RN Care Manager - Hybrid in Northgate, WA

RN Care Manager - Hybrid in Northgate, WA at Optum summary:
The RN Care Manager provides complex case management and tailored nursing support to patients with a range of illnesses, coordinating care across multiple settings including hospitals, skilled nursing facilities, and hospices. This role involves collaboration with physicians, social workers, and specialty teams to develop and implement individualized care plans, emphasizing palliative approaches in a primary care environment. The RN Care Manager also ensures compliance with nursing regulations, monitors healthcare utilization, and supports cost-effective, quality care delivery.
$7,500 Sign On Bonus for External Candidates
Optum WA, is seeking a RN Care Manager to join our team in Northgate, WA. 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. We believe you deserve an exceptional career, and will empower you to live your best life at work and erience 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.
Complex care case management seeks to provide thoughtful, tailored nursing support to patients across a spectrum of illnesses of varying severity and progression. Our patients may be anywhere along a continuum from adjusting to a "new normal" all the way through to transitioning to hospice care. Many of our patients dealing with serious illness benefit from assistance in understanding their medical reality.

Therefore, this position integrates palliative approaches to care in our primary care setting. This role works closely with physicians, social workers, other specialty teams (like palliative care, oncology, etc.) to ensure coordinated and value-concordant care. In addition, CM RN will work closely with colleagues in local hospitals, SNFs, and hospices. RN CM will participate in multi-disciplinary team meetings to coordinate an iterative plan of care for our most complex, high-risk patients, as well as those dealing with natural decline.

This complex work benefits from a nursing approach that is focused on creative problem solving and big-picture awareness rather than short-term solutions and reliance on strict rubrics.
Position in this function provides physicians and other health care professionals with appropriate care management tools, support, education and information to enable real time clinical decision-making. Delegates specific tasks of plan of care to Medical Assistants and Health Coaches and oversees the plan of care to ensure protocols are followed and desired outcomes are achieved. Practices within the scope of nursing rules and regulations as established by the Washington Department of Health.

Complies with all reporting requirements, including operational protocol submittals. Provides effective care management across the care continuum and suggests and implements methods to improve cost effectiveness and quality of care.
Position Highlights &

Primary Responsibilities:

• Care Management activities include early identification of high-risk patients, concerted planning involving physicians and mid-level practitioners, monitoring of services provided by outside physicians, home health, DME, and other providers; monitoring emergency department use as well as identifying opportunities to decrease emergency department utilization and other elements of care utilization

• Provides effective care management across the care continuum, including coordination involving internal and external providers of care, families and other entities, as appropriate

• Works in collaboration with colleagues in multiple…