RN Case Manager – Transitions of Care & Care Coordination

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

Benefits offered by this job

Comprehensive benefits package

Equity stock purchase

401k contribution

Job summary

UnitedHealth Group's OptumCare is hiring a registered nurse to embed within a primary care clinic, performing transitional case management and coordinating care across teams. You will assess patients, collaborate with caregivers and clinicians, and drive interventions to reduce ER visits and hospitalizations.

The role requires NV RN license, BLS, 2+ years in acute care, proficiency with EMR and MS Office, and strong communication.

Qualifications

• Valid NV RN License.
• 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's needs.
• Proven skilled with MS Office software applications and electronic medical records (EMR).
• Proven excellent communication, interpersonal, organization and customer service skills.
• Positive personality and willingness to effect change.
• Proven ability to multi-task and work under pressure.
• Valid NV State Driver's license and access to 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

Education

Bachelor's degree in nursing

Tools

EMR systems

Job description

UnitedHealth Group's OptumCare is hiring a registered nurse to embed within a primary care clinic, performing transitional case management and coordinating care across teams. You will assess patients, collaborate with caregivers and clinicians, and drive interventions to reduce ER visits and hospitalizations.

The role requires NV RN license, BLS, 2+ years in acute care, proficiency with EMR and MS Office, and strong communication.