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)**
The Ambulatory RN Care Manager for Geriatric Medicine will be part of a team that supports a deep strategic partnership between OptumInsight and Boulder Community Health, a nationally recognized, independent and community-focused health system that serves Boulder County, Colorado, and beyond. Boulder Community Health has a powerful vision - "partnering to create and care for the healthiest community in America" and Optum is proud to be one of the partners helping to advance that vision.
What we do: Optum provides managed services across a broad set of functions for Boulder Community Health - including case management, ambulatory care management, revenue cycle management, patient access (scheduling and registration), analytics, project management, and strategic transformation initiatives. Our aim is to enable Boulder Community Health to retain its independence as a community-focused health care provider, while providing access to the support and scale of Optum's people, processes, and technology. Come join us!
As a member of the care team, the RN Care Manager for Geriatric Medicine will support continuous, comprehensive, coordinated care, with an emphasis on prevention, acute care follow-up, and chronic disease management for patient populations, with an emphasis on medically complex, elderly patients who are most vulnerable.
The RN Care Manager is recognized as a key member of the patient care team within the geriatric clinic. Specifically, the RN Care Manager provides health education to patients, assists patients with chronic disease self-management, coordinates referrals with specialists, and connects patients with appropriate care and community resources. The RN Care Manager coordinates and provides a patient-centered partnership with the patient care team to ensure a positive patient experience with care transitions. The RN Care Manager recognizes those patients with high health care utilization and works collaboratively within the care team to reduce unwarranted high-cost care.
If you are in Boulder County, CO, you will have the flexibility to work remotely*, as well as work in the office as you take on some tough challenges.
**Location:** Hybrid position - 2 days working from home and three days in clinic going between one of the two following offices - 5495 Arapahoe Ave, Boulder, CO, 80303 and 2101 Ken Pratt Blvd, Longmont, CO 80501
**Hours:** Monday - Friday - 8 AM - 4:30 PM MST
**Primary Responsibilities:**
Work cooperatively as a member of a care team with geriatric medicine providers, clinic nurses, medical assistants, care coordinators, and other clinic staff to provide care to patients based on best practices and evidenced based medicine
Manage services for patients aged 70+ with chronic and complex medical needs
Provide nursing assessment and comprehensive health management to patients under longitudinal and episodic care management
Facilitate communication among care teams to address patient needs and barriers to care. Take immediate action to problem-solve when necessary
Review patient-centered goals to create and document a plan of care under provider's guidance or established protocols. Elements of the care plan include treatment goals, patient goals, medication reconciliation, assessment of medication understanding and adherence, barriers to care, next steps, and follow-up plan
Develop and maintain trusting longitudinal relationships with patients and caregivers/family/significant other(s) while maintaining appropriate boundaries that are HIPAA compliant
Use clinical judgment in providing patient education and referrals for appropriate and timely care for referral in the community as necessary
Encourage patient self-management of chronic conditions
Facilitate transitions of care from hospitals, emergency room visits, urgent cares, and skilled nursing facilities. Provide timely follow-up including calling patients to reconcile medications, arrange appointments, assess understanding of discharge plan, and provide resources as needed
Update patient health records to reflect current condition, treatment plans, medications, etc. and remove outdated or lapsed conditions/medications. Assure services provided are consistent with the Joint Commission, ADAD and 27-10 regulations
Assess patient understanding of medications and adherence to medication regimen and address barriers to following treatment plan
Participate in quality improvement processes by identifying high-risk patients and implementing care plan (e. g., immunizations, screenings, medication adherence, diet, etc.)
Maintain knowledge of financial considerations and limitations of patient insurance coverage as appropriate
Support development and updates to a community resource directory and maintain a working relationship with providers in the referral network
Maintain working knowledge of health laws, protocols, managed care contracts, and insurance
Perform effectively in stressful and/or emergency situations and demonstrate knowledge and use of emergency procedures and equipment
Function as ambulatory clinic liaison, providing consultation/problem-solving between programs, medical staff, community professionals, and outside agencies
Cross cover for other clinical continuum teams in integrated clinical services: RN care manager, transitional care RN, and care coordinator
Serve on assigned committees
Adhere to standard precautions as appropriate, which may include:
the use of protective barriers (e. g., gloves, masks, gowns, pocket masks, and/or safety glasses)
handling and disposing of infectious waste appropriately
hand washing
**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
Compensation Information:
$0.0 / - $0.0 /
Starting At: 0.0
Up To: 0.0
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