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 to start Caring. Connecting. Growing together. We are looking for an RN Care Coordinator as an addition to the Optum Insight ACO Practice Extend Team. You will work alongside our Care Team's Clinical Pharmacist and Clinical Administrative Coordinator to improve the health outcomes of the patients we serve. The RN Care Coordinator is responsible for managing patients attributed to provider practices participating in the Optum Insight ACO. The RN Care Coordinator focuses on care transitions, high risk patient management, referral coordination, and appropriate site-of-service utilization. This role includes high-volume telephonic outreach, patient education, and coordination with primary care providers (PCPs), specialists, and the Practice Extend care team to ensure high-quality care delivery. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: • Work with a Care Team of a Clinical Pharmacist and Clinical Administrative Coordinator to support patient and provider engagement across care transitions management, care coordination, and medication management activities • Facilitate communication of inpatient discharge information to primary care offices using appropriate technology tools • Conduct post-discharge outreach for inpatient and emergency department visits, including medication reviews, scheduling timely follow up appointments, and providing education on discharge instructions and appropriate sites of care • Guide patients in accessing high-quality, cost-effective specialist referrals • Support high-risk patients by coordinating and scheduling PCP and/or specialist appointments • Provide patients with benefit information and resources upon request • Communicate with provider offices to resolve patient care issues and facilitate communication between practice staff and care team • Build and maintain strong relationships with participating provider practices by communicating program goals, patient needs, and value-based care opportunities • Facilitate and/or lead provider-facing meetings, including onboarding meetings and ongoing collaboration meetings You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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.
