No Education Listed