
Care Manager RN Optum at Altamonte Springs
- Altamonte Springs, FL
- $58,800-105,000 per year
- Permanent
- Full-time
- Works with the providers and clinic staff to identify patients at high risk
- Supports longitudinal care of the patient with chronic care conditions by:
- Performing assessment of health conditions
- Performing medication reconciliation
- Conducting Motivational Interviewing and Self-Management Goal setting
- Providing patient education, creating referrals to appropriate agencies and resources
- Supports transition of the patient with chronic care conditions from inpatient to outpatient setting, by:
- Performing assessment of transitional needs
- Performing medication reconciliation
- Establishing and reviewing contingency plan
- Providing patient education
- Assisting with post discharge needs such as prescriptions, transportation, Durable Medical Equipment (DME), appointments
- Coordinate with providers to establish or update plan of care
- Performs accurate and timely documentation in the electronic medical record
- Participates in daily huddles and Patient Care Coordination (PCC) meetings
- Prepares accurate and timely reports, as required, for weekly meetings
- Maintains continued competence in nursing practice and knowledge of current evidence-based practices
- May perform clinical tasks within their scope of practice
- Bachelor’s degree in Nursing or Associate’s degree in Nursing with 4+ years of experience
- Registered Nurse with an active and unrestricted license to practice in the state of employment
- Current BLS certification
- 2+ years of experience in a physician’s office, clinical or hospital setting
- Proven knowledge of chronic diseases, especially COPD/asthma, diabetes, CHF and IHD
- Proficient computer skills to work efficiently with electronic medical records
- 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
- Experience related to patient education and / or motivational interviewing skills and self-management goal setting
- Proven excellent verbal and written skills
- Proven excellent organizational and prioritization skills
- Proven solid interpersonal skills
- Proven ability to interact productively with individuals and with multidisciplinary teams