Field RN Service Coordinator 1 - Case Manager - Remote in El Paso Texas

$60,200 - $107,400 / year

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.

We're making a solid connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that's driving the health care industry forward. As a Telephone Case Manager RN with UnitedHealth Group, you'll support a diverse member population with education, advocacy and connections to the resources they need to feel better and get well. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Apply today!

If you are located in El Paso, TX you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

Conducting telephonic or face to face holistic evaluations of Member's individual dynamic needs and preferences gathering relevant data and obtaining further information from Member/family identification, evaluation, coordination, and management of member's needs, including physical health, behavioral health, social services, and long-term services and supports
Provides education and support to Member/LAR on options of Consumer Directed, or Service-Related delivery models as applicable
Performs initial assessments and follow-up assessments and outreach calls within the time specified as part of contractual guidelines or per Member/family/provider request
Identifies members for high-risk complications and coordinates care with the member and the health care team
Manages members with chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefit
Assess, plan, and implement care strategies that are individualized for each member and directed toward the most appropriate, least restrictive level of care
Utilize both company and community-based resources to establish a safe and effective case management plan for members
Collaborate with member, family, and healthcare providers to develop an individualized plan of care
Identify and initiate referrals for social service programs, including financial, psychosocial, community, and state supportive services
Manage care plan throughout the continuum of care as a single point of contact
Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the healthcare team
Utilize approved clinical criteria to assess and determine appropriate level of care for members
Document all member assessments, care plan and referrals provided
Participate in Interdisciplinary team meetings and Utilization Management rounds and provide information to assist with safe transitions of care
Understand insurance products, benefits, coverage limitations, insurance, and governmental regulations as it applies to the health plan
Monitor services being delivered to ensure timeliness, appropriateness, and satisfaction in meeting Member needs
Reports medically complex cases to appropriate roles as necessary for review and problem solving
Maintains status on face-to face- and telephonic visit requirements for assigned Members

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:

Graduate of an accredited school of nursing
Current unrestricted RN license in Texas
3+ years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities as a Service Coordinator, Case Management, or similar role; or any combination of education and experience, which would provide an equivalent background
2+ years of experience working within the community health setting in a health care role
2+ years of experience working in a community health, clinical, hospital, acute care, direct care, or case management setting
2+ years of experience working with MS Word, Excel, and Outlook
Demonstrated knowledge of specific case management processes, and person-centered care practice
Demonstrated knowledge of all clinical resources available to patients both inpatient and outpatient
Proven excellent verbal and written communication skills
Proven analytical decision making and judgment skills
Demonstrated ability to function as a clinical care team leader
Proven data Entry and Word Processing Skills
Ability to travel in assigned region to visit Medicaid members in their homes and / or other settings, including community centers, hospitals etc. This would be in the El Paso TX area.
Bilingual English and Spanish
Reliable transportation with valid driver's license with good driving record

Preferred Qualifications:

Bachelor's Degree in nursing
CCM/RUG Certified
2+ years of experience working with Medicaid Waiver populations
Experience with electronic charting
Experience with arranging community resources
Field-based work experience
Behavioral Health Experience
Experience in managing populations with complex medical or behavioral needs

*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 $60,200 - $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 help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Share this job

Related Jobs

Full-time

3 months ago

ER Registered Nurse (Full-Time Nights, 7P-7A)

Emerus Horizon City, TX

About Us HIGHLIGHTS SIGN-ON BONUS: $10,000 Sign-on Bonus SHIFT: Night Shift (7P-7A) JOB TYPE: Full-Time FACILITY TYPE: 16 bed Small-Format Hospital (8 ER, 8 Inpatient) JOB PERKS: Benefits, 401K match (100% vested day ONE!), PTO Plan! We are Emerus, the leader in small-format hospitals. We partner with respected and like-minded health systems who share our mission: To provide the care patients need, in the neighborhoods they live, by teams they trust. Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Our innovative hospitals are fully accredited and provide highly individualized care. Emerus' commitment to patient care extends far beyond the confines of societal norms. We believe that every individual who walks through our doors deserves compassionate, comprehensive care, regardless of their background, identity, or circumstances. We are committed to fostering a work environment focused on teamwork that celebrates diversity, promotes equity and ensures equal access to information, development and opportunity for all of our Healthcare Pros. Position Overview The purpose of this position is to perform the primary functions of a nurse in assessing, planning, directing, and evaluating patient care in the Emergency Room. Essential Job Functions Plan, prioritize, and provide proficient, age-specific and developmentally/specialty appropriate nursing care by applying advanced specialty clinical nursing knowledge and skills and for ensuring the comfort and safety of patients/families Proficiently and consistently complete accurate, concise and legible documentation on medical records Observe and record signs, symptoms and behaviors including the physiological status of patients Presents proposed revision of interventions and desired outcomes Maintain patient's privacy and confidentiality of information and records at all times Follow physician’s orders in the delivery of nursing care Collect laboratory samples and perform lab testing in accordance with established policies and procedures, as well as COLA and CLIA regulations Adhere to required infection control, isolation procedures and aseptic techniques in the delivery of patient care Perform admission, discharge and transfer procedures Participate in assessing, planning, implementing and evaluating the nursing care given Assemble equipment and supply for various diagnostic or treatment procedures in the specialty service area; performs or assists others with procedures or treatments. Handle care in accordance with legal, hospital/facility, departmental policies and procedures, and established standards of nursing care and practice, as defined by the Board of Nursing of that State Other Job Functions Perform all Quality Assessment activities assigned and document Attend staff meetings or other company sponsored or mandated meetings as required Perform additional duties as assigned Basic Qualifications Associate’s Degree, required; BSN, preferred Current state licensure as a Registered Nurse without sanctions, required 2+ years full-time RN experience in ER or other comparable experience, required Current BLS, ACLS, and PALS certifications from the American Heart Association or the American Red Cross, required; TNCC preferred Position requires fluency in English; written and oral communication Pennsylvania Candidates : Act 33 (Child Abuse History Clearance), & Act 73 (FBI Fingerprint Criminal History Clearance) completed within the last 5 years, or must be obtained prior to start date.

Full-time

2 months ago

ER Registered Nurse (Full-Time Swing Shift)

Emerus El Paso, TX

About Us HIGHLIGHTS SIGN-ON BONUS: $10,000 Sign-on Bonus SHIFT: Swing Shift (2P-2A) JOB TYPE: Full-Time FACILITY TYPE: 23 bed Small-Format Hospital (15 ER, 8 Inpatient) JOB PERKS: Benefits, 401K match (100% vested day ONE!), PTO Plan! We are Emerus, the leader in small-format hospitals. We partner with respected and like-minded health systems who share our mission: To provide the care patients need, in the neighborhoods they live, by teams they trust. Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Our innovative hospitals are fully accredited and provide highly individualized care. Emerus' commitment to patient care extends far beyond the confines of societal norms. We believe that every individual who walks through our doors deserves compassionate, comprehensive care, regardless of their background, identity, or circumstances. We are committed to fostering a work environment focused on teamwork that celebrates diversity, promotes equity and ensures equal access to information, development and opportunity for all of our Healthcare Pros. Position Overview The purpose of this position is to perform the primary functions of a nurse in assessing, planning, directing, and evaluating patient care in the Emergency Room. Essential Job Functions Plan, prioritize, and provide proficient, age-specific and developmentally/specialty appropriate nursing care by applying advanced specialty clinical nursing knowledge and skills and for ensuring the comfort and safety of patients/families Proficiently and consistently complete accurate, concise and legible documentation on medical records Observe and record signs, symptoms and behaviors including the physiological status of patients Presents proposed revision of interventions and desired outcomes Maintain patient's privacy and confidentiality of information and records at all times Follow physician’s orders in the delivery of nursing care Collect laboratory samples and perform lab testing in accordance with established policies and procedures, as well as COLA and CLIA regulations Adhere to required infection control, isolation procedures and aseptic techniques in the delivery of patient care Perform admission, discharge and transfer procedures Participate in assessing, planning, implementing and evaluating the nursing care given Assemble equipment and supply for various diagnostic or treatment procedures in the specialty service area; performs or assists others with procedures or treatments. Handle care in accordance with legal, hospital/facility, departmental policies and procedures, and established standards of nursing care and practice, as defined by the Board of Nursing of that State Other Job Functions Perform all Quality Assessment activities assigned and document Attend staff meetings or other company sponsored or mandated meetings as required Perform additional duties as assigned Basic Qualifications Associate’s Degree, required; BSN, preferred Current state licensure as a Registered Nurse without sanctions, required 2+ years full-time RN experience in ER or other comparable experience, required Current BLS, ACLS, and PALS certifications from the American Heart Association, required; ENPC certification from ENA may be substituted for PALS certification; TNCC preferred Position requires fluency in English; written and oral communication Pennsylvania Candidates : Act 33 (Child Abuse History Clearance), & Act 73 (FBI Fingerprint Criminal History Clearance) completed within the last 5 years, or must be obtained prior to start date.

Full-time

1 month ago

ER Registered Nurse

Emerus El Paso, TX

About Us HIGHLIGHTS SIGN-ON BONUS: $10,000 Sign-on Bonus SHIFT: Night Shift (7P-7A) JOB TYPE: Full-Time FACILITY TYPE: 9 bed Small-Format Emergency Hospital JOB PERKS: Benefits, 401K match (100% vested day ONE!), PTO Plan, Paid Referrals, free CEU's! We are Emerus, the leader in small-format hospitals. We partner with respected and like-minded health systems who share our mission: To provide the care patients need, in the neighborhoods they live, by teams they trust. Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Our innovative hospitals are fully accredited and provide highly individualized care. Emerus' commitment to patient care extends far beyond the confines of societal norms. We believe that every individual who walks through our doors deserves compassionate, comprehensive care, regardless of their background, identity, or circumstances. We are committed to fostering a work environment focused on teamwork that celebrates diversity, promotes equity and ensures equal access to information, development and opportunity for all of our Healthcare Pros. Position Overview The purpose of this position is to perform the primary functions of a nurse in assessing, planning, directing, and evaluating patient care in the Emergency Room. Essential Job Functions Plan, prioritize, and provide proficient, age-specific and developmentally/specialty appropriate nursing care by applying advanced specialty clinical nursing knowledge and skills and for ensuring the comfort and safety of patients/families Proficiently and consistently complete accurate, concise and legible documentation on medical records Observe and record signs, symptoms and behaviors including the physiological status of patients Presents proposed revision of interventions and desired outcomes Maintain patient's privacy and confidentiality of information and records at all times Follow physician’s orders in the delivery of nursing care Collect laboratory samples and perform lab testing in accordance with established policies and procedures, as well as COLA and CLIA regulations Adhere to required infection control, isolation procedures and aseptic techniques in the delivery of patient care Perform admission, discharge and transfer procedures Participate in assessing, planning, implementing and evaluating the nursing care given Assemble equipment and supply for various diagnostic or treatment procedures in the specialty service area; performs or assists others with procedures or treatments. Handle care in accordance with legal, hospital/facility, departmental policies and procedures, and established standards of nursing care and practice, as defined by the Board of Nursing of that State Other Job Functions Perform all Quality Assessment activities assigned and document Attend staff meetings or other company sponsored or mandated meetings as required Perform additional duties as assigned Basic Qualifications Associate’s Degree, required; BSN, preferred Current state licensure as a Registered Nurse without sanctions, required 2+ years full-time RN experience in ER or other comparable experience, required Current BLS, ACLS, and PALS certifications from the American Heart Association or the American Red Cross, required; TNCC preferred Position requires fluency in English; written and oral communication Pennsylvania Candidates : Act 33 (Child Abuse History Clearance), & Act 73 (FBI Fingerprint Criminal History Clearance) completed within the last 5 years, or must be obtained prior to start date.

Travel Director Of Nursing/DON (RN)

Luxor Healthcare El Paso, TX

Job Type: Travel, Full-time Job Description: Seeking experienced Director of Nursing (DON) for travel opportunity in Missouri. Lead nursing staff, develop care policies, and ensure exceptional patient care in our Skilled Nursing Facility. Requirements: - Current RN license in Missouri or compact state - 2+ years of experience as a DON in LTC/SNF setting - Strong leadership and communication skills Benefits: - Competitive salary and per diems - Paid housing - Medical, dental, and vision insurance Apply Now!

ICU

1 week ago

*Registered Nurse (RN) - ICU

The Hospitals of Providence El Paso, TX

Overview Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make a meaningful impact in patients' lives while enjoying a supportive work environment that fosters professional growth and work-life balance. Ready to be a vital part of our mission? Apply today and bring your passion for nursing to a place where it truly matters! At The Hospitals of Providence - Trans Mountain Campus, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include: Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match Generous paid time off Career development and continuing education opportunities Health savings accounts, healthcare & dependent flexible spending accounts Employee Assistance program, Employee discount program Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance Note : Eligibility for benefits may vary by location and is determined by employment status Job Summary Job Shift: Night Job Type: Full Time This role provides direct clinical patient care. The role will assume responsibility for assessing, planning, implementing direct clinical care to assigned patients on a per shift basis, and unit level. The role is responsible for supervision of staff to which appropriate care is delegated. The role is accountable to support CNO to ensure high quality, safe and appropriate nursing care, competency of clinical staff, and appropriate resource management related to patient care. Responsibilities The RN provides high-quality, safe, cost-effective, total nursing care to all patients. The RN assumes responsibility for overall coordination and integration of patient care based on the nursing process. The RN directs care according to established standards of safety, risk management, QI, and Infection Control, with the goal being to discharge the patient with an optimum level of care provided. Assumes responsibility for coordination and planning of patient care within the prescribed medical regime. Administers all medications safely and in a timely manner per hospital policy. Performs and fulfills all HICS (hospital incident command system) responsibilities, assignments, tasks, and roles as directed and needed by the facility in times of emergency and/or disaster. Responsible for knowing the Hospital’s emergency codes, including the purpose and appropriate action for each, and adheres to the Hospital policies and procedures for each emergency code. Qualifications Education: Required: Graduate of an accredited school of nursing. Preferred: Bachelor's or Master's degree in Nursing Experience: Required: Must have 1 YOE of RN experience for PRN status. Preferred: Recent acute care experience. Certifications: Required: Currently licensed, certified, or registered to practice profession as required by law, regulation in state of practice or policy; AHA BLS, and if applicable by corporate policy for unit of hire, AHA ACLS and/or PALS and/or NRP. #LI-LG2 Organization Description The Hospitals of Providence have faithfully been serving our community since 1902. Generations of families have chosen our hospitals to be a steward of health in the El Paso community. Our five hospitals include a childrens hospital committed to providing the care patients need, when they need it. Today, the Hospitals of Providence are comprised of our region's most trusted hospitals, each dedicated to meeting our families specific healthcare needs. Join our team! Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: http://www.uscis.gov/e-verify The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. 2603024713