NICU Case Manager
Location: New York New York
Description: UnitedHealth Group is at the momment seeking for NICU Case Manager right now, this job will be placed in New York. For detail informations about this job opportunity kindly see the descriptions. As a NICU Case Manager, you will be responsible for clinical operations and medical management activities across the continuum of care from assessing and planning to implementing, coordinating, monitoring and! evaluating. This position provides facility based and telephonic support of families receiving services through the neonatal intensive care unit (NICU). Our mission is to help people live their lives to the fullest. Our values are Integrity, Compassion, Relationships, Innovation, and Performance.
Want to learn more before applying for this role? Click here to view the Realistic Job Preview: Telephonic_Case_Manager_Optum.pdf
Primary responsibilities:
Educating and supporting the family unit through telephonic assessment and expert clinical interventions
Evaluating delays in care, facilitating discharge planning, and arranging for alternative care services to facilitate timely and appropriate discharge
Collaborating with hospital staff and other clinical programs to enhance the quality and efficiency in healthcare delivery
Document all clinical information in accordance with company policies and procedures in the member's electronic m! edical record
Assess and interprets beneficiary needs, gap! s, and requirements
Identifies solutions to non-standard request and problems
Solves moderately complex problems and/ or conducts moderately complex analyses
Develops care plan in collaboration with beneficiary/caregiver/provider
Works with minimal guidance, seeks guidance on only the most complex tasks
Translates concepts into practice
Provides explanations and information to others on difficult issues
Coaches, provides feedback, and guides others
Collaborates with specialists, physicians, and medical directors to provide the necessary care and cost efficient care for the beneficiary
Assesses the effectiveness and quality of services provided related to clinical, functional, and financial impact and outcomes
Coordinating services as needed (home health, DME, etc.)
Educating members on disease processes
Assist with projects and/or assignments designated by the Team Leader, Supervisor or Manager
Adhere to the timeframes sur! rounding contractual terms as related to obtaining clinical information, communication with providers and internal disciplines
Refer all cases that fall outside of standard criteria to the Medical Director for review, per company policy and procedure
Adheres to ethical, legal/regulatory and accreditation standards
OptumHealth is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
OptumHealth helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their health care needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.
At OptumHealth, you will perform ! within an innovative culture that's focused on transformational change ! in the health care system. You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact that's greater than you've ever imagined.
job keywords:
RN, Registered Nurse, NICU, PICU, Neonatal, Intensive Care, Case Manager, Case Management, Assessment, Hospital, Clinical
Requirements
Required Qualifications
Current, unrestricted RN license in your state of residence
At least 3 years of experience in a hospital setting managing high-risk level II or III NICU patients
A minimum of 5 years of clinical experience
Proficient level of experience with Microsoft Word, with the ability to navigate a Windows environment
Strong organizational skills and ability to multi-task
Additional Preferred Assets:
Bachelor's Degree in Nursing
Case Management Certification (CCM)
A background in managed care
Case Management experience
E! xperience/exposure with discharge planning
Experience in utilization review, concurrent review and/or risk management
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
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If you were eligible to this job, please email us your resume, with salary requirements and a resume to UnitedHealth Group.
If you interested on this job just click on the Apply button, you will be redirected to the official website
This job starts available on: Sat, 23 Mar 2013 17:12:47 GMT