RN Case Manager: Transitional Care & Care Coordination

Jobtome; Searchlight Township (NV); On-site; USD 73,000 - 130,000; Full time

Benefits offered by this job

comprehensive benefits package

incentive and recognition programs

equity stock purchase

401k contribution

Job summary

OptumCare in Nevada is seeking a Clinic Case Manager to support high-risk patients, collaborate with clinicians, and advocate for families to improve quality of life. You will operate in a semi-structured environment under RN license and perform nursing duties within scope.

The role emphasizes coordination of care, transition management, and adherence to compliance standards while delivering compassionate patient-centered service.

Qualifications

• Valid NV RN license and current BLS certification or willingness to obtain within 3 months of hire.
• 2+ years of job-related experience in an acute care setting.
• Knowledge of medical terminology; nursing assessment and follow-up on patient needs.
• Proven skilled with MS Office software applications and electronic medical records (EMR).
• Proven excellent communication, interpersonal, organization and customer service skills.

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

NV RN license

BLS Certification

Acute care experience

EMR proficiency

MS Office skills

Communication skills

Multi-tasking

Education

Bachelor's degree in nursing

Tools

MS Office

EMR software

Job description

OptumCare in Nevada is seeking a Clinic Case Manager to support high-risk patients, collaborate with clinicians, and advocate for families to improve quality of life. You will operate in a semi-structured environment under RN license and perform nursing duties within scope.

The role emphasizes coordination of care, transition management, and adherence to compliance standards while delivering compassionate patient-centered service.