Optum

Telephonic After Hours RN - Long Term Care - NY or NJ licensure required

Posted on

January 7, 2025

Job Type

Full-Time

Role Type

Triage

License

RN

State License

New York

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Company Description

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual’s physical, mental and social needs – helping patients access and navigate care anytime and anywhere. As a team member of our Senior Community Care (SCC) product, we work with a team to provide care to patients at home in a nursing home, assisted living for senior housing. This life-changing work adds a layer of support to improve access to care. We’re connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together.

Job Description

An RN functions as part of the National On Call team, and reports to the National On Call Hub Clinical Services Manager. The RN performs activities that fall within the RN scope of practice. This role works in close collaboration with all the team members and may support multiple providers. The RN works under the direction of the provider, and activities are delegated to the RN by the provider or the Hub CSM. The RN understands and supports the CCM models of care including the Institutional Special Needs Plan (ISNP), Institutional Equivalent Special Needs Plan (IESNP), Dual-Eligible Special Needs Plan (DSNP), and Transitions to Skilled (TTS). The Senior Community Care (SCC) National On Call Registered Nurse is responsible for providing telephonic care and direction to members and facility staff during various overnight, weekend, and holiday hours. This role is responsible for the delivery of medical care services to a pre-designated group of enrollees. In this home-based role you will provide afterhours virtual (primarily telephonic) care for aging residents in various settings. This excellent opportunity affords an autonomous role bringing enormous satisfaction in the care and comfort of our aging population. Scheduling & Hours: This is a work from home position requiring various shift coverage with a mix of weeknights, weekend, and holiday coverage. While shift times can vary, we provide coverage to members on weeknights from 5pm- 8am local time, continuous coverage from Friday at 5pm to Monday at 8am. Holiday coverage is also provided beginning at 5pm of the end of the last business day to 8am of the resumption of business hours. Availability and Coverage expectations for this role While shift times can vary, we provide coverage to members on weeknights from 5pm- 8am local time, continuous coverage from Friday at 5pm to Monday at 8am. Holiday coverage is also provided beginning at 5pm of the end of the last business day to 8am of the resumption of business hours Availability and Coverage expectations for this role Weeknight shifts between 5pm and 8am Every other weekend coverage for 10 – 12-hour shifts covering both day and evening shifts- Expectations that you are working and/or have approved PTO for 26 weekends/ year. Each FT/PT employee is eligible to have off up to 6 weekend shifts a year for PTO Unapproved time away/Unpaid Time Off will result in need to add additional weekend shift to your schedule Overnight and holidays are required for all RNs Holiday scheduling is completed at the beginning of the year for advanced planning

Requirements

Required Qualifications: Current, unrestricted RN license in the state of NY or NJ 3+ years of clinical experience in a hospital, acute care, home health/hospice, direct care, or case management position Proficient with Microsoft Word, Outlook, and Excel Computer/typing proficiency to enter and retrieve data in electronic clinical records Dedicated space for home office set up Access to high-speed internet services Residency in either NY or NJ Preferred Qualifications: Experience working with the needs of vulnerable populations who have chronic or complex bio-psychosocial needs Experience triaging calls Proven solid problem-solving skills Proven ability to communicate complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from other Proven ability to flex with change and perform positively and efficiently in production driven environment

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Responsibilities

Care Coordination Assist the provider/team with various care coordination activities to support the role of the National On Call APCs Telephonic triage of incoming calls and voicemails to determine the correct level of care Collaborating with the nursing facility, APCs, and community members to identify and respond to changes in condition Assist the provider/team with inbound and outbound communications for members including addressing handoffs, telephonic assessments, acuity follow-ups, and proactive/RED facility calls Team Support – Assist in the coordination of the follow up of members in the ER Participate in the onboarding of new clinical staff under the direction of the CSM; the RN may coordinate onboarding activities and participate in other orientation activities under the direction of the Hub CSM Documentation- Document all clinical information, telephonic assessments, and activities in the appropriate documentation tool RN to APC Hand Off- One entry by the RN and one responding entry by the APC should be recorded in the appropriate documentation tool RN is responsible for escalating appropriate calls to the On-Call APC Use of RN mini soap notes for acute change in condition calls escalated to APC Use of the fall mini soap notes for reported falls, escalate to APC

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