***Hybrid Role in Columbus, OH - This individual is responsible for working on site in a Columbus, OH based office 3 days per week. ***

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)

When you join the Optum Care Network - Midwest team, you become part of a team that strives to identify and retain the top healthcare professionals in the markets it serves. At American Health Network, we want to be the best health care organization we can be. Our mission is to improve the health of our patients. We’re a physician-led organization, operating over 70 medical offices in Indiana and Ohio, with over 300 providers and 1200 employees. We’re also an OptumCare partner, part of the UnitedHealth Group family of businesses, and backed by the resources of a global health care organization working to help people live healthier lives and help make the health system work better for everyone. That’s an important differentiator as more people need our help simplifying the complexities of the American health care system. At the same time, the culture of Optum supports work-life flexibility for providers and places a high value on their physical, emotional, financial and other aspects of well-being.

This position will support two of Optum's American Health Network practices in Columbus. Candidate must reside in the Columbus, OH area and have the ability to work in office 3 days per week. Work locations for this position are listed below;

• 550 W Central Ave, Delaware, OH 43015
• 3154 Park st Grove City, OH 43123

Schedule: Monday - Friday, 8:00am-5:00pm. No evenings, weekends or holidays. 

Primary Responsibilities:

• Assesses the healthcare, educational, and psychosocial needs of the patient and their family at the initial referral to case management
• Designs individualized plan of care with the patient and develops a team approach by working collaboratively with the family, primary care provider and other members of the healthcare team to ensure coordination of services
• Monitors and updates individualized plan of care for the patient using a team approach by working collaboratively with the family, primary care provider and other members of the healthcare team to ensure coordination of services
• Implements clinical interventions based on evidence based clinical guidelines
• Identifies and coordinates referrals and other community resources
• Implements system of care that closely monitors high risk patients to prevent / intervene early during acute exacerbations
• Ensures therapies are arranged as directed by the practitioner and provides appropriate follow-up and monitoring as needed
• Ensures medication reconciliation is completed and documented for all assigned patients according to Population Health guidelines
• Performs patient follow-up calls for issues, feedback and continued follow-up needs, per care management protocol and recommended timelines
• Assists with data collection and closing of care gaps and quality metrics as assigned and assists the healthcare team in meeting all of the quality metrics
• Facilitates problem-solving with the patient/family to mobilize patient resources
• Evaluates and refines the initial assessments and goal achievements in collaboration with the healthcare team
• Advocates for patient/family in assisting the health care team in understanding patient’s rights
• Works cohesively with the healthcare team in discharge planning to link patients with the most appropriate resources
• Identifies opportunities for process improvement in all aspects of patient care

Other Functions:

• Attends meetings and participates on committees as requested
• Reviews current literature and attends training sessions and seminars to keep informed of new developments in the field
• Performs other related duties and responsibilities as directed
• Understands and models UHG’s mission and culture standards during all workplace interactions
• Participates and collaborates with other members of the Population Health Team and during Pop Health initiatives, to better care and meet the needs of our AHN patients

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:

• Active, unrestricted RN license in Ohio
• 2+ years of experience in a hospital, acute care or direct care setting
• Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Preferred Qualifications:

• BSN
• Certified Case Manager (CCM)
• Experience or exposure to discharge planning
• Experience in utilization review, concurrent review or risk management
• Experience in a telephonic role
• Case management experience
• Managed care background

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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.