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RN Case Manager SNFs and Post Acute - 934641 - Draper - 84020

Company: unitedhealthgroup
Location: Draper
Posted on: June 7, 2021

Job Description:

In this position, you will work in a variety of environments including skilled nursing facilities, acute inpatient rehabilitation centers and patients homes. Your core responsibilities will be utilization review based off MCG criteria for patients in Skilled Nursing Facilities and Acute Inpatient Rehabilitation, attending weekly IDT meetings in the facilities, coordination and collaboration with facilities to assist in planning safe discharges, and following up with the patient in their home up to 30 days post discharge. The result of this is decreased hospitalizations, decreased ER visits and costly service gaps and a less stressed, more effective health care system for us all.

What makes your clinical career greater with UnitedHealth Group? You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.

3000 Sign-On Bonus External Candidates!

Primary Responsibilities: Determine appropriateness for level of care in skilled nursing facilities following evaluation of medical guidelines and benefit determination Responsible for utilization management including concurrent review for members in skilled nursing facilities or acute inpatient rehab facilities Utilize MCG criteria for medical necessity reviews Attend weekly IDT meetings to all assigned skilled nursing facilities and acute inpatient rehabilitation facilities Coordinate and collaborate effectively with interdisciplinary team at facilities including facilitating transition of care Post discharge follow up phone calls and in-home visits to members Coordinate care for up to 30 days Coordinate with OptumCare UT pharmacy team on medication reconciliation on admission to skilled nursing facilities and / or acute inpatient rehab and post discharge via telehealth Other responsibilities asassigned

Youll 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: Registered Nurse with current and unrestricted license to practice in the state of Utah Associate's degree 2+ years of case management experienceOR2+ years clinical experience in one of the following areas: skilled nursing facilities or community setting Willing to travel to skilled nursing facilities or other locations assigned within OptumCare Utah delivery area (mileage reimbursement available) Access to reliable transportation that will enable you to travel to client or patient sites within a designated area One of the following certifications: ACM, CCM, CMC, and or CMCN

If not certified in case management, required within first year of employment You will be provisioned with appropriate Personal Protective Equipment (PPE) and are required to perform this role with patients and members on site, as this is an essential function of this role. Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained

Preferred Qualifications: Bachelors degree Experience working with Medicare population and individuals with multiple co morbidities Knowledge of MCG criteria

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: 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job Keywords: RN, acute care, skilled nursing facility, SNF, rehab, Utah, West Valley City, Salt Lake City, case management, utilization management, utilization review, geriatric

Keywords: unitedhealthgroup, Draper , RN Case Manager SNFs and Post Acute - 934641 - Draper - 84020, Other , Draper, Utah

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