Case Manager-RN (Onsite)

Company: Optum
Location: Madison
Posted on: November 19, 2023

Job Description:

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. -Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and -your life's best work.SM -
Schedule: -Monday-Friday 8:00am to 4:30pm CST Days, could include weekends and holidays
Location: -SSM Health St. Mary's Hospital-Madison at 700 S. Brooks St. Madison, WI 53715
Primary Responsibilities:

• Ensures compliance with Condition of Participation (CoP) discharge planning
  
• Identifies and escalates gaps/barriers related to inpatient and observation length of stay
  
• Assesses patients at high risk for readmission. Identifies root cause for readmission. Develops plan and collaborates with multidisciplinary team regarding discharge planning to next level of care
  
• Participates with other members of team regarding opportunities for improvement in standard work
  
• May also be responsible for: utilization management process, ED case management process, admission process, and act as a case manager liaison with post acute providers (skilled nursing facilities, rehab, home health, etc.)
  
• Applies the existing body of evidence-based practice and scientific knowledge in health care to nursing practice, ensuring that nursing care is delivered based on patient's age-specific needs and clinical needs as described in the department's Scope of Service
  
• As an SSM Health nurse, I will demonstrate the professional nursing standards defined in the professional practice model
  
• Uses the ANA Code of Ethics for Nurses to guide his/her response to the current and evolving health and nursing needs of our patients and our patient populations
  
• Works in a constant state of alertness and safe manner
  
• Performs other duties as assigned
  
  What are the reasons to consider working for UnitedHealth Group? - - Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. -Some of our offerings include:
  
  
• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
  
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
  
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
  
• 401(k) Savings Plan, Employee Stock Purchase Plan
  
• Education Reimbursement
  
• Employee Discounts
  
• Employee Assistance Program
  
• Employee Referral Bonus Program
  
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
  
• More information can be downloaded at: -
  
  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:
  
  
• Associate's Degree (or higher) in Nursing
  
• Current, unrestricted RN license in the state of Wisconsin
  
• 1+ year -of experience in a hospital, acute care or direct care setting
  
• Intermediate level of proficiency navigating -a Windows based environment
  
  Preferred Qualifications:
  
  
• Certified Case Manager (CCM)
  
• Case management experience
  
• Experience or exposure to discharge planning
  
  At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. -
  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: Optum, Madison , Case Manager-RN (Onsite), Healthcare , Madison, Wisconsin