RN Care Manager Seattle
Company: Optum
Location: Vashon
Posted on: January 22, 2025
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Job Description:
$7,500 Sign on Bonus for External Candidates
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For those who want to invent the future of health care, -here's
-your opportunity. -We're -going beyond basic care to health
programs integrated across the entire continuum of care. -Join us
to start -Caring. Connecting. Growing together. -
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Complex care case management seeks to provide thoughtful, tailored
nursing support to patients across a spectrum of illnesses of
varying severity and progression. Our patients may be anywhere
along a continuum from adjusting to a "new normal" all the way
through to transitioning to hospice care. Many of our patients
dealing with serious illness benefit from assistance in
understanding their medical reality. - Therefore, this position
integrates palliative approaches to care in our primary care
setting. - -This role works closely with physicians, social
workers, other specialty teams (like palliative care, oncology,
etc.) to ensure coordinated and value-concordant care. - In
addition, CM RN will work closely with colleagues in local
hospitals, SNFs, and hospices. - RN CM will participate in
multi-disciplinary team meetings to coordinate an iterative plan of
care for our most complex, high-risk patients, as well as those
dealing with natural decline. - This complex work benefits from a
nursing approach that is focused on creative problem solving and
big-picture awareness rather than short-term solutions and reliance
on strict rubrics.
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Position in this function provides physicians and other health care
professionals with appropriate care management tools, support,
education and information to enable real time clinical
decision-making. - Delegates specific tasks of plan of care to
Medical Assistants and Health Coaches and oversees the plan of care
to ensure protocols are followed and desired outcomes are achieved.
- Practices within the scope of nursing rules and regulations as
established by the Washington Department of Health. - Complies with
all reporting requirements, including operational protocol
submittals. Provides effective care management across the care
continuum and suggests and implements methods to improve cost
effectiveness and quality of care. -
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Primary Responsibilities: -
Care Management activities include early identification of
high-risk patients, concerted planning involving physicians and
mid-level practitioners, monitoring of services provided by outside
physicians, home health, DME, and other providers; monitoring
emergency department use as well as identifying opportunities to
decrease emergency department utilization and other elements of
care utilization
Provides effective care management across the care continuum,
including coordination involving internal and external providers of
care, families and other entities, as appropriate
Works in collaboration with colleagues in multiple care settings to
determine patients' barriers and needs utilizing clinical skills
and independent decision making
Engages in proactive, concurrent care management for patients with
chronic or complex medical conditions
Performs visits to patient home, skilled nursing home stays or
while in-patient at a neighboring hospital
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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: -
Graduation from an accredited school of nursing
Active Registered Nurse license through the Washington State
Department of Health
2+ years of professional nursing experience
Knowledge of medical terminology and managed care
Washington State driver's license and automobile
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Preferred Qualifications:
Case management certification
Ambulatory and inpatient experience
Knowledge of ICD and CPT coding
Knowledge of professional nursing theory and practice to assess,
plan, implement and evaluate patient care
Knowledge of organizational policies, regulations and procedures to
administer patient care
Knowledge of medical equipment and instruments, common safety
hazards, and precautions to establish a safe work environment
Knowledge of relevant resources within the organization and
community
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Washington Residents Only: The salary range for this role is
$58,300 to $114,300 annually. Pay is based on several factors
including but not limited to local labor markets, education, work
experience, certifications, etc. UnitedHealth Group complies with
all minimum wage laws as applicable. 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.
At UnitedHealth Group, our mission is to help people live healthier
lives and make the health system work better for everyone. We
believe everyone-of every race, gender, sexuality, age, location
and income-deserves the opportunity to live their healthiest life.
Today, however, there are still far too many barriers to good
health which are disproportionately experienced by people of color,
historically marginalized groups and those with lower incomes. We
are committed to mitigating our impact on the environment and
enabling and delivering equitable care that addresses health
disparities and improves health outcomes - an enterprise priority
reflected in our mission. -
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Diversity creates a healthier atmosphere: -OptumCare -is an Equal
Employment Opportunity/Affirmative Action employers 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. - - -
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OptumCare -is a drug-free workplace. Candidates -are required to
-pass a drug test before beginning employment. -
Keywords: Optum, Edmonds , RN Care Manager Seattle, Executive , Vashon, Washington
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