Optum
posted 3 months ago
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. 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. In this role, you will ensure accurate and complete documentation, communicate and collaborate with the interdisciplinary care team, and assist the provider/team with various care coordination activities. You will also assist the provider/team with benefit determination associated with Medicare part A, part B, and part D benefits. Collaborating with the primary advanced practice clinician (APC) and facility to identify and respond to patient changes in condition is a key responsibility. Additionally, you will assist the provider/team with therapy coordination and participate in facility-based meetings. Your responsibilities will include scheduling and participating in family conferences, team meetings, and team case presentations, as well as coordinating training, tracking, and compliance with quality measures. You will assist in creating and conducting in-services for selected audiences and help providers ensure complete and accurate documentation and coding, medication reconciliation, nursing rounds, assessment, and patient documentation. You may also write verbal orders from the provider in the chart in compliance with state RN practice laws and individual nursing facility practices. Furthermore, you will assist in managing members through acute medical situations or exacerbations of chronic conditions, including testing, diagnostics, and interventions, and help manage members during short-term sub-acute rehabilitation episodes.