Nurse Care Manager - Telecommute
Company: UnitedHealth Group
Location: Olympia
Posted on: June 22, 2022
Job Description:
Landmark Health was created to transform how healthcare is
delivered to the most medically vulnerable members in our
community. - Our medical group provides home-based medical care to
chronically ill patients, many of whom are ill-equipped to navigate
our overwhelming healthcare system. -Because many of our patients
are frail and elderly, we deliver care primarily in the comfort of
their home. Our Program is also offered to eligible patients -at no
incremental financial cost -to them. We are not a fee-for-service
practice; we benefit economically only if we deliver high-quality
patient outcomes and satisfaction. As a result, our clinical teams
can spend quality-time caring for a smaller number of patients,
giving all patients the space, respect, compassion and care they
deserve.At Landmark, our interdisciplinary teams collaboratively
manage our complex patient panels. These teams are led by
Physicians, Nurse Practitioners, and Physician Assistants, with
supporting care provided by RN Nurse Care Managers, Social Workers,
Pharmacists, Behavioral Health, and other employed team
members.Join Landmark to be part of a growing company full of
purpose-driven, action-oriented, and compassionate team members
working to dramatically transform healthcare for our
communities.The Nurse Care Manager (NCM), is an integral part of
the Interdisciplinary care team (IDT), and is responsible for the
overall care management process for high acuity engaged Landmark
patients. The NCM has oversight for developing, managing, and
coordinating patients' plan of care to include medical and
psychosocial needs and patient-centered goals. -The NCM works with
patients/caregivers to maintain and improve health status by
providing care coordination, health education, guidance and support
for medical and psychosocial complex chronic conditions.
Professionals in this role elicit input from the IDT based on
initial and ongoing comprehensive assessments of the patient. The
NCM uses nursing assessment, evaluation skills, data and reports to
guide care planning decisions for the patient. They are skilled at
navigating the patients' health plan benefits to identify
providers, resources and vendors that provide required care and
services. The NCM works collaboratively with the IDT to provide
appropriate, effective, high quality, and cost-effective care to
engaged patients in their current residence. - If a patient
requires care outside their residence, the NCM collaborates with
community-based service providers to ensure coordinated care during
critical times of transition between health care settings and home.
In addition to the NCM, the Landmark IDT consists of the Regional
Medical Director, Pod Leaders, mid-level practitioners, Health
Services Director (HSD), clinical supervisors, behavioral health
clinicians, social workers, pharmacists, dietitian/nutritionist,
ambassadors, care coordinators, the patient and/or caregiver and
family. Primary Responsibilities:
- Acts as an advocate for the patient -
- Engages and collaborates with patient/caregiver and providers
to develop an individualized Care Plan that addresses disease
management, health promotion, and patient-centered goals
- Monitors patient progress against Care Plan goals with an
emphasis on patient care needs during times of transition in care
setting and changes in health status
- In a Delegated Case Management market, understands and adheres
to regulatory timeframes and standards required by National
Committee for Quality Assurance (NCQA)
- Provides disease management, health promotion and prevention
education to patients/caregivers and/or family members to manage
disease progression and encourage proper medical testing, so
patient can remain as independent as possible
- Completes initial and ongoing patient assessment, using
information gathered from patient/caregiver/family, providers,
Landmark EMR, and available medical records
- Ability to manage and coordinate care and services within an
Interdisciplinary Team
- Manage incoming clinical calls to ensure patients' medical
concerns are addressed by the care team in a timely manner
- Comfortable having and documenting advance directive
conversations with patient/caregiver and/or family, and collaborate
to reconcile patient/caregiver goals with the current clinical
status
- Coordinates care needs across the continuum of care and is the
point of contact for patient/caregiver and clinicians
- Leads daily IDT Huddle
- Actively participates in Landmark meetings and education
sessions
- Acts as liaison between providers, nursing facilities,
hospitals and program staff, including making recommendations about
care alternatives
- Facilitates/coordinates admission to a recommended level of
care on a temporary or permanent basis
- Promotes patient safety. Reviews or initiates a home safety,
functional assessment, and/or falls risk assessment with home-based
providers to determine need for adaptive equipment. Assists with
acquisition of assistive equipment, as recommended
- Monitors patient during admissions and provides
nursing/assisted living facility and provider training on Landmark
program philosophy and approach to patient care
- Identifies and reports any potential quality-of-care issues to
Clinical Supervisor/HSD, so a plan of improvement can be developed
and implemented, as needed
- At times, the NCM may visit a patient in their home for
education or assessment, Market/State dependent
- Maintains HIPAA compliance at all times 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:
- RN License in the State(s) where you will practice - RN License
must be current, active, unrestricted and unencumbered
- Proficient in patient-centered Care Plan creation and active
management -
- 3+ years of clinical practice in a hospital, home care,
hospice, clinic, or nursing home setting -
- Electronic Medical Record documentation experience -
- Computer skills: internet navigation, Microsoft Office -
Outlook, Word and Excel
- Access to reliable transportation required; if you are driving
a vehicle, you must comply with all the terms of the Landmark Motor
Vehicle Safety policyPreferred Qualifications:
- -BSN
- Case Management experience
- 1+ years of Utilization Management experience
- Disease state management experience with strong ability to
educate patients on health and wellness
- Population Health management experience
- Ability to manage a patient caseload using data and
reports
- Advanced interpersonal and telephonic communication skills
- Solid organizational skills
- Ability to complete all work independently and within
designated timeframes
- Adaptable, flexible, and able to maintain a positive attitude
during change in process, practice or policyTo protect the health
and safety of our workforce, patients and communities we serve,
UnitedHealth Group and its affiliate companies require all
employees to disclose COVID-19 vaccination status prior to
beginning employment. In addition, some roles and locations require
full COVID-19 vaccination, including boosters, as an essential job
function. UnitedHealth Group adheres to all federal, state and
local COVID-19 vaccination regulations as well as all client
COVID-19 vaccination requirements and will obtain the necessary
information from candidates prior to employment to ensure
compliance. Candidates must be able to perform all essential job
functions with or without reasonable accommodation. Failure to meet
the vaccination requirement may result in rescission of an
employment offer or termination of employment.Careers with Optum.
Here's the idea. We built an entire organization around one giant
objective; make health care work better for everyone. So when it
comes to how we use the world's large accumulation of
health-related information, or guide health and lifestyle choices
or manage pharmacy benefits for millions, our first goal is to leap
beyond the status quo and uncover new ways to serve. Optum, part of
the UnitedHealth Group family of businesses, brings together some
of the greatest minds and most advanced ideas on where health care
has to go in order to reach its fullest potential. For you, that
means working on high performance teams against sophisticated
challenges that matter. Optum, incredible ideas in one incredible
company and a singular opportunity to do your life's best
work.(sm)Colorado, Connecticut or Nevada Residents Only: The salary
range for Colorado residents is $54,400 to $97,000. The salary
range for Connecticut/Nevada residents is $60,000 to $106,700. 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.Diversity creates a healthier
atmosphere: UnitedHealth Group is an Equal Employment
Opportunity/Affirmative Action employer and all qualified
applicants will receive consideration for employment without regard
to race, color, religion, sex, age, national origin, protected
veteran status, disability status, sexual orientation, gender
identity or expression, marital status, genetic information, or any
other characteristic protected by law.UnitedHealth Group is a
drug-free workplace. Candidates are required to pass a drug test
before beginning employment.
Keywords: UnitedHealth Group, Olympia , Nurse Care Manager - Telecommute, Healthcare , Olympia, Washington
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