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UnitedHealth Group Clinic Admin RN in Irvine, California

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.

It is time to take your career to the next level. As a Nurse at Optum, you will be responsible for providing care by assessing, planning, implementing, and evaluating the care of patients under the supervision of a clinician. You will delegate tasks as needed to professionals and para-professional teammates. As a nurse, you will coordinate activities and work closely with clinicians and teammates to maintain efficient department functions and ensure the successful operation of the department. Also, work in collaboration with the pharmacist and assist with anticoagulation clinic.

Primary Responsibilities:

  • Prioritize patient care needs upon initial visit and address emerging issues

  • Meet telephonically with patients, families, and caregivers as needed to discuss care and treatment plans

  • Identify and assist with the follow-up of high-risk patients in acute care settings, skilled nursing facilities, and custodial and ambulatory settings

  • Consult with the physician and other team members to ensure the care plan is successfully implemented

  • Use protocols and pathways aligned with established disease and care management programs to optimize clinical outcomes and minimize unnecessary institutional care

  • Monitor and coach patients using motivational interviewing techniques and behavioral change to maximize self-management

  • Oversee provisions for discharge from facilities, including follow-up appointments, home health, social services, transportation, etc., to maintain continuity of care

  • Work in coordination with the care team and demonstrates accountability with patient management and outcome

  • Discuss Durable Power of Attorney (DPOA) and advanced directive status with the patient and PCP when applicable

  • Maintain effective communication with physicians, hospitalists, extended care facilities, patients, and families

  • Provide accurate information to patients and families regarding available resources through health plan benefits, community resources, and referrals

  • Maintain concise and accurate documentation that supports effective and efficient management to decrease Emergency and hospital readmissions

  • Work in collaboration with pharmacists to support anticoagulation clinic

  • Participate in health fairs, flu clinics, chart review

  • Identifies solutions to non-standard requests and problems

  • Solves moderately complex problems and/or conducts moderately complex analyses

  • Works with minimal guidance; seeks guidance on only the most complex tasks

  • Acts as a resource for others with less experience

  • Monitor high risk patient lists and perform regular tuck in calls for appropriate members

  • Monitoring data surrounding high risk inpatient metrics to align with market metrics

  • Bridge relationships between care teams, local PCPs, and specialists

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:

  • Graduation from an accredited school of nursing

  • Active, unrestricted Registered Nurse license through the State of California

  • 1+ years of experience in a clinical setting or care/disease management

  • Basic competency in Microsoft products including but not limited to Word, Excel, and PowerPoint

Preferred Qualifications:

  • Bachelor of Science in Nursing, BSN

  • Telehealth certification

  • 1+ years of care management or disease management experience

  • HMO experience

  • Bilingual Spanish

California Residents Only: The salary range for this role is $58,300 to $114,300 annually. 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.

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.

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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