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Optum
Bradenton, Florida, United States
(on-site)
Posted
1 day ago
Optum
Bradenton, Florida, United States
(on-site)
Job Type
Full-Time
Job Function
Healthcare
Care Manager Bilingual Preferred Optum Riverfront
The insights provided are generated by AI and may contain inaccuracies. Please independently verify any critical information before relying on it.
Care Manager Bilingual Preferred Optum Riverfront
The insights provided are generated by AI and may contain inaccuracies. Please independently verify any critical information before relying on it.
Description
Sign On Bonus for External Candidates(LPN $2,500) (RN $5,000)
Incentive Bonuses 2 times a year
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.
Position in this function is responsible for ensuring the continuity of care in both the inpatient and outpatient setting utilizing the appropriate resources within the parameters of established contracts and patients' health plan benefits. Facilitates continuum of patients' care utilizing advanced nursing knowledge, experience and skills to ensure appropriate utilization of resources and patient quality outcomes. Performs care management functions on-site or telephonically as the need arises. Works in conjunction with the care team and PCP as care team leader. Ensures evaluation is in alignment with site based goals.
Primary Responsibilities:
- Prioritizes patient care needs upon initial visit and addresses emerging issues
- Meets with patients, patients' family and caregivers as needed to discuss care and treatment plan as delineated in Transitions of Care program
- Identifies and assists with the follow-up of high-risk patients in acute care settings, skilled nursing facilities, custodial and ambulatory settings
- Uses protocols and pathways in line with established disease management and care management programs and approved by medical management in order to optimize clinical outcomes
- Oversees provisions for discharge from facilities including follow-up appointments, home health, social services, transportation, etc., in order to maintain continuity of care
- Maintains effective communication with the physicians, disease management, hospitalists, extended care facilities, patients and families
- Demonstrates a thorough understanding of the cost consequences resulting from Care Management decisions through utilization of reports and systems such as Health Plan Benefits, utilization of metrics and CM reports
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:
- High school graduate, GED or equivalent
- State Licensed LPN or RN
- Basic Life Support for Healthcare providers (AHA) or CPR/AED for the Professional Rescuer (American Red Cross) or be able to obtain within 90 days of employment
- Additional Requirements for LPNs:
- Certificate in Practical Nursing
- Valid Florida LPN license
- IV certification or the ability to obtain within 90 days of employment
- Additional Requirements for RNs:
- Associates or Bachelor's degree in Science
- Valid Florida RN license
Preferred Qualifications:
- 1+ experience in an acute clinical care setting
- HMO experience
- Ability to read, write and speak the Spanish language fluently
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 $58,800 to $105,000 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.
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.
Job ID: 81668509

Optum
Healthcare / Health Services
Optum, part of the UnitedHealth Group family of businesses, 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 h...
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