Optum

posted 4 months ago

Full-time - Entry Level
Insurance Carriers and Related Activities

About the position

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 Senior Community Care (SCC) product, we work with a team to provide care to patients at home in a nursing home, assisted living for senior housing. This life-changing work adds a layer of support to improve access to care. We're connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together.

Responsibilities

  • Ensure accurate and complete documentation
  • Communicate and collaborate with the interdisciplinary care team
  • Assist the provider/team with various care coordination activities
  • Assist the provider/team with benefit determination associated with Medicare part A, part B, and part D benefits
  • Collaborate with the primary advanced practice clinician (APC) and facility to identify and respond to patient change in condition
  • Assist the provider/team with therapy coordination
  • Participate in facility-based meetings
  • Schedule and participate in family conferences, team meetings, and team case presentations
  • Coordinate training, tracking, and compliance with quality measures
  • Assist in creating and conducting in-services for selected audiences
  • Assist Providers in assuring complete and accurate documentation and coding, medication reconciliation, nursing rounds, assessment, and patient documentation
  • May write verbal orders from Provider in the chart in compliance with the state RN practice laws, and in compliance with individual nursing facility practices
  • Assist in managing members through an acute medical situation or an exacerbation of a chronic condition, including testing, diagnostics, interventions
  • Assist in managing members during a short term sub-acute rehabilitation episode

Requirements

  • Associate degree or higher in Nursing (RN)
  • Active and unrestricted license in the state which you reside, or ability to obtain by start date
  • Certified in Basic Life Support
  • 3+ years of clinical experience in practice
  • Proven ability to complete physical requirements, including lifting a 30-pound bag and ability to perform physical assessment
  • Access to reliable transportation

Nice-to-haves

  • Experience in meeting the medical needs of patients with complex behavioral, social and/or functional needs
  • Understanding of geriatrics and chronic illness
  • Proficient computer skills including the ability to document medical information with written and electronic medical records
  • Proven ability to work with diverse care teams in a variety of settings
  • Proven effective communication skills and time management

Benefits

  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401k contribution
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