Care Manager RN - Presque Isle, ME

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team 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 make 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.

Provides leadership in the coordination of patient-centered care across the continuum, develops a safe discharge plan through collaboration with patients/caregivers and multidisciplinary healthcare teams. Facilitates appropriate length of stay (LOS), patient experience, and reimbursement for all patients. Provides leadership in patient-centered care coordination across the continuum. Develops safe discharge plans and arranges appropriate post-discharge services. Drives appropriate DRG length of stay, patient experience, and reimbursement. Promotes patient advocacy in an independent care model.

Primary Responsibilities:

• Maintains knowledge of care management, care coordination, authorizations, and regulatory requirements
• Assesses physical, psychosocial, and economic needs for transition of care planning
• Documents and validates data required to monitor and evaluate interventions and outcomes
• Communicates with outpatient providers to enhance the continuum of care
• Integrates performance improvement and customer service principles
• Adheres to hospital policies and state and federal regulations
• Performs 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, unrestricted RN license in the state of Maine
• 2+ years of experience in a hospital, acute care or direct care setting
• Willing to work on site at the hospital, Monday - Friday
• Proven solid communication skills; written, verbal, and in person.
• Proven ability to type and have the ability to navigate a Windows based environment
• Proven ability to develop and maintain positive relationships with internal and external customers
• Demonstrates accountability for decisions and behaviors, exercises critical thinking, clinical rationale, and ethical decision-making
  

Preferred Qualifications:

• CCM, ACM other certification applicable to care management
• Experience in care management
• Knowledge of care coordination, discharge and transition planning, and community resources
  

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 $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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.

UnitedHealth Group 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.

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