Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm)
The primary responsibility of the Case Manager is to identify, screen, track, monitor and coordinate the care of members with multiple co-morbidities and/or psychosocial needs and develop a case management care plan. They will interact and collaborate with interdisciplinary care team (IDT), which includes physicians, inpatient case managers, care team associates, pharmacists, social workers, educators, health care coordinators/managers. The Case Manager also acts as an advocate for members and their families linking them to other IDT members to help them gain knowledge of their disease process(s)and to identify community resources for maximum level of independence. The Case Manager will participate in IDT conferences to review care plan and member progress on identified goals and interventions. The Case Manager may perform telephonic and/or face-to-face assessments.
- In consultation with manager of Care Management, conducts initial assessments within designated time frames for members identified as having complex case management needs (assessment areas include clinical, behavioral, social, environment and financial)
- In consultation with manager of Care Management collaborates effectively with IDT to establish an individualized care plan for members with interventions to assist the member in meeting short and long term goals
- Engage patient, family, and caregivers to assure that a well-coordinated care plan is established
- Will identify member needs, develop care plan and prioritize goals; using evidence based practice the Case Manager will develop interventions while considering member barriers with guidance from medical directors and Manager of Care Management
- Make outbound calls to assess member health status, identify gaps or barriers in care plan
- Provide member education to assist with self-management goals
- Make referrals to outside sources
- Educate members on disease process or acute condition and provide indicated contingency plan with guidance from medical directors and Manager of Care Management
- Coordinates visits with PCP and specialists on a limited basis, performs visual assessment for skin checks on exposed skin, and conducts home safety evaluation
- Enters timely and accurate data into designated care management applications and maintains audit scores of 90% or better on a monthly basis
- Adheres to organizational and departmental policies and procedures
- Takes on-call assignment as directed
- The Case Manager will also maintain current licensure to work in state of employment. Decision making is based on regulatory requirements, policies and procedures, and current clinical guidelines
- Maintains current knowledge of health plan benefits and provider network including inclusions and exclusions in contract terms
- Monitors for quality concerns regarding member care and reports as per policy and procedure
- Performs all other related duties as assigned
- Full-Time Field Base Position: This position requires 100% traveling around the San Antonio, TX and counties areas supporting WellMed Patients. Must have reliable transportation and available to work flexible shifts.
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.
- Education required: Bachelor’s degree in Nursing, and/or Associate’s degree in Nursing combined with two or more years of experience and/or Nursing Diploma
- Current unrestricted Texas Registered Nurse license or compact state RN license
- Three or more years of diverse clinical experience in caring for the acutely ill patients with multiple disease conditions
- Two or more years of managed care and/or case management experience
- Knowledge of utilization management, quality improvement and discharge planning
- Must have reliable transportation that will enable you to travel to client and/or patient sites within a designated area
- Ability to read, analyze, interpret information in medical records and health plan documents
- Ability to problem solve and identify community resources
- Possess planning, organizing, conflict resolution, negotiating and interpersonal skills
- Proficient with Microsoft Office applications including Outlook, Word, and Excel
- Utilize critical thinking skills, nursing judgement and decision making skills
- Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously
- Frequently require to stand, walk or sit for long periods
- Case Management certification (CCM) or ability to obtain CCM within 12 months after the first year of employment
- This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease.
- You will be asked to perform this role in an office setting, however, may be required to work from home temporarily due to space limitations.
- 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.
- Experience working with psychiatric and geriatric patient populations
Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 550,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)
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
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment
Job Keywords: WellMed, Healthcare, Bilingual, Registered Nurse, RN, Inpatient Case Manager, CM, Complex Care, Utilization Management, Hospital, San Antonio, New Braunfels, Seguin, Gonzales, Shiner, Yoakum, Boerne, Floresville, Helotes, 78249, Texas, TX