Remote Case Manager RN Per Diem, Multiple Locations

Optum

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Requisition Number: 2180923
Job Category: Nursing
Primary Location: Eden Prairie, MN
(Remote considered)

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. 

 

Provides leadership in the coordination of patient centered care across the continuum, develops a safe discharge plan through collaboration with patients and caregivers and multidisciplinary healthcare team. Facilitates episode of care to maximize appropriate level and LOS, patient experience and quality of care., and level of care., and reimbursement for all patients.

 

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

 

Primary Responsibilities:

  • Drives to appropriate DRG length of stay, level of care and patient experience, and reimbursement level of care for all patients
  • Promotes patient advocacy in an independent care model
  • Develops an optimal, l patient individualized, transition plan for patients with goal to reduce readmission and to support continued plan of care, regardless of next level of care
  • Maintains a working knowledge of current care management practices and philosophy; including changes within, care coordination changes, utilization review changes, authorization changes, contracts changes, regulatory requirements, etc.; and serves as an educational resource to all Health System staff regarding utilization review and discharge planning
  • Screens patients for admission, and concurrent medical necessity, and post-acute care needs
  • Assessment of physical, psychosocial, & economic needs for transition of care planning to a variety of levels of care; delegates to others as appropriate. Assesses patients who have been identified as needing post needing post-acute transition or care management needs

 

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Associates Degree
  • RN License in the State of Maine, current, unencumbered, or compact state licenses
  • BLS certification with American Heart Association
  • 1+ years of experience of nursing experience

 

Preferred Qualifications:

  • Demonstrated ability to work in a multi-disciplinary team
  • Demonstrated ability to identifies solutions to non-standard requests and problems
  • Demonstrated ability to work autonomously and as a high performer
  • Demonstrated ability to solve moderately complex problems and/or conducts moderately complex analyses

 

Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.

 

California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The hourly range for California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island or Washington residents is $27.07 to $53.08. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

 

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy