UnitedHealth Group

RN Patient Care Manager

UnitedHealth Group • $72K — $130K *
Orange, NJ 07050In-Person
Hospitals & Medical Centers
Less than 5 years of experience
Reposted 1 week ago
Job Overview by Ladders

Qualifications

  • Current RN licensure in state of practice
  • Current CPR certification
  • Current Driver's License, vehicle insurance, and access to a dependable vehicle or public transportation
  • RN licensure must have no restrictions

Responsibilities

  • Coordinate clinical services and supervise an interdisciplinary team for home health patients.
  • Ensure timely patient evaluations and appropriate clinician assignments.
  • Assess patient needs regularly and ensure care meets physician orders.
  • Develop and implement individualized patient plans of care.
  • Communicate updates among clinicians, patients, and referral sources effectively.
  • Document care coordination notes as necessary and appropriate.
  • Conduct daily reviews of assessments and plans of care, consulting clinicians as needed.

Benefits

  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401k contribution
  • Development opportunities for career growth
Full Job Description
The Home Health Patient Care Manager is responsible for the overall supervision and coordination of clinical services. Coordinates and supervises an interdisciplinary team of staff to assure the continuity of high quality care to home health patients assigned to the team's area in accordance with physician prescribed plan of care, and all applicable state and federal laws and regulations.

Primary Responsibilities:

  • Receives referrals and ensures appropriate clinician and/or therapist(s) assignments for timely patient evaluation by signing off after authorization and plotting start of care (SOC) visits
  • Coordinates determination of patient home health benefits, medical necessity, and ongoing insurance approvals
  • Ensures patient needs are continually assessed and care rendered is individualized to patient needs, appropriate and reasonable, meets home health eligibility criteria, and is in accordance to physician orders
  • Oversees and assures development, implementation, and updates to the individualized patient plan of care, as appropriate
  • Manages and documents phone calls from physicians, clinicians, patients, referral sources, and communicates patient updates/new orders to clinicians
  • Uses coordination notes to document, as needed and appropriate
  • Reviews assessments and plans of care daily, per assigned workflow, and consults clinicians with recommendations, as appropriate
  • Coordinates all aspects of care with all disciplines, physicians, durable medical equipment providers, caregivers/family members, transferring facilities, and any other applicable healthcare providers
  • Follows-up on lab and other clinical diagnostic test, physician contact, and significant changes in the patient condition to ensure adequate physician notification, follow-up, and needed plan of care modifications and communicates such to clinicians.
  • Schedules, prepares for, facilitates, and documents case conference/SOC reports and facilitates effective exchange of information across disciplines especially with adverse findings, changes in patient condition, daily and urgent updates, as necessary.
  • Assists clinicians in coordinating the transfer and discharge of patients from agency services as indicated by the physician
  • Receives report from field clinicians prior to scheduled days off on patient status and ongoing needs
  • Processes new orders and updates the visit frequency, as appropriate, when the oncall RN takes supplemental verbal orders which alter frequency going forward
  • Writes and processes orders when taking verbal orders directly from the physician and communicates such to field clinicians
  • Assures payer change documentation is completed properly and timely, as required
  • Reviews clinician visit notes weekly to ensure timely, complete, appropriate, and accurate submission of all documentation by field staff
  • Takes necessary action to correct adverse findings and communicates trending to clinical director
  • Reviews, evaluates, and supervises service delivery to ensure appropriateness of care and utilization of services, equipment, and supplies through activities such as random patient visits, medical record reviews and case conferences.
  • Enters infections and incidents/occurrences into the online Risk Management Incident Reporting System, as specified by policy
  • Assists in the orientation of new agency personnel
  • Provides direction and leadership to clinical team members in collaboration with the clinical director
  • Provides direct patient care, as necessary, in accordance to scope of practice and physician orders
  • Participates in QAPI program
  • Assures compliance with and ensures timely follow up on daily clinical and coding edits
  • Directs clinicians in utilizing best practice interventions when finalizing Plan of Care for all patients
  • Participates in on-call rotation
  • Follows-up with On-Call events daily
  • Receives report from weekend and after-hours clinicians admitting new patients
  • Completes LHC required learning courses, additional assignments per Executive Director request, as well as any state specific required training per state regulation/practice act requirements
  • Directs team in adherence to and participates in the Episode Management process
  • All other duties as assigned


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:

  • Current RN licensure in state of practice
  • Current CPR certification
  • Current Driver's License, vehicle insurance, and access to a dependable vehicle or public transportation


State Specific Requirements:

  • RN licensure must have no restrictions


Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

#LHCJobs

About UnitedHealth Group

UnitedHealth Group is a medical facility. They offer health technology, health finance, and pharmacy services. They are utilizing clinical data and intelligence to assist in the redesign, automation, and deployment of technology to streamline administrative operations and clinical decision-making. Payment systems for both consumers and providers are critical components of a health-care system.

UnitedHealth Group Careers

Joining UnitedHealth Group means becoming part of a diverse team dedicated to making a difference. As a leader in health services and innovation, our company offers a variety of job opportunities that allow professionals to leverage their skills, drive innovation, and improve lives. Work You’ll Do At UnitedHealth Group, you’ll contribute to a mission-focused environment where your expertise will influence the health and well-being of people worldwide. Our employment opportunities span across a wide range of disciplines, from healthcare specialists to data analysts, ensuring that your career journey is both dynamic and rewarding. Transform Healthcare with Your Expertise UnitedHealth Group stands at the forefront of health innovation. Our team collaborates to deliver solutions that lead to better patient outcomes. Working with us, you’ll find yourself at the intersection of technology, healthcare, and leadership, providing key insights that drive industry transformation. Join Our Global Team As part of our team, you’ll engage with over 300,000 professionals globally, dedicated to building a diverse and inclusive workplace. UnitedHealth Group is not just a company; it’s a community where you can grow your career through continuous learning and leadership opportunities. Our commitment to diversity training ensures that every team member can thrive. UnitedHealth Group Career Development We are committed to your professional growth. Explore career paths filled with promising job opportunities and internships that will harness your potential and expand your capabilities. Whether you’re a seasoned professional or a recent graduate, you’ll find that our career development programs support your ambition at every level. Innovative Work Environment At UnitedHealth Group, innovation is at the core of our operations. We encourage our team to bring forward-thinking ideas that challenge the status quo and lead to breakthrough improvements in patient care. Be Part of a Great Team Our culture fosters a collaborative and supportive environment where every member’s contribution is valued. Enjoy the benefits of being part of a global team that’s committed to making a difference in people’s lives. Future-Proof Your Career With UnitedHealth Group, your career is future-proof. Dive into a range of positions that offer both challenges and rewards. Our robust support system includes unmatched training, development programs, and certification support to propel your career forward. Stay Connected Join Our Team Discover the right position that matches your skills and interests. We are always hiring and look for passionate, curious, and solution-driven team players. Search UnitedHealth Group jobs today and take the first step towards a fulfilling career. Keep Up to Date Stay informed with career tips, insider perspectives, and industry-leading insights you can use today—all from the people who work here. Read Careers Blog Job Alert Emails Customize your subscription to receive job alerts, the latest news, and insider tips tailored to your preferences. Explore the exciting and rewarding opportunities that await at UnitedHealth Group.
Learn more about UnitedHealth Group
Size
350,000 employees
Market Cap
$493.1 billion
Industry
Healthcare
Net Income
$15.4 billion
Founded
1974
5 Year Trend
+9.2%
Revenue
$257.1 billion
NASDAQ
UNH
* Ladders Estimates

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