Opportunities with Homecare Dimensions. For more than 20 years, Homecare Dimensions has been bringing compassionate and skilled care into the homes of patients throughout Southern Texas. Our focus on combining empathy with quality of care enables us to effectively act as a supportive partner to primary care providers. And that makes our organization a perfect fit to Optum and the UnitedHealth Group family of businesses. Career opportunities with Homecare Dimensions provide you with flexibility, autonomy and incredible support. More importantly, you'll discover the tools, resources, training and technology that only a leader like Optum can provide. Want to make a bigger difference? Join us and start doing your life's best work.(sm) The RN Case Manager performs management functions of coordination and supervision of all clinical disciplines including: skilled nursing, home health aide, physical therapy, occupational therapy, speech therapy, and medical social services. The RN Case Manager supervises all activities and assumes responsibility for continuity, appropriateness, and quality of services delivered within the home health department. The RN Case Manager oversees the day-to-day scheduling of staff, monitors performance of staff, assists in the orientation of staff and serves on committees to improve operations. The RN Case Manager performs all functions in a professional and ethical manner and collaborates with other members of the health care team to ensure the provision of quality care. Primary responsibilities:Assigns, supervises and evaluates clinical staff Ensures that all supervised health care staff maintains compliance to federal and state rules and regulations and to agency clinical policies, procedures, and appropriate standards of care Ensures that a client's plan of care is executed as written Ensures that a reassessment of a client's needs is performed by the appropriate health care professional: when there is a significant health status change in the client's condition; at the physician's request; or after hospital discharge Participates and assists in orientation and training of clinical and paraprofessional staff Ensures scheduling and assignments are appropriately based on patient needs, staff expertise and geographical locations Receives and coordinates patient referrals from case managers, physicians, and other referral sources Leads and participates in interdisciplinary care conferences, agency programs and management functions as assigned Monitors documentation and paper flow to ensure records are accurate and timely and adhere to Medicare and other payer guidelines Investigates patient/family complaints promptly and takes corrective action as needed Makes home visits to provide patient care as needed Participates in the Agency's endeavors for accreditation, licensing and professional recognition according to state, federal or CHAPs requirements Participates in periodic review of clinical records to promote quality patient care Educates clinical staff on documentation standards and patient care as needed Monitors assigned cases to ensure compliance with requirements of third party payers Maintains privacy and confidentiality with regard to all patient, staff and Agency information Provides positive, supportive communication to patients, families, visitors, physicians and other personnel
Required Qualifications: Graduate of an accredited school of nursing Current licensure as a Registered Nurse in good standing with the Board of Nurse Examiners for the State of Texas 3+ years experience as a Registered Nurse in an acute care setting or general medical setting Ability to define problems, collect data, establish facts and draw valid conclusions Ability to interpret an extensive variety of technical, medical and regulatory instruction and deal with numerous contemporaneous issues and problem solving, delivery of patient care, and management of a diverse and multidiscipline staff applying abstract and concrete variables Ability to operate computer equipment, as well as maintaining communication with agency answering service Access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease Preferred Qualifications: Supervisory experience BSN Bilingual (Spanish) Managed Care experienceCareers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 90,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm) Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Job Keywords: RN, manager, San Antonio, TX, Texas
Internal Number: 736555
About UnitedHealth Group
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.