Responsible for day-to-day monitoring of biometric and subjective data, education, telephonic triage, and care coordination with a focus on Heart Failure for members enrolled in Remote Patient Monitoring. The RPM - RN provides triage advice to callers by utilizing the nursing process, conducts focused telephonic assessments, researches clinical situations, and coordinates with members of the health care team to educate patient on severity of condition and coordinate complex care needs. . The RN acts as an educator, resource, and advocates for members and their families to ensure a maximum level of independence. The RPM - RN works in conjunction and collaborates with a multidisciplinary care team, which includes providers, nurses, case managers, social workers, and educators. Primary Responsibilities: Functions independently, utilizing the nursing process to triage member biometric and subjective data and member telephone calls in accordance with approved protocols ensuring safe, quality patient care in the least restrictive care setting Completes patient assessments and relays concerns to appropriate care providers when needed, utilizing sound professional judgment and clinical decision making skills Responds to concerning data from RPM, calls, or concerns in a professional and timely manner Works closely with specialty and PCP providers and clinic staff to identify members with heart failure related exacerbations and coordinates member visits with specialists / PCP as needed Assesses member or caregiver to determine their understanding of the severity of their disease process and ability to carry out instructions provided by RN or clinic staff Establishes a trusting relationship with members, caregivers, clinic staff and providers through regular communication and follow up regarding patient needs and concerns Utilizes appropriate motivational interviewing techniques necessary for providing effective education and encouraging adherence with recommended healthcare regimen Makes referrals to outside sources Researches specific clinical situations and collaborates with multidisciplinary care team including physicians, nurses, case managers, social workers and other educators/health coaches to assure that a well-coordinated treatment plan is formed Engage patient, family, and caregiver regularly to assure that a well-coordinated treatment plan is put into action and any new needs or concerns are identified in a timely manner Manages patient case load in an efficient and effective manner utilizing time management skills to facilitate the total work process Provides constructive information to minimize problems and increase customer satisfaction Seeks ways to improve job efficiency and makes appropriate suggestions following the appropriate chain of command Enters timely and accurate data into electronic medical record and other applications necessary to communicate patient needs and ensure complete documentation of patient visits and phone calls Performs all other related duties as assigned
Bachelor's degree in Nursing, or
Associate's degree in Nursing combined with five or more years of experience
Current, unrestricted RN license required, specific to the state of employment
Two or more years of diverse clinical experience caring for acutely ill patients with multiple disease conditions
Experience related to patient education and/or motivational interviewing skills
Excellent verbal and written skills
Possess planning, organizing, conflict resolution, negotiating and interpersonal skills
Proficient in PC software computer skills such as Microsoft Word, Excel, Power Point, and other departmental specific programs/applications
Ability to interact productively with individuals and with multidisciplinary teams
Independent problem identification/resolution and decision making skills
Must be able to prioritize, plan, and handle multiple tasks, demands simultaneously
BSN degree with current RN license to practice in the applicable State
Experience working with psychiatric and geriatric patient population
Bilingual (Spanish) language proficiency preferred
Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 90,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.SM
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.
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.
Job Keywords: cardiology, RN, registered nurse, heart failure, clinic, San Antonio, TX, Texas