Optum - North Fork, NY

posted 3 months ago

Full-time
North Fork, NY
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), 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.

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 changes 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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