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Landmark Health was created to transform how healthcare is delivered to the most medically vulnerable members in our community. Our medical group provides home-based medical care to chronically ill patients, many of whom are ill-equipped to navigate our overwhelming healthcare system.
This role primarily provides medical care and management to members served by the Landmark program who request urgent visits to the IDT team during daytime and/or swing hours (8-hour shifts). This position also participates in new patient enrollment, post-discharge visits, and gathering clinical information for medical necessity determinations for service requests. Dedicated to improving the health and well-being of members, this position collaborates within longitudinal Landmark provider and/or the PCP as needed to discuss immediate and ongoing patient care needs.
Work Schedule: Ability to work a variety of shifts. Swing shifts 10:30am-7:00pm or weekend shifts Tuesday to Saturday-potential weekends and holidays.
Location: Kalamazoo, Michigan, and surrounding areas: Will travel within an hour radius to patient homes.
Collect Patient Information: Vital signs, physical exam, point of care testing (E.g. – glucose levels), venipuncture, EKG, medication compliance and reconciliation, adherence to discharge instructions, etc. Experience in rapid evaluation and treat setting preferred
Patient treatment and procedures: Skilled at phlebotomy and IV placement and therapy, Catheter care and replacement. Administering nebulizer treatments, and teaching proper protocol, wound care, medication administration, etc. Treatment directives are only per the supervising Landmark Provider’s direction
Patient education: Common chronic conditions and education topics include congestive heart failure, COPD, diabetes, hypertension, fall risk assessment, overall health literacy per the direction of the Landmark Provider
Landmark Provider collaboration: Skilled at concise and articulate communication to remotely discuss evaluation and treatment with supervising Landmark Provider. This collaboration will occur during every patient visit unless the Field Nurse is following an approved Landmark protocol (e.g., Post-Hospital Visit)
Care coordination: Schedule follow-up telephonic or in-home interactions as needed
Documentation: Assist supervising Landmark Provider with documenting findings and outcomes of the visit
Other duties as assigned
Practices in accordance with the respective state laws and regulations governing the practice of Licensed Practical Nurses or Registered Nurses
During the visit, promptly communicates with the longitudinal provider and/or pod leader to discuss patient assessment and receive/document/implement orders received
Comfortable with basic procedures of nursing care, including IV placement, blood draws, injections, foley catheters, nasal packing, wound care, etc.
Completes the required documentation in a timely manner (goal: during or immediately after the visit) allowing the care team access to the care provided and a note to be generated for co-signature
Competency in care for core chronic disease condition of internal medicine and their respective exacerbations (e.g., COPD, Heart Failure, Diabetes, Kidney Disease, Wounds, Infections, etc.)
Communicates to and participates in discussions with the on-call and other team members regarding urgent call matters that may require close patient follow-up or alteration of the care plan
Completes follow-up and post-hospital assessments according to documented standard operating procedures
Implements appropriate diagnostics and completes interventions received via verbal order (?) from longitudinal provider/pod leader as appropriate, to avoid unnecessary transfers/acute admissions
Consults with hospital physicians following notifications of member transfer
Works with the Regional Medical Director (RMD) and physician pod leaders to develop quality improvement programs and provides feedback regarding needed equipment and training to ensure maximum value to the RN Urgentivist position
Educates members and/or their caregivers in disease processes and ways to manage them effectively
Participates in management meetings that include, but may not be limited to:
Daily huddle calls
Weekly case conference reviews
Monthly staff meetings
Quarterly Quality Improvement Committee meetings
Continuing education/journal club programs
On-call for caseload during business hours
Keeps current on relevant medical and nursing research, technology, and related issues by attending continuing education courses, professional meetings, and journal reviews
Perform related duties as necessary and other duties as assigned
Problem Solving – Identifies and resolves problems in a timely manner; gathers and analyzes information skillfully; develops alternative solutions; works well in group problem solving situations; uses reason even when dealing with emotional topics
Technical Skills – Assesses own strengths and weaknesses; pursues training and development opportunities; strives to continuously build knowledge and skills; shares expertise with others
Customer Service – Manages difficult or emotional customer situations; responds promptly to customer needs; solicits customer feedback to improve service; responds to requests for service and assistance; meets commitments
Interpersonal Skills – Focuses on solving conflict; maintains confidentiality; listens to others; keeps emotions under control and overcomes resistance when necessary; remains open to new ideas
Oral Communication – Speaks clearly and persuasively in positive or negative situations; listens and seeks clarification; responds openly to questions. Able to deal with frequent change, delays, or unexpected events
Attendance/Punctuality – Is consistently at work and on time; ensures work responsibilities are covered when absent; arrives at meetings and appointments on time
Dependability – Follows instructions, responds to management direction; takes responsibility for own actions; keeps commitments; commits to long hours of work when necessary to reach goals; completes tasks on time or notifies appropriate person with an alternate plan
Initiative – Volunteers readily; undertakes self-development activities; seeks increased responsibilities; takes independent actions and calculated risks; looks for and takes advantage of opportunities; asks for and offers help when needed; generates suggestions for improving work and workflow
Computer literacy? Experience in electronic health records
What are the reasons to consider working for UnitedHealth Group? Put it all together – competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:
Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
Medical Plan options along with participation in a Health Spending Account or a Health Saving account
Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
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.
High School Diploma/GED (or higher)
Reside in Michigan and hold an active unrestricted LPN or RN License in the state of Michigan
1+ year of experience evaluating, assessing, and providing patient care in an acute care setting
6+ months of experience working with electronic medical records and mobile technology
6+ months of experience working with MS Teams and MS Outlook
Skilled at phlebotomy and IV placement and therapy, Catheter care and replacement
Ability to work a variety of shifts
Ability to travel 75% of the time within assigned area (1 hour or more within assigned area)
Access to reliable transportation to conduct patient visits
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
Urgent care, emergency room, or community home health experience
2+ years of clinical experience; Emergency Room, Urgent care or ICU care experience or any acute care experience
IV or blood draw certification
Solution-oriented mindset and work approach. Charisma and a natural ability to connect with others
Excellent communication and interpersonal skills, with a strong emphasis on empathy and building rapport with patients
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. 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)
**PLEASE NOTE** The sign-on bonus is only available to external candidates. Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.
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.