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UnitedHealth Group Registered Nurse Case Manager CHF in Worcester, Massachusetts

Reliant Medical Group, part of the Optum family of businesses, is seeking a Registered Nurse Case Manager to join our team in Worcester, MA. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for everyone.

At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you’ll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

Department: Care Management - CHF

Location: Worcester, MA

Hours: Full-time; Monday - Friday. No weekends, evenings or Holidays

Hybrid : In-office and remote work element

Primary Responsibilities:

  • Provides comprehensive case management and care coordination for a diverse panel of patients with identified needs spanning age, condition, and population variables

  • “Coaches” (rather than “teaches”) patients to improve their health behavior to attain health-related goals, while working as part of a health care team (Providers, Nurses, Social Workers, Patients, Family, Caregivers, etc.)

  • Patient education focus designed in conjunction with Clinical Pharmacists to work with patients to optimize medication protocols and transitions

  • Work Closely with Clinical Pharmacist to manage HTN/DM disease and medications

  • Assist with medication adjustments by protocol

  • Perform medication teaching in collaboration with Clinical Pharmacist

Reliant Medical Group joined Optum in 2018, to be part of the greater vision to make health care better for everyone. At Reliant, you're part of a community-based, multi-specialty, clinician-led medical group in Central and Boston Metro-west Massachusetts. Where everyone works collaboratively on a common purpose: improving the quality, cost and experience of health care. Supported by a patient-centric business model – integrated care teams focus on the best patient care, rather than volume. Recognized nationally for an innovative, sustainable care model we offer a full range of outpatient primary care and over 30 different specialties including hospital medicine, comprehensive radiology services, and urgent care. Together, we're making health care work better for everyone.

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 from an accredited school of nursing

  • Active, unrestricted licensure as a Registered Nurse in Massachusetts

Preferred Qualifications:

  • Certification in Geriatric Nursing or Geriatric Case Management

  • 5+ years of nursing experience, preferably with older patients

  • Experience with hospital discharge case management

  • Proficient in computer use, the Internet and health information technology

  • Proven ability to work effectively both independently as well as a member of an interdisciplinary team

  • Demonstrated excellent communication, interpersonal and organizational skills, with a flexible and creative approach to problem solving

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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