Optum Utilization Review Nurse Jobs in Rochester, NY

We are Hiring! 

Job Posting: REGISTERED NURSE

Location: Rochester, NY

Department: Nursing

Employment Type: Full time

Schedule: Monday thru Friday 8am to 4pm

Salary: $35 to $38/hr(Salaried, exempt) depending on education and experience 

As a regional agency of Catholic Charities of the Diocese of Rochester, Catholic Charities Family and Community Services (CCFCS) has been serving our community for over 100 years. We walk with people when they are at their most vulnerable as they journey toward independence to reach their full human potential, advocate for those in need throughout all stages of life; and work in partnership with faith communities of all denominations and those who are committed to addressing local needs.

If you’re looking for an opportunity to express and explore your passion for helping others, then join a team that truly makes a difference DAILY, in people's lives. Don't miss out on being a part of something special!

General Description

Under general supervision, provides comprehensive health services and supervision for LPN and/or Medical Liaison staff if applicable. Works collaboratively with other providers to facilitate client wellness. Maintains all applicable confidentiality and ethical standards of relevant governing bodies. Effectively supports ongoing and collaborative communication amongst all program staff and is responsible for ensuring a trauma informed care environment.

Essential Duties and Responsibilities:

• Provides a comprehensive health assessment of clients.
• Identifies immediate and long-term health care needs.
• Makes appropriate referrals and recommendations based on findings of the health assessments.
• Assists clients in identifying local resources.
• Communicates and collaborates with appropriate Agency staff, Primary Health care provider, community justice agencies, and related community organizations to assure coordination of client care and services. 
• Completes required paperwork related to the health assessment process.
• Provide oversight and supervision of any assigned LPN and/or Medical Liaison Staff:
• Required supervision of tasks performed by LPN and/or Medical Liaison staff may include medication monitoring or administration, monitoring of vital signs, reporting of signs or symptoms of potential health concerns, basic emergency medical treatment or interventions.
• Direct, coach, collaborate with and delegate tasks appropriately.
• Build and sustains cooperative working relationships among program staff.
• Assist in the initiation and implementation of staff development and training programs to maximize professional practice.
• Accesses employees’ skills and program needs and appropriately assign staff to meet program needs.
• Participates in selection, hiring, and orientation of Staff.
• Coordinates employee schedules to ensure day-to-day coverage of the Programs.
• Reviews and approves timesheets.
• Evaluates program effectiveness and recommends alternatives as required.
• Assists Prescribers
• Provide health monitoring for clients
• Administers Injectable medications as prescribed
• Responsible for case load records
• Completes required case record documentation in accordance with regulations and other record keeping as necessary for program accountability
• Participates in monthly Utilization Review, quality assurance and program evaluation activities as directed.
• Coordinates discharge planning for clients
• Provides education to clients on health and wellness issues.
• Participates in staff meetings and clinical supervision as directed   
• Actively pursues development of professional competencies related to job role performance through reading, supervision, in-service training and attendance at conferences and workshops. 
•  Awareness and active support of the Agency's Mission, Vision, Values and Strategic Plan. Including, but not limited to, supporting the Agency's Core Competency initiatives of being Collaborative and Community Focused, Innovative and Entrepreneurial, and Culturally Competent and Diverse

Note: The above description is illustrative of tasks and responsibilities. It is not meant to be all inclusive. Employees are required to follow appropriate supervisory direction and perform other related duties as required.

Qualifications:

Education: Minimum of an Associate’s Degree in Nursing required. Bachelor’s or Master’s Degree in Nursing preferred.

Credentials: Valid and clean NYS Driver’s License. Valid Registered Professional Nurse (RN) License required

Experience: At least two years of experience related to nursing services to individuals with mental health, chemical dependency, substance use disorder, or intellectual/developmental disabilities-related services strongly preferred. Bi-lingual in Spanish also preferred.

Physical Demands/Work Environment: The physical demands/work environment described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to sit, talk, hear, stand, walk, use hands to type and/or perform light lifting. Specific vision abilities required by this job include close vision, distance vision and ability to adjust focus. The noise level in the work environment is usually quiet.

Compliance: Adheres to all applicable federal and state laws and regulations including, but not limited to, those governing confidentiality, privacy, program, billing, and documentation standards. All duties must be performed in accordance with CCFCS’s corporate compliance & ethics program. 

Additional Requirements:

• Ability to prioritize assignments, plan, and complete work projects with minimal direction,
• An ability to work efficiently and effectively and meet deadlines, 
• An ability to work under pressure,
• Excellent verbal/written skills,
• Ability to maintain confidentiality,
• Ability to demonstrate behaviors and attitudes which support agency mission, philosophy, and policies.
• Willingness and ability to foster agency and program wide cooperation and teamwork through use of positive/constructive communication techniques,
• Possession of a valid NYS Driver’s license and use of a registered and reliable vehicle.

 Top Benefits and Perks:

• Competitive salary and 403b retirement plan 
• Generous time off package and work-life balance 
• Comprehensive benefits package 
• Supportive and collaborative environment 
• Opportunities for growth and development 
• Intrinsic reward of truly making a difference in people's lives 

Join us and help make a positive impact on our community!
***Catholic Charities is committed to leveraging the talent of a diverse workforce to create great opportunities for our agency and our people. EOE/AA Disability/Vet