Senior RN Case Manager - $10K Sign-On, Transitional Care

Optum; Spring Valley (NV); On-site; USD 73,000 - 130,000; Full time

Benefits offered by this job

Sign-on bonus

Comprehensive benefits package

401k contribution

Job summary

Optum is seeking a Clinic Case Manager to support high-risk patients within a primary care setting. You will collaborate with clinicians, educate families, and advocate for patients to optimize quality of life.

Responsibilities include assessment, care coordination, and interventions to reduce readmissions, while meeting performance metrics and ensuring compliance with policies and safety standards.

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, 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

Communication

Interpersonal skills

Organization

Customer service

Multi-tasking

Adaptability

Attention to detail

Education

Bachelor's degree or higher in nursing

Tools

MS Office

EMR

Job description

Optum is seeking a Clinic Case Manager to support high-risk patients within a primary care setting. You will collaborate with clinicians, educate families, and advocate for patients to optimize quality of life.

Responsibilities include assessment, care coordination, and interventions to reduce readmissions, while meeting performance metrics and ensuring compliance with policies and safety standards.