Senior RN Case Manager – Care Coordination and Transitions

Optum; Paradise (NV); Sur place; USD 73 000 - 130 000; Plein temps

Avantages offerts par ce poste

Sign-on bonus

Benefits package

Résumé du poste

Optum is seeking a Clinic Case Manager to support patients with high-risk conditions, collaborating with clinicians and care teams to navigate the healthcare system. This role emphasizes educator, advocate, and navigator functions to maximize quality of life and ensure compliance with program standards.

Responsibilities include transitioning care from hospital to outpatient settings, conducting assessments, and driving reductions in ER visits while meeting quality measures.

Qualifications

• Valid NV RN license.
• Current BLS certification or willingness to obtain within 3 months of hire.
• 2+ years of healthcare experience (Hospital/Clinic/Practice).
• Knowledge of medical terminology; nursing assessment and follow up on patient\'s needs.
• Proficient with MS Office and electronic medical records (EMR).
• Strong communication, interpersonal, organization and customer service skills.
• Ability to multi-task and work under pressure.
• Valid NV State Driver's license and access to reliable transportation.

Responsabilités

• 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 patient, caregiver, clinician, and/or other healthcare professionals to address needs and goals.
• Pursues interventions to reduce risk of condition exacerbation, ER and hospitalization utilization to meet department/organization metrics.
• Supports transition of care from ED or inpatient stay to outpatient setting; assist with referrals and appointments.
• Achieves Quality Measures outcomes via reduction in HEDIS Gaps in Care.

Connaissances

Communication skills

Multitasking

Patient advocacy

Interpersonal skills

Organization

Formation

Bachelor's degree in nursing

Outils

EMR

MS Office

Description du poste

Optum is seeking a Clinic Case Manager to support patients with high-risk conditions, collaborating with clinicians and care teams to navigate the healthcare system. This role emphasizes educator, advocate, and navigator functions to maximize quality of life and ensure compliance with program standards.

Responsibilities include transitioning care from hospital to outpatient settings, conducting assessments, and driving reductions in ER visits while meeting quality measures.