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UnitedHealth Group Field Based Registered Nurse, Home Care - Ames, IA in Ames, Iowa

Serving millions of Medicare and Medicaid patients, Optum is the nation’s largest health and wellness business and a vibrant, growing member of the UnitedHealth Group family. We’re also the career home for Nurse Practitioners who bring compassion and passion, energy and focus to their work every day. As a Home Visit Nurse Practitioner with Optum, you’ll provide primary care home visits for patients in collaboration with the physician of record and patient care team. This position is serving throughout Ames, IA.

The Optum Dual Special Needs Plan (DSNP) at Home program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of members in their place of residence. The DSNP program combines Optum trained clinicians providing intensive interventions customized to the needs of each individual, in collaboration with the Interdisciplinary Care Team, which includes the Optum clinician, the member’s Primary Care Provider and other providers, and other professionals.

The Field Registered Nurse supports the overall patient care management process for members in In-Home DSNP program. The Field Registered Nurse provides oversight, guidance and support for the patient care plan as developed in collaboration with the interdisciplinary care team along with the health plan and additional heath care vendors to meet the needs of the patient. The Field RN coordinates and provides appropriate levels of care under the direct supervision of an RN/APC or MD. This position is responsible for clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating). This includes case management, in home visit assessments, coordination of care, and medical management consulting. The Field RN will also be responsible for home visits, transition of care management, providing health education, coaching and treatment decision support for members in At Home DSNP program.

Primary Responsibilities:

  • Perform initial review of consumer health records and current health status (e.g., health risk scores) to identify health risk and determine next steps

  • Conduct initial and ongoing assessments utilizing nursing assessment skills in home setting

  • Receive information from consumers about specific symptoms and questions

  • Conduct interviews to understand cause and effect, gather or review health history for clinical symptoms, and determine health literacy

  • Evaluate consumer data throughout the assessment process to identify inconsistencies and adherence to Evidence Based Guidelines from both the health care and psychosocial / socioeconomic dimensions of care

  • Identify and prioritize gaps to develop plan of care and short and long term goals to empower consumers to meet identified goals

  • Determine consumer's willingness to engage in plan of care and readiness for change

  • Identify appropriate interventions and resources to meet gaps (e.g., psychosocial, transportation, long-term care) based on specific consumer needs from both the health care and psychosocial / socioeconomic dimensions of care

  • Document the plan of care in appropriate EHR systems and enter data per specified format

  • Maintain consumer engagement by establishing rapport, demonstrating empathy, and building a trusting relationship

  • Collaborate with primary providers or multidisciplinary team to align or integrate goals to plan of care and drive consistent coordination of care

  • Provide ongoing support for advanced care planning.

  • Reassess plan of care at appropriate intervals based on initial objectives, significant change of condition, or achievement of goals

  • Understand and operate effectively/efficiently within legal/regulatory requirements

  • Utilize evidence-based guidelines (e.g., medical necessity guidelines, practice standards, industry standards, best practices, and contractual requirements) to make clinical decisions, improve clinical outcomes and achieve business results

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:

  • Active, un-encumbered RN license to practice nursing in IA

  • 3+ years of experience in a hospital, acute care or direct care setting

  • Must be able to type and have the ability to navigate a Windows based environment

  • Access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area

  • Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained

Preferred Qualifications:

  • BSN

  • Experience with elderly and chronically ill patients and families

  • Bi-lingual or multi-lingual

  • Understanding of Medicare, Medicaid and Health Plan benefit structures beneficial

  • Case Management experience

  • CCM

  • Excellent organizational skills with the ability to multi-task and manage schedule

  • Excellent Collaboration skills and ability to communicate with care team and physicians

  • Experience working with complex patient populations including multiple chronic diseases with diverse psychosocial backgrounds

  • Previous experience working in home health or in home setting

Careers with Optum . Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. 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. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

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: Registered Nurse Jobs, Registered Nurse, RN, home care, Ames, IA, Iowa

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