Registered Nurse RN Clinic Healthcare Manager Pharr Texas

WellMed, part of the Optum family of businesses, is seeking a Registered Nurse RN Clinic Healthcare Manager to join our team in Pharr, Texas. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for everyone.

At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you’ll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

The Healthcare Manager 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 telephonically primarily
• 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
  

In 2011, WellMed partnered with Optum to provide care to patients across Texas and Florida. WellMed is a network of doctors, specialists and other medical professionals that specialize in providing care for more than 1 million older adults with over 16,000 doctors’ offices. At WellMed our focus is simple. We’re innovators in preventative health care, striving to change the face of health care for seniors. WellMed has more than 22,000+ primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000+ older adults. Together, we're making health care work better for everyone.

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 2+ 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, COPD / asthma, diabetes, CHF and IHD
• Proficient computer skills to work efficiently with electronic medical records
  
  

Preferred Qualifications

• BSN
• Certified Case Manager (CCM)
• Case management experience
• Experience or exposure to discharge planning
• Experience in utilization review, concurrent review or risk management
• Experience in a telephonic role
• Background in managed care
• Bilingual English/Spanish
  
  

The salary range for this role is $59,500 to $116,600 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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.