RN Care Coordinator or Care Manager ED - Supervisor - Remote

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Optum Health is seeking an experienced ED Nurse Supervisor to join our growing engagement efforts. This role will provide management and supervision for the ED RN Case Management team tasked with monitoring real-time 'Admit, Discharge, Transfer' (ADT) notifications to provide proactive ED outreach and discharge coordination to support optimal transitions of care. This person will actively supervise the team, clinical workflows/guidelines, and provide continuity of care for members to an appropriate next site of care in collaboration with the hospitals/ED team and outpatient ecosystem resources (PCP, specialist, inhome care, etc.). This role will also support reviews and improvements of engagement processes performed by the nurses.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Mostly a remote/telecommute position but occasional travel (~10%) may be required.

Primary Responsibilities:

• Provides supervision and leadership support to the nurses on the ED RN Case Management team
• Ensures effective delivery of workflows for each facility, and the accurate documentation and entering of information to support program KPIs and clinical visibility
• Supports development and maintenance of nursing workflows, staffing levels and schedules to ensure operations efficiency, quality, and financial performance
• Assumes escalation support when additional case intervention is needed
• Recruits, trains, monitors, and educates the nursing staff on job duties
• Performs duties of an ED RN Care Coordinator/Care Manager
• Evaluates and measures outcomes to continuously improve workflows and team productivity
• Fosters teamwork and strengthens a culture of continuous improvement
• Ensures performance is tracked accurately utilizing internal tools and processes (e.g., dashboards; scorecards; reports)
• Provides input on resolution of barriers affecting program
• Work in this role impacts multiple markets and sites at a national scale

Clinical Leadership

• Collaborates with Medical Directors, ED Physicians, and other clinical stakeholders
• Maintains clinical standards aligned with operations policies and procedures
• Performs relevant clinical reviews at designated facilities
• Supports operations team by providing patient-level case reviews for market reports
• Leads clinical recruitment, onboarding, training, education, and compliance with licensure requirements

Program Management

• Educates RNs on monthly metrics, glidepaths, goals and improvements
• Aligns RNs workflows to market-specific targets (i.e., quality metrics, disease-specific programs, Hospital at Home, and vendor-based services)
• Facilitates recurring RN staff meetings to communicate operational updates
• Works with Program Manager to update RN training materials, guides, and knowledge base

RN Supervision

• Mentors and provides supervision and leadership support to the ED RN Case Management team
• Coordinates with operations teams to assign and manage RN placements by market
• Completes all RN scheduling, coverage plans, and appropriate staffing levels
• Ensures effective development and delivery of facility workflows by the CM team
• Manages RN escalations in collaboration with deployment teams and hospital stakeholders to resolve patient, program, and facility issues
• Monitors timely and accurate documentation into designated applications to comply with documentation requirements
• Supports RNs in acquisition and maintenance of required systems (ADT, EMR, CM platforms)
• Communicates organizational objectives and vision to the team
• Develops RN performance goals and tracks performance throughout the year for effective RN development and engagement

Case Management

• Participates in educational programs to enhance nursing and management knowledge
• Uses, protects, and discloses Optum patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Performs ED Care Coordinator/Care Manager duties to keep updated with workflows and as required for coverage
• Collaborates effectively with ED and outpatient care teams to establish an individualized transition plan for members
• Identifies member's ED discharge support opportunities level of risk by monitoring real-time ADT feeds and communicates with patient, ED, and outpatient teams for discharge coordination
• Conducts transition of care outreach following ED discharge to confirm access and completion of discharge plan
• Enters timely and accurate documentation into designated applications to comply with documentation requirements

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:

• Degree in nursing combined with 4 or more years of clinical experience
• Current, unrestricted RN license
• 2+ years in nursing supervision/leadership role
• Experience working in the ED
• Knowledge of care coordination, utilization management, quality improvement, and discharge planning
• Knowledgeable in Microsoft Office applications including Outlook, Word, and Excel
• Proven ability to read, analyze and interpret information in medical records, and health plan documents
• Proven planning, organizing, conflict resolution, negotiating and people skills
• Proven ability to utilize critical thinking skills, nursing judgement, and decision-making skills
• Proven ability to prioritize, plan, and manage multiple tasks/demands simultaneously

Preferred Qualifications:

• Leadership experience managing a group of nurses
• General knowledge of clinical programs, provider relations and customer service
• Working in a tight-knit team environment with diverse professional groups
• Proven ability to build a high performing team by promoting a culture of energy and commitment, mentoring employees, and supporting ongoing training and development of staff
• Proven ability to successfully operate in a changing environment
• Proven ability to manage multiple priorities and deadline in an expedient and decisive manner
• Demonstrated solid appetite for learning

*All employees working remotely will be required to adhere to UnitedHealth Group'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 (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.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe 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 experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority 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 origin, 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.