RN Field Case Manager - Georgetown County SC
- Compensation
- Not disclosed
- Location
- Georgetown, South Carolina, United States
- Work setup
- Not specified
- Seniority
- Not specified
- Employment
- Full time
- Experience
- 3+ years
- Category
- Healthcare
- Posted
Must have
- Associate degree or higher in Nursing (RN)
- Active and unrestricted RN license in SC
- Certified in Basic Life Support
- 3+ years of clinical experience in practice
- Ability to complete physical requirements, including moving a 30-pound bag and ability to perform physical assessment
- Proficient in Microsoft Office products including Word, Excel and Teams
- Proficient computer skills, including the ability to document medical information with written and electronic medical records
- Highly adaptable to the changing needs of our members daily
- Proven ability to develop and maintain positive customer relationships
- Proven effective communication skills and time management
- Access to reliable transportation and willingness to travel in between member locations daily
Nice to have
- 1+ years of experience working in long-term care, home health, hospice and/or case management
- Experience in meeting the medical needs of patients with complex behavioral, social and/or functional needs
- Understanding of older adults and chronic illness
- Understanding of Advanced Illness and end of life discussions
- Proven ability to work with diverse care teams in a variety of settings
Full description
$2,500 Sign-on Bonus for External CandidatesNo on-call, no weekends and no holidays requiredOptum Home & Community Care, part of the Optum 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) team, we work to provide care to patients in nursing homes, senior housing and assisted living settings. This life-changing work adds a layer of support to improve access to care. We're connecting care to create a seamless health journey for patients across settings. Join us to start Caring. Connecting. Growing together.
The Optum SCC program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of members. The Optum SCC SL RN will be managing members in a community setting to include personal homes, group homes, and assisted living facility setting. Optum is transforming care delivery with innovative and personalized care. As one of the largest employers of APCs, Optum offers unparalleled career development opportunities.
Primary Responsibilities:
- Ensure accurate and complete documentation
- Communicate and collaborate with the interdisciplinary care team
- Support the telehealth visits in the field, the RN sets up members for telehealth with the APC
- 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
- Collaborating with the primary advanced practice clinician (APC) and facility to identify and respond to patient change 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
- Coordination of training, tracking, and compliance with quality measures
- Assist in creating and conduct 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 APC in obtaining compliant related documentation for transfer to stay in a SNF