Optum in the tri-state region (formerly CareMount Medical, ProHEALTH New York and Riverside Medical Group) offers an interconnected network that enables us to work collaboratively to better coordinate care among our doctors and care teams. Together, we offer you and your family access to more than 2,100 providers, representing 70 specialties, working in 360 medical practices and more than 55 urgent care locations across New York, New Jersey, and Southern Connecticut. For more information, visit www.optum.com/tri.

ProHealth is one of the largest private multi-specialty medical practices in the Northeast and has been serving the health needs of Long Island and the Greater New York Metropolitan area since 1997. With over 900 providers in 300 locations, our goal is to provide quality health care to ensure that our patients get the right care at the right time.

At Optum, we are transforming healthcare nationally while providing physician-led care locally. Work with the largest care delivery organization in the world and start doing your life's best work.(sm)

Primary Responsibilities:

• The Utilization Care Coordination Nurse is an integral member of the direct delivery care team, and serves as a gateway to information and support
• The Utilization Care Coordination Nurse (LPN) performs daily Transition Care Management (TCM/TOC) outreach calls to patients discharged from the inpatient setting, under the guidance of the Utilization
• Registered Nurse. The patient communication goal is to review the recent hospitalization, the discharge care plan and assess patient literacy of same; Demonstrates effective communication strategies reflective of the needs of all patients, including those from vulnerable populations
• Utilizes evidence-based approaches with patients/families/caregivers to support self-management, self­efficacy, and health-promoting behavior change
• The Utilization Care Coordination Nurse utilizes tools and documents that support a guided care process, collaborating with patients/families/Physicians and other members of the care team toward an effective
• plan of care during the review of the hospitalization, including:
  • Assess patient and family's unmet health and social needs
  • Provide effective communications to improve health literacy
  • Develop a care plan based on mutual goals with patient, family and provider's emergency plan, medical summary and ongoing action plan, as appropriate. Monitor patient's adherence to plan of care and progress toward goals in timely fashion, facilitate changes as needed
  • Facilitate patient access to appropriate medical and specialty providers as well as other care coordination team support specialists
• Ensure effective tracking of test results, medication management and adherence to follow-up appointments
• Facilitate communication between specialists and Primary Care Physician post-discharge for development of cohesive care plan, communicating action items to all responsible parties and following up to completion of same
• Attend and actively participate in care coordinator related training and meeting activities
• Perform regular visits to provide patient and family support and education

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:

• Licensed Practical Nurse (LPN) in New York State
• Experience in caring for chronic disease patients
• Experience with navigation of local medical and social support systems
• 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:

• 3+ years of experience in clinical or community health settings
• Care Coordination, case management or Home Health experience
• Experience with Electronic Medical Records and Microsoft Excel

CareMount Medical, ProHEALTH Care Associates, and Riverside Medical Group (the “Practices”) are all physician owned and led practices having complete authority for all medical decision-making and patient care through their physicians and other licensed professionals. Optum, through its management organizations (“Optum”) provides non-clinical administrative services to support the Practices and their physicians. Neither Optum nor its management companies employ, engages, or supervises physicians or other licensed professionals, or determines or sets the methods, standards, or conduct of the practice of medicine or health care provided by the Practices or by any of their licensed professionals. “Part of Optum” reflects that the Practices are part of Optum’s effort to support forward-thinking physician practices in helping their patients live healthier lives.

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. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.

 At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

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.