ArcadiaRecruiter Since 2001
the smart solution for Arcadia jobs

RN, Care Manager

Company: Optum
Location: Arcadia
Posted on: November 22, 2020

Job Description:

OVERVIEW OF POSITION:Responsible for ensuring the continuity of care in the outpatient setting utilizing the appropriate resources within the parameters of established contracts and patients' health plan benefits.-- Facilitates continuum of patients' care utilizing advanced nursing knowledge, experience and skills to ensure appropriate utilization of resources and patient quality outcomes.-- Performs care management functions telephonically. Ensures all care management activities are efficient, effective and meet regulatory requirements. Reports finding to the department management team in a timely manner.ESSENTIAL FUNCTIONS:

  • Consistently exhibits behavior and communication skills that demonstrate Optum's commitment to superior customer service, including quality, care and concern with each and every internal and external customer.
  • Implements and monitors current medical group care management programs within the policies and procedures set by the department.
  • Reviews patient referrals within the specified care management policy timeframe per Ambulatory Care Management Program playbooks.
  • Identifies and assists with the follow-up of selected patient population in ambulatory settings.
  • Consults with physician and other team members to ensure that care plan is successfully implemented.
  • Maintains effective communication with the health plans, physicians, hospitals, extended care facilities, patients and families.
  • Provides accurate information to patients and families regarding HMO benefits, community resources, referrals and other related issues.
  • Initiates and oversees data entry into IS systems of all patients within the parameters of care management policies and procedures.
  • Maintains timely, accurate and complete documentation of care rendered.
  • Follows patients on ambulatory care management programs
  • Maintains accuracy of list and program enrollment per established guidelines and playbook
  • Engages with appropriate members of the organization in a professional, effective way.
  • Demonstrates accountability and ownership of patient population assigned.
  • Seeks and identifies opportunities for process improvement.
  • Meets or exceeds productivity targets.
  • Uses, protects, and discloses Optum patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
  • Performs additional duties as assigned.EDUCATION:
    • Graduate from an accredited school of Nursing.
    • Current California RN license.
    • Bachelor's degree in Nursing preferred.
    • Basic Life Support for Healthcare providers (AHA) or CPR/AED for the Professional Rescuer (American Red Cross).EXPERIENCE:Minimum:
    • 2-3 years' experience in a healthcare setting.Preferred:
    • Previous care management or discharge planning experience.
    • HMO / Managed Care experience.KNOWLEDGE, SKILLS, ABILITIES:
    • Computer literate.
    • Ability to work with multiple computer platforms simultaneously.
    • Knowledge of current standards of patient care.
    • Thorough understanding of RN scope of practice.
    • Manual dexterity to use and handle equipment and instruments.
    • Ability to effectively communicate and collaborate with physicians, patients, families and ancillary staff.
    • Ability to make sound, independent judgments and act professionally under pressure.
    • Demonstrates effective documentation and verbal communication skills: factual, accurate, clear and timely to support delivery of effective patient care interventions and collaborative management.Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. 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. Here you'll find incredible ideas in one incredible company and a singular opportunity to do your life's best work. (SM)Diversity creates a healthier atmosphere: Optum and its affiliated medical practices are 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. Optum and its affiliated medical practices is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Keywords: Optum, Arcadia , RN, Care Manager, Executive , Arcadia, California

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Executive Jobs


Digital Content Director, SwearBy
Description: Job TitleDigital Content Director, SwearBy br br Job Description br The Job br The Digital Content Director will help define and implement the content strategy for SwearBy.com, the word-of-mouth (more...)
Company: Meredith Corporation
Location: Los Angeles
Posted on: 11/28/2020

Space Systems - Sr. Manager - EO/IR Chief Engineer
Description: This position is for a Program Chief Engineer within the Space Systems SS Mission Area of Raytheon Intelligence and Space. The SS Program Chief Engineer has the responsibility of ensuring the technical (more...)
Company: RTX
Location: Culver City
Posted on: 11/28/2020

Mechanical Engineering Section Manager
Description: Raytheon Intelligence Space is seeking a Section Manager for a Mechanical Engineering team in the Space Systems Electro-Optical EO Mechanical Engineering Department within the Hardware Engineering (more...)
Company: RTX
Location: Woodland Hills
Posted on: 11/28/2020


Assistant General Manager
Description: The Stand is a fun, fast paced, family owned neighborhood restaurant chain that serves amazing Burgers, Hot Dogs, Sandwiches, Salads, Desserts More. We have 6 Los Angeles locations and 2 Orange County (more...)
Company: The Stand
Location: Corona Del Mar
Posted on: 11/28/2020

MANAGEMENT SERVICES OFFICER I, SUPERVISOR
Description: JOB SUMMARY br br Requisition Number: 32912 br br Job Title: MANAGEMENT SERVICES OFFICER I, SUPERVISOR br br Working Title: MANAGEMENT SERVICES OFFICER I, SUPERVISOR br br Salary: 4,009 (more...)
Company: University of California - Los Angeles
Location: Los Angeles
Posted on: 11/28/2020

Structural Project Manager, LA
Description: DCI Engineers Structural Project Manager,
Company: DCI Engineers
Location: Los Angeles
Posted on: 11/28/2020

Director of Student-Athlete Development, Men's Basketball
Description: JOB SUMMARY br br Requisition Number: 32925 br br Job Title: ATH PROFL 4 br br Working Title: Director of Student-Athlete Development, Men's Basketball br br Salary: 3958-9375 br br (more...)
Company: University of California - Los Angeles
Location: Los Angeles
Posted on: 11/28/2020

Production Manager
Description: To apply visit Production Manager Salary - 100K - 125K /Year DOE - Full Time Benefits Description Fralock is a well-established manufacturing company, based in the Santa Clarita Valley, that (more...)
Company: Fralock
Location: Valencia
Posted on: 11/28/2020

Assistant Salon Manager - Westbridge Plaza
Description: Assistant Salon Manager Got shears and a winning attitude Have a yearning to earn and a desire to support other stylists Then let-- s talk Maybe you-- re a stylist who wants more
Company: Great Clips
Location: West Hills
Posted on: 11/28/2020

Account Manager - SaaS Enterprise Sales
Description: OVERVIEW br br As one of the world s leading analytical instrumentation companies, Bruker covers a broad spectrum of advanced solutions in all fields of research and development. All our systems and (more...)
Company: Bruker Corporation
Location: Los Angeles
Posted on: 11/28/2020

Log In or Create An Account

Get the latest California jobs by following @recnetCA on Twitter!

Arcadia RSS job feeds