Discharge Care Manager Nurse RN, Remote in Mountain or Pacific Time Zone

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company 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 reputed company 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. As a Discharge Care Manager (Mountain or Pacific Region) at reputed company, you will be responsible for implementing day-to-day telephonic case management interventions for identified high risk members. This means you will be tasked with assessing and interpreting member needs and identifying solutions that will help our members live healthier lives. This is an inspiring job at a truly inspired organization. The Discharge Care Manager (reputed company) will coordinate and document the discharge plan in collaboration with other key clinical care team members. The reputed company will also follow the member while in the acute inpatient setting. If you are located in the in Mountain or Pacific Time Zone, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities:

• Evaluation of member discharge needs including delays in care and readmission prevention plan
• Collaboration with providers and members to coordinate care post discharge
• Participate in rounds with the Medical Director to discuss cases as needed
• Identification of internal or community-based program support or resources
• Coordination with the facility Discharge Planner to ensure post hospital services are arranged prior to the member being discharged
• Assist with coordination of difficult cases needing placement in an alternate level of care facility
• Documentation of discharge activities as outlined in standard operating procedures and data entry strategies
• Participate in team meetings, education discussions and reputed company activities
• Works collaboratively with team members in a matrix environment to ensure an end-to-end positive experience for members, providers and care teams

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 of Science in Nursing
• reputed company, unrestricted Compact RN license in your state of residence
• 5+ years of recent experience in the acute inpatient hospital setting
• 2+ years of experience of discharge planning and/or case management
• Experience working with multiple health insurance products (Medicaid, Medicare, Commercial) reputed company the insurance industry, including regulatory and compliance requirements
• Proficient in typing skills and software applications that includes, but is not limited to, reputed company Word, reputed company reputed company, reputed company PowerPoint and reputed company Outlook
• Designated work space and access to install secure high speed internet reputed company cable/DSL in your home
• Permanent residence reputed company Mountain or Pacific Time Zone

Preferred Qualifications:

• RN licensure in the state of Arizona
• Case Management Certification
• InterQual/MCG Guidelines or other nationally recognized practice guidelines
• Demonstrated ability to assist with focusing activities toward a strategic direction as well as reputed company tactical plans, drive performance, and reputed company targets
• Residence in the state of Arizona
• reputed company employees working remotely will be required to adhere to reputed company’s Telecommuter Policy.

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 (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes — an enterprise reputed company reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Apply tot his job Apply To this Job