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 to start Caring. Connecting. Growing together.Registered Nurses in the Optum at Home program work with patients primarily in their home setting. They perform as part of a care team including a Nurse Practitioner, Behavioral Health Advocate, Care Navigator and other supporting team members. They deliver role appropriate patient care through in-home visits, telephonic outreach and consultations, and interdisciplinary team activities.The Registered Nurse may perform care and counsel of the ill, injured, or infirm, in the promotion and maintenance of health with individuals, groups, or both throughout the life span. They help to manage health problems and coordinate health care for the Optum at Home patients in accordance with State and Federal rules and regulations and the nursing standards of care. This includes (but is not limited to) assessment of health status, development and implementation of plan of care, and ongoing evaluation of patient status and response to the plan of care. Clinical management is conducted in collaboration with other care team members.Primary Responsibilities:Reports to Clinical Services ManagerAssess the health status of members as within the scope of licensure and with the frequency established in the model of careEstablish goals to meet identified health care needsPlan, implement and evaluate responses to the plan of careWork collaboratively the multidisciplinary team to engage resources and strategies to address medical, functional, and social barriers to careWorks closely with mental health clinicians to help bridge the gap between mental and physical healthConsult with the patient’s PCP, specialists, or other health care professionals as appropriateAssess patient needs for community resources and make appropriate referrals for serviceFacilitate the patient’s transition within and between health care settings in collaboration with the primary care physician and other treating physiciansCompletely and accurately document in patient’s electronic medical recordProvide patients and family members with counseling and education regarding health maintenance, disease prevention, condition trajectory and need for follow up as appropriate during each patient visitVerify and document patient and/or family understanding of condition, plan of care and follow up recommendationsActively participate in organizational quality initiativesParticipate in collaborative multidisciplinary team meetings to optimize clinical integration, efficiency, and effectiveness of care deliveryMaintain credentials essential for practice, to include licensure, certification (if applicable) and CEUsDemonstrate a commitment to the mission, core values and goals of UnitedHealthcare and its healthcare delivery including the ability to integrate values of compassion, integrity, performance, innovation and relationships in the care provided to our membersYou’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:Current unrestricted licensure as RN in state of practice2+ years of relevant experienceExperience in assessing the medical needs of patients with complex behavioral, social and/or functional needsAbility to work with diverse care teams in a variety of settings including non-clinical settings (primarily patient homes)Ability to travel up to 75% of the time for field based work; valid driver’s licenseSolid computer skills, including use of Electronic Medical RecordsEffective time management and communication skillsAt 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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.