Nurse Case Manager New York License

$58,302 - $114,296/Yr

Optum - New Hyde Park, NY

Full-time - Entry Level

Remote - New Hyde Park, NY

Insurance Carriers and Related Activities

About the position

The Registered Nurse position in the Optum at Home program involves providing virtual care to patients in their home settings. The role focuses on case management, health assessments, and coordinating care with a multidisciplinary team to improve health outcomes and promote health equity. The position requires collaboration with various healthcare professionals and emphasizes the importance of documentation and patient education.

Responsibilities

• Assess the health status of members as within the scope of licensure and with the frequency established in the model of care
• Establish goals to meet identified health care needs
• Plan, implement and evaluate responses to the plan of care
• Work collaboratively with the multidisciplinary team to engage resources and strategies to address medical, functional, and social barriers to care
• Consult with the patient's PCP, specialists, or other health care professionals as appropriate
• Assess patient needs for community resources and make appropriate referrals for service
• Facilitate the patient's transition within and between health care settings in collaboration with the primary care physician and other treating physicians
• Completely and accurately document in patient's electronic medical record
• Provide patients and family members with counseling and education regarding health maintenance, disease prevention, condition trajectory and need for follow up as appropriate during each patient visit
• Verify and document patient and/or family understanding of condition, plan of care and follow up recommendations
• Actively participate in organizational quality initiatives
• Participate in collaborative multidisciplinary team meetings to optimize clinical integration, efficiency, and effectiveness of care delivery
• Maintain credentials essential for practice, to include licensure, certification (if applicable) and CEUs
• Demonstrate a commitment to the mission, core values and goals of UnitedHealthcare and its healthcare delivery.

Requirements

• Current unrestricted licensure as RN in New York
• 2+ years of experience as an RN
• 1+ years of Case Management experience
• Experience in assessing the medical needs of patients with complex behavioral, social and/or functional needs
• Ability to travel up to 25% of the time for company meetings and training
• Computer literate and able to navigate the Internet
• Quiet workspace and access to install secure high-speed internet via cable/DSL in home

Nice-to-haves

• Proven computer skills, including use of Electronic Medical Records
• Bilingual
• Effective time management and communication skills
• Excellent administrative and organizational skills and the ability to effectively communicate with seniors and their families
• Ability to work with diverse care teams

Benefits

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