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. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together. This is a full time position. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: • Provides patient education, individualized care and care coordination for patients receiving diabetes services from the call center environment and according to Optum policies and procedures, scope of practice and certification • Respect each patient's rights during the provision of care or service and conduct business in an ethical manner • Positively represent the company to both internal and external customers maintaining a professional and courteous manner at all times • Uphold the Optum OB Homecare core values in the conduct of work • Educate patients and families with a systematic approach, promoting patient understanding of treatment and services, health status, coping ability and patient / family involvement in the continuum of care or service • Initiate the plan of treatment / care pathway based upon the analysis of information obtained and within scope of practice and certification • Provide services according to Optum policies and procedures and prescriber plan of treatment • Individualize patient assessments based on care / services provided and patient need • Coordinates care with the patient services centers, pharmacists and other health professionals to promote the continuum of care or service • Accurately communicate in timely manner patient status information to prescribing physician and provide necessary clinical information to Optum pharmacists and / or other healthcare professional as necessary • Modify the plan of care, as appropriate, based upon reassessment, change in prescriber orders, the patient's need for further care or services and the achievement of identified goals within scope of practice and certification • Ensure interventions respect and encourage the patient's ability to make choices • Provide care and services to assigned caseload in an efficient, organized manner • Maintain flexibility in assignments and scheduling as priorities may change throughout the course of the workday • Complete clinical record documentation per Optum policies in a timely, complete and accurate manner • Provide clinical support relative to diabetes services to key physicians / hospitals through personal contacts and in services, as directed • Maintain competency on diabetes services according to Optum policies • Maintain competency in the appropriate use of the computerized clinical system • Participate in all required continuing education, staff meetings, competency training and assessments • Maintain all other personnel requirements as outlined per Optum policies • Assist in clinical and field educator hiring, education and orientation as directed • Participate in continuously measuring, assessing and improving performance of clinical and other processes within the center • Assumes on-call responsibility as assigned • Participate in holiday and weekend schedule as assigned • Emergency preparedness plan may require after hours opening of the diabetes patient services centers to manage patient needs 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.
Optum Home & Community Care is part of UnitedHealth Group and provides telephonic case management services to help members navigate the health care system and access support services. As an RN Case Manager, you would assess members' health status, identify gaps in treatment plans, establish care goals, coordinate with multidisciplinary teams including mental health clinicians, provide patient education and coaching, make referrals to community resources, and facilitate transitions between care settings—primarily through phone calls in a high-volume customer service environment.
