RN Case Manager & Care Transitions Specialist

Jobtome; Sunrise Manor (NV); On-site; USD 73,000 - 130,000; Full time

Benefits offered by this job

Comprehensive benefits

Equity stock purchase

401k contribution

Job summary

UnitedHealth Group, Sunrise Manor, NV, is seeking an experienced RN Case Manager to work in a primary care clinic, coordinating transitional care and collaborating with patients, families, and clinical teams.

The role focuses on reducing ER visits and hospitalizations, improving HEDIS outcomes, and guiding referrals and care transitions while upholding an inclusive, patient-centered mission.

Qualifications

• NV RN license is required and current.
• BLS certification or willingness to obtain within 3 months.
• 2+ years of experience in healthcare (Hospital/Clinic/Practice).
• Knowledge of medical terminology; nursing assessment.
• Proficient with MS Office and EMR systems.
• Excellent communication and organizational skills.
• Ability to multi-task and work under pressure.
• Valid NV driver''s license and reliable transportation.

Responsibilities

• Role embedded within the primary care clinic, working directly with patients, clinical and non-clinical teams providing transitional case management services.
• Performs assessment/screening of health conditions; Collaboration with the member, caregiver(s), clinician(s), and/or other appropriate healthcare professionals to address need and goals.
• Pursues appropriate interventions to reduce risk of condition exacerbation, ER and hospitalization utilization to meet department/organization metrics or goals.
• Supports transition of care from Emergency Department or inpatient stay to outpatient setting. Assist with referrals (home health/DME) and appointments (PCP/specialist).
• Achieves Quality Measures outcomes via reduction in HEDIS Gaps in Care

Skills

MS Office

EMR systems

Communication skills

Organizational skills

Education

NV RN License

BLS Certification

Bachelor's degree in nursing

Tools

MS Office

Job description

UnitedHealth Group, Sunrise Manor, NV, is seeking an experienced RN Case Manager to work in a primary care clinic, coordinating transitional care and collaborating with patients, families, and clinical teams.

The role focuses on reducing ER visits and hospitalizations, improving HEDIS outcomes, and guiding referrals and care transitions while upholding an inclusive, patient-centered mission.