Sr Case Manager RN - Kelsey Seybold Clinic - Downtown

Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together.

The registered nurse provides nursing care to patients in an assigned clinical area and leadership on the unit, under the supervision of a Nurse Supervisor, or RN Coordinator. The RN applies clinical nursing knowledge and utilizes demonstrated skills to ensure the safety and comfort of patients and families according to legal, organizational and professional standards. The RN utilizes critical thinking to identify priorities and make judgments concerning basic and comprehensive needs of multiple patients in order facilitate appropriate and timely care.

Primary Responsibilities:

• Clerical

• Review doctor's schedule, abstract as needed, print PVS for each patient and request other relevant information

• needed for patient's visit that day

• Prepares and submits patient documents for scanning

• Monitor assigned in basket and complete work as needed-Overdue Results/Letters

• Schedule appointments and assist patient with specialty referrals and radiology testing

• Provide AVS and or pre-printed patient educational material as directed by provider

• Proper disposal of confidential patient information -daily

• Follows HIPAA policy and procedures regarding patient confidentiality

• Develop patient teaching plans

• Identify basic health related learning needs of patient

• Prepare and submit UR and other referrals as directed by the physician

• Call in prescriptions as directed by the physician

• Patient Care

• Utilize the nursing process. Act as an advocate to promote quality patient care. Critically analyze and integrate subjective and objective data regarding concerns and conditions both in direct encounters, computer, or telephone

• Medication administration using the 7 rights, document, monitor, and report response

• Monitor in basket for orders placed by physician and perform tasks that need to be completed; reports and accurately documents patient response. Manage workload in assigned departmental in basket to include: result notes, Rx requests, Rx response, orders, patient calls, over due results, canceled orders, expiring orders and patient advice requests.

• Telephone management: collect pertinent patient information to help identify health care needs and document in the medical record. Report information to physician for direction of care or provide care advice as appropriate to the situation.

• Perform CPR as needed and actively participates in management of emergency response (includes code blue and code orange teams)

• Document observations related to health status and report findings

• Transport patient within facility as needed depending on acuity of patient

• Rooms patients, performs testing, and assist physician as patient acuity warrants on arrival as rooms become available

• Departmental Maintenance

• Monitor supplies, medications and forms and notifies appropriate staff when reorder needed

• Remove and tag broken equipment and notifies coordinator, supervisor, or manager

• Cleans assigned exam rooms daily and documents on log

• Monitors supplies for expiration date and restock to par levels

• Perform sterilization of instruments and complete logs (assignment based on completion of sterilization class and

• delegation by appropriate nursing staff)

• Attends staff meetings

• Maintain a clean and organized work area with a minimum of personal items

• QA-Regulatory

• Uses frequent hand washing or hand sanitizer (up to 10 times before have to wash hands with soap and water, unless hands visibly soiled) to prevent and control the spread of disease within the clinical setting

• Complete daily logs as assigned by nursing supervisor or coordinator:

• Waived testing (ie glucometer, urine dipstick and urine pregnancy logs) CLIA standards

• Refrigerator and room temperature logs

• Eye wash station

• Sterilizer log

• Crash cart log

• Narcotic log

• Other QA logs

• Performs accurate, legal, & ethical documentation

• Maintain patient confidentiality

• Practice OSHA safety standards with proper disposal of biohazard waste

• Uses gloves and PPE as needed

• Uses aseptic or sterile technique as needed

• Verify equipment has a current PM label before use

• Identifies and reports potential barriers for the safe provision of patient care and maintains a safe patient environment

• Responsible for personal growth and career development. Demonstrates competency during annual skills, Reports unsafe practices

• Participates in continuing nursing education programs and professional nursing organization

• Customer Service

• Works with patients to achieve excellent customer service and high levels of satisfaction

• Practices mutual respect among all members of the healthcare team

• Works with other staff to promote an efficient and effective healthcare team

• Demonstrates Kelsey-Seybold's Mission and Values

• Meets both Clinic and individual Customer Service goals and standards by maintaining 90% or greater of excellence in customer service

• Provides age appropriate interactions. (See text box at end of this JD)

• Report and provide documentation of all complaints to coordinator, supervisor, manager or Clinic Administrator

• Utilize warm transfer process when redirecting patient to ensure needs are met

• Actively participate in service recovery when there is a failure in patient satisfaction

• Telephone Etiquette

• Answer and direct incoming calls to appropriate staff using a caring non-rushed tone

• Identify clinic, department, name and job title in health care team

• Ensure accurate information is obtained and communicated to the physician in writing via the medical record

• Financial:

• Demonstrates prudent use of resources. Minimizes wasteful actions

• Assists with maintaining equipment according to manufacturer's recommendation

• Reports to coordinator, supervisor, manager, or clinic administrator the need for over-time and obtains approval

• Quality Improvement:

• Initiates, contributes and participates in the department and clinic process improvement plans. (PDSA)

• Provides department leadership and support for initiatives related to meeting AAAHC and other accrediting standards

• Follows all safety standards for patients, employees and visitors

• Recognizes and adheres to National Patient Safety Goals

• Immunization Nurse:

• Demonstrates knowledge and skill needed to provide safe and effective immunization to facilitate patient care. Which includes but not limited to:

• Routine Immunization administration

• Foreign travel immunizations and consultation

• TB skin test application and reading

• Allergy immunotherapy injections

• Medication administrations

• Documents administrations

• Knows how to access the appropriate resources when needed

• Seeks clarification or guidance with questions related to medication and immunization administrations from the physician

• Manage employee TB schedule

• Manage annual Flu inoculations for employees

• Attends quarterly Immunization meetings

• Other

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:

• Graduate from an approved professional registered nursing program
• Current and valid Texas RN license
• Current BLS through American Heart Association
• 6+ months of RN expereince in a clinical area OR 1+ years of KSC experience with approval from Sr Dir Nursing Services
• Computer experience
• Ability to use equipment and related supplies for selected patient population for the assigned clinical area. Including CPR, oxygen administration, and intravenous therapy

Preferred Qualifications:

• Bachelor's degree in nursing
• Specialty nursing certification in ambulatory care or one appropriate to the specialty area assigned
• ACLS and/or PALS
• 2+ years of ambulatory care
• EPIC experience
• Windows bases computer skills

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $35.00 to $63.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

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.

OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.