RN Liaison Long Term Care - Chester and Delaware Counties PA

Careers at UnitedHealth Group

We're creating opportunities in every corner of the health care marketplace to improve lives while we're building careers. At UnitedHealth Group, we support you with the latest tools, advanced training and the combined strength of high caliber co-workers who share your passion, your energy and your commitment to quality. Join us and start doing your life's best work. SM


Compassion. It's the starting point for health care providers like you and it's what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you're also providing leadership and contributing in ways that can affect millions for years to come. Ready for a new path? Learn more, and start doing your life's best work. SM

Our teams are helping people from around the world. We can bring out your best as you put your listening, analytical and problem solving skills to work in a setting that is geared to helping improve lives and enhance health care for millions. Here, you'll discover a wealth of pathways for professional growth within Customer Service, Billing, Claims, Enrollment & Eligibility and across our global economy. Join us and find out why this is the place to do your life's best work. SM

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)

The RN functions as part of the primary care team, and reports to the RN Nurse Manager and/or Clinical Services Manager providing care to residents of Long Term Care, Skilled Nursing and other facilities. The RN supports the team by performing activities as outlined below, and as assigned by the RN Nurse Manager or Clinical Services Manager of the team. The RN performs activities that fall within the RN scope of practice. This role works in close collaboration with all of 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, RN Nurse Manager or the team CSM. The RN understands and supports the ISNP model of care, and works in collaboration with the team to meet the goals of the program.

Primary Responsibilities:

  • Monthly outreach to facility contact to determine inservice needs
  • Keep CSM/NP aware of scheduled inservices
  • Maintain facility-specific inservice tracker
  • Conduct OPTUM 101's at new facilities during off hours for 2nd & 3rd shift staff
  • Periodically provide facilities with list of inservices available from OPTUM
  • Participate as appropriate in monthly facility new employee orientation providing an abbreviated OPTUM 101 or "walking rounds" in services

  • Review daily On Call log & review PNP signout
  • Conduct rounds at facilities during PTO time & as requested by CSM
  • Assess & report to PNP with any issues
  • Round on "red" residents as requested during normal business hours as well as off hours and weekends

  • Data mining in facilities
  • Backfill collection/entry of new effectives
  • Maintain monthly backfill tracker specific to RN building assignment
  • Update data as requested by team NPs
  • Ensure resident charts have proper OPTUM identification as needed

  • Weekly Organizational Recap call
  • Weekly RN call
  • Monthly Documentation & Coding Webex
  • Monthly designated Committee call
  • Attend CSM Team Meetings
  • All Staff Meeting

  • Daily Log Review sent out from 6am log -send to PNP's, CSM's & CA's of specific team
  • Updating/creating Resident Rosters
  • MMSE's (mostly in the 1st month of opening new facilities)
  • Prior Authorization completions
  • On call fax box clean up- checking 2x/week & sending data to appropriate staff
  • Replacing member face sheets when NP assignments change

  • The RN reports to the team CSM
  • The RN is accountable for collaborating with, and working under the direction of the NPs and PAs, and the team CSM
  • The RN may be assigned to work with multiple providers, and duties and responsibilities may vary according to market needs
  • The RN functions as part of the overall team, and is accountable for supporting the team in meeting team and market goals and initiatives

  • The RN is responsible for having and maintaining current RN licensure in their state of practice
  • The RN is responsible for having and maintaining current individual nursing home credentialing
  • The RN is responsible for maintaining other certifications such as CPR, etc., as required by the state or market

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:
  • Unrestricted RN license in state of practice
  • 5+ years of experience working as a RN
  • Working knowledge of Medicare/Medicaid regulations
  • Proficient in computer applications including Word, Excel and Power Point
  • Ability to travel

Preferred Qualifications:
  • Bachelor's degree Experience with using an Electronic Medical Record
  • 5+ years of experience in a community based, Home Care, Hospice and/or long term care setting
  • Familiarity with the long term care business environment
  • Experience working with the geriatric population
  • Solid communication skills, written and verbal
  • Solid organization skills and time management skills
  • Work independently in an unsupervised setting

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

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: Registered Nurse, Registered Nurse Jobs, RN, long term care, LTC, Assisted Living, Nursing Home, Primary Care, Chester, Dover Counties, West Chester, Springfield, Media, PA, Pennsylvania