RN Case Manager WellMed at Memorial City Houston TX
Location: Houston, Texas
Internal Number: 107501873
$1500 Sign On Bonus for External Candidates
**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
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 Healthcare Manager is responsible for successfully supporting patients with high-risk health conditions to navigate the healthcare system. The Healthcare Manager assists in developing patient empowerment by acting as an educator, resource, and advocate for patients and their families to ensure a maximum quality of life. The Healthcare Manager interacts and collaborates with multidisciplinary care teams, to include physicians, nurses, pharmacists, laboratory technologists, social workers, and other educators. The Healthcare Manager acts as a resource for clinic staff. The Healthcare Manager works in a less structured, self-directed environment and performs all nursing duties within the scope of a RN license of the applicable state board of nursing.
Works with the providers and clinic staff to identify patients at high risk
Supports longitudinal care of the patient with chronic care conditions by:
performing assessment of health conditions
performing medication reconciliation
conducting Motivational Interviewing and Self-Management Goal setting
providing patient education
creating referrals to appropriate agencies and resources
Supports transition of the patient with chronic care conditions from inpatient to outpatient setting, by:
performing assessment of transitional needs
performing medication reconciliation
establishing and reviewing contingency plan
providing patient education e. assisting with post discharge needs such as prescriptions, transportation, Durable Medical Equipment (DME), appointments
Coordinate with providers to establish or update plan of care
Performs accurate and timely documentation in the electronic medical record
Participates in daily huddles and Patient Care Coordination (PCC) meetings
Prepares accurate and timely reports, as required, for weekly meetings
Maintains continued competence in nursing practice and knowledge of current evidence-based practice
May perform clinical tasks within their scope of practice 10. Performs all other related duties as assigned.
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.
Bachelor’s degree in Nursing or Associates degree in Nursing with four or more years of experience
Registered Nurse with an active and unrestricted license to practice in the state of employment
Current BLS certification
2+ years of experience in a physician’s office, clinical or hospital setting
Knowledge of chronic diseases, especially COPD/asthma, diabetes, CHF and IHD
Excellent verbal and written skills
Solid interpersonal skills
Ability to interact productively with individuals and with multidisciplinary teams
Proficient computer skills to work efficiently with electronic medical records
Excellent organizational and prioritization skills
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
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
Experience related to patient education and/or motivational interviewing skills and self-management goal setting
Fluent written and verbal skills in English and Spanish
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)
WellMed was founded in 1990 with a vision of being a physician-led company that could change the face of healthcare delivery for seniors. Through the WellMed Care Model, we specialize in helping our patients stay healthy by providing the care they need from doctors who care about them. We partner with multiple Medicare Advantage health plans in Texas and Florida and look forward to continuing growth.
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.