Job Description

The RN Healthcare Manager/Case Manager/Health Coach is responsible for successfully supporting patients with high risk health conditions to navigate the healthcare system. The Healthcare Manager assists in developing patient empowerment by acting as an educator, resource, and advocate for patients and their families to ensure a maximum quality of life. The Healthcare Manager interacts and collaborates with multidisciplinary care teams, to include physicians, nurses, pharmacists, laboratory technologists, social workers, and other educators. The Healthcare Manager acts as a resource for clinic staff. The Healthcare Manager works in a less structured, self-directed environment and performs all nursing duties within the scope of a RN license of the applicable state board of nursing.

Primary Responsibilities:

* Works with the providers and clinic staff to identify patients at high risk.
* Supports longitudinal care of the patient with chronic care conditions by:
* performing assessment of health conditions
* performing medication reconciliation
* conducting Motivational Interviewing and Self-Management Goal setting
* providing patient education
* creating referrals to appropriate agencies and resources
* Supports transition of the patient with chronic care conditions from inpatient to outpatient setting, by:
* performing assessment of transitional needs
* performing medication reconciliation
* establishing and reviewing contingency plan
* providing patient education
* assisting with post discharge needs such as prescriptions, transportation, Durable Medical Equipment (DME), appointments
* Coordinate with providers to establish or update plan of care
* Performs accurate and timely documentation in the electronic medical record
* Participates in daily huddles and Patient Care Coordination (PCC) meetings
* Prepares accurate and timely reports, as required, for weekly meetings
* Maintains continued competence in nursing practice and knowledge of current evidence based practices
* May perform clinical tasks within their scope of practice
* Performs all other related 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:

* Bachelor's degree in Nursing or associate's degree in Nursing with four or more years of experience
* Registered Nurse with an active and unrestricted license to practice in the state of employment
* Current BLS certification
* 2+ years of experience in a physician's office, clinical or hospital setting
* Knowledge of chronic diseases, especially COPD / asthma, diabetes, CHF and IHD
* Excellent verbal and written skills
* Strong interpersonal skills
* Ability to interact productively with individuals and with multidisciplinary teams
* Proficient computer skills to work efficiently with electronic medical records
* Excellent organizational and prioritization skills
* 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
* You will be provisioned with appropriate Personal Protective Equipment (PPE) and are required to perform this role with patients and members on site, as this is an essential function of this role

Preferred Qualifications:

* Experience related to patient education and / or motivational interviewing skills and self-management goal setting
* Fluent written and verbal skills in English and Spanish

This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease.

WellMed was founded in 1990 with a vision of being a physician-led company that could change the face of healthcare delivery for seniors. Through the WellMed Care Model, we specialize in helping our patients stay healthy by providing the care they need from doctors who care about them. We partner with multiple Medicare Advantage health plans in Texas and Florida and look forward to continuing growth.

OptumCare is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, OptumCare provides administrative and business support services to both owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. OptumCare's support services do not interfere with or control the practice of medicine by the medical practices or any of their physicians.

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job Keywords: RN, registered nurse, healthcare manager, health care, Houston, TX, Texas