RN Case Manager: Transition & Care Coordination Lead

Optum; Mount Charleston (NV); On-site; USD 73,000 - 130,000; Full time

Benefits offered by this job

Sign-on bonus

Job summary

UnitedHealth Group seeks a Clinic Case Manager to coordinate transitional care for high-risk patients within a primary care setting. You will collaborate with clinicians, nurses, and educators to empower patients and families toward a higher quality of life.

Responsibilities include assessing health conditions, coordinating referrals, and reducing hospital admissions. Requires NV RN license, BLS, and strong communication skills.

Qualifications

• Valid NV RN License.
• Current BLS Certification or willingness to obtain within 3 months of hire.
• 2+ years of job-related experience in a healthcare environment (Hospital/Clinic/Practice).
• Knowledge of medical terminology; nursing assessment and follow up on patient's needs.
• Skilled with MS Office software applications and electronic medical records (EMR).
• Proven excellent communication, interpersonal, organization and customer service skills.
• Proven ability to multi-task and work under pressure.
• Demonstrated positive personality and willingness to effect change.
• Valid NV State Driver's license and access to reliable transportation.

Responsibilities

• Role embedded within the primary care clinic, providing transitional case management services with clinical and non-clinical teams.
• Performs assessment/screening of health conditions and collaborates with members, caregivers, clinicians to address needs and goals.
• Pursues interventions to reduce risk of condition exacerbation, ER and hospitalization utilization to meet metrics.
• Supports transition of care from ED or inpatient stay to outpatient, assists with referrals and appointments.
• Achieves Quality Measures outcomes via reduction in HEDIS Gaps in Care.

Skills

Excellent communication

Multitasking

Customer service

Interpersonal skills

Education

Bachelor's degree in nursing

Job description

UnitedHealth Group seeks a Clinic Case Manager to coordinate transitional care for high-risk patients within a primary care setting. You will collaborate with clinicians, nurses, and educators to empower patients and families toward a higher quality of life.

Responsibilities include assessing health conditions, coordinating referrals, and reducing hospital admissions. Requires NV RN license, BLS, and strong communication skills.