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RN Case Manager Transitions to Skilled - Sun City/Peoria/Surprise, AZ

Company: Nurse.com
Location: Sun City
Posted on: November 17, 2022

Job Description:

*$2,500 Sign-On Bonus for External Candidates*

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do - your life's best work.(sm)

The Case Manager is responsible for assisting the Nurse Practitioner in coordinating and managing the transitions and care efficiencies of patients residing in a SNF for a short term skilled stay. -The CM will focus on patient experience, readmission prevention, length of stay management and transition planning to ensure safe and timely transition to the next level of care upon discharge.

The RN will meet with patients, families, SNF case managers to assess needs, gaps in services, progress related to care plan goals and readiness for transition to next level of care. -All of the care provided is in collaboration and communication with the advanced practice nurse practitioner.

Primary Responsibilities:

Care Coordination

Assist the provider/team with various care coordination activities in the nursing home and/or assisted living community (AL)

RN works in collaboration with the nursing facilities/AL community to assist in coordinating transportation when appropriate

Benefit Determination

Assist the provider/team with benefit determination associated with Medicare part A, part B, and part D benefits

The RN is responsible for collaborating with the nursing facility/AL to identify and respond to patient Change in Condition

RN may assist the provider by re-assessing the patient, and other activities to support BD, as delegated by the provider or the CSM

Therapy Coordination

Assist the provider/team with therapy coordination for patients including possible assessments or follow up on requests and communicate/collaborate with NP

The RN may perform interval check in on patient progress with therapy department

The RN may participate in facility based therapy discussion meetings

Team Support

Schedule and participate in family conferences, team meetings, and team case presentations

Assist in the coordination of N95 fit testing, CPR training/recertification, tracking compliance with infection control measures, tracking TAP data etc.

Participate in the onboarding of new clinical staff under the direction of the CSM- the RN may coordinate onboarding activities, and participate in other orientation activities under the direction of the CSMs or DCOs

Participate in facility partnership or Customer Relationship Management (CRM) meetings under the direction of the NP/CSM- the RN may assist in coordinating CRM meetings, and may participate in and contribute to the meetings

The RN may assist the team in tracking LearnSource completion for the team members and CSM

In-servicing

Assist in creating and conduct in-services for selected audiences

Documentation

Will document information and activities in the EMR

RN may assist Providers in assuring complete and accurate coding

Advanced Care Planning

Assist the team/providers in prioritizing advance Care Planning and initiating discussions

Communication

Collaborates with all key stakeholders; providers, nursing homes/assisted living facilities, PCPs, families, interdisciplinary care teams and any other identified stakeholders

Support of contracted providers

May support contracted providers with above activities and other selected duties in appropriate markets Quality/HEDIS

Quality/HEDIS

The RN will review the chart and enter HEDIS/Quality information into the EMR

The RN may identify gaps in the HEDIS/Quality measures and communicate these to the NP for resolution. -i.e. missing vaccinations, lab work etc.

The RN may assist with managing the annual flu vaccine initiative; communicate with families, nursing staff, identify gaps

The RN may do the Medication Reconciliation post hospital, skilled event or ER visit

Patient Care

Patient assessment for Change in Condition - RN may perform a nursing assessment on a patient within scope of practice, communicate findings back to NP

The RN may make rounds and identify high risk patients

Regularly rounds and examines skilled patients through-out skilled stay to evaluate the following:

Risk for return to acute

Length of stay (opportunities for discharge working with facility CM to assist)

Identify change in condition and communicate with APC

Completes accurate and timely documentation in the EMR

The RN may gather information for rounds and enter into preliminary note as described in the documentation section

The RN 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

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:

Current unrestricted Registered Nurse license in the state of practice

3+ years of RN experience

Valid driver's license with appropriate insurance

Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Preferred Qualifications:

Baccalaureate degree

3+ years experience in post-acute care, such as long-term care or hospice and/or Case Management experience as an RN

Experience with using an Electronic Medical Record

Experience working with the geriatric population

Familiarity with the long-term care business environment

Basic Microsoft Office skills with the ability to navigate in a Window's environment

Excellent communication and customer service skills

To 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)

**PLEASE NOTE** The sign on bonus is only available to external candidates. - Candidates who are currently working for a UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time, or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.

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: Nurse.com, Sun City , RN Case Manager Transitions to Skilled - Sun City/Peoria/Surprise, AZ, Executive , Sun City, Arizona

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