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Posted: 02-Dec-24
Location: Farmington, Connecticut
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Internal Number: 144866776
ProHealth Physicians (CT), part of the Optum family of businesses, is seeking a Nurse Care Manager to join our team in Farmington, CT. Optum is a clinician-led care organization that is changing the way clinicians work and live.?
As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for everyone.?
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At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you’ll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.???
Are you ready to make a positive impact in health care? If so, you're the missing piece in our care team. As part of the Optum and UnitedHealth Group family, ProHealth Physicians offers new opportunities for growth. Here, you'll experience:
- Exceptional teamwork
- Robust medical resources
- Passionate professionals with a focus on patient-centered care
Our Case Managers (CM) are RNs who are responsible for the coordination of care for high-risk patients (chronic/complex conditions) in the community setting to help keep them out of the hospital while remaining in a safe home environment with quality of life. The CM acts as a longitudinal advocate who links the patient and care givers with the network of care team members to help them gain knowledge of their disease process and to identify community resources for continued growth toward the maximum level of independence.
ProHealth Physicians of Connecticut, part of Optum has an immediate opening for friendly, patient focused and detailed oriented Registered Nurse Case Manager to join our team in Farmington, CT. The schedule for this role would be Monday through Friday from 8:30am-5:00pm.
Primary Responsibilities:
- Stratifies and /or validates patient level of risk and manages patients across the continuum of care inclusive of care coordination, case management and complex case management
- Collaborates effectively with physicians, patients/caregivers and families to formulate a patient centric plan of care that meets the medical, psychosocial and financial goals of the patient inclusive of both short- and long-term goals
- Develops and continuously updates patient centric care plan inclusive of problem, goal, barrier and intervention, enters timely and accurate data into designated care management applications as needed to communicate patient needs
- Explores care options to reduce cost, decrease length of stay, curtail re-admission and influence quality outcomes
- Works collaboratively with the Utilization Management/Case Management RNs at the Health Plans, and other Care Team members to facilitate smooth care transitions as well as continuous case management activities
- Consults with Medical Directors and/or other appropriate programs/resources to overcome barriers to meeting goals and objectives and presents cases to appropriate resources to obtain multidisciplinary view in order to achieve optimal outcomes
- Maintain a comprehensive working knowledge of community resources, payer requirements and network services for target population to maximize benefit to patient overall well-being
- Attends and participates in interdisciplinary team meetings as directed
- Other duties as assigned
ProHealth Physicians is Connecticut's leading community-based medical group. Formed in 1997, we have primary care offices in every county. Our 300+ doctors and advance practice clinicians care for children and adults of all ages. We also have in-house imaging and clinical lab services. Traditional medicine treats people when they're sick. Instead, we focus on preventing diseases. Our goal is to give our patients — and their communities — the tools they need to be and stay well. This is how we help people live healthier lives. Together, we're making health care work better for everyone.
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:
- Graduate from an accredited program for professional nursing education
- Current, unrestricted RN License in the State of Connecticut
- 1+ year(s) of Nurse Case Management experience. (hospital, health insurance, care management organization, provider group setting)
- Experience with Electronic Health Records
- Reliable transportation
Preferred Qualifications:
- Bachelor of Science in Nursing
- Three or more years of Nurse Case Management experience.
- Certified Case Manager (CCM)
- Experience with Epic
Connecticut 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.
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.
