Senior RN Case Manager – Care Coordination & Transitions

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

Benefits offered by this job

Sign-on bonus

Job summary

Optum is hiring an Clinic Case Manager in Nevada to support patients with high-risk health conditions. You will collaborate with multidisciplinary teams to navigate care, educate and advocate for patients, and ensure high-quality outcomes within RN scope and state regulations.

The role emphasizes transitions of care, care coordination, and proactive patient engagement, with a $10k sign-on bonus for external candidates and a salary aligned with experience and market norms.

Qualifications

• NV RN license and BLS certification; willingness to obtain BLS 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 needs
• Proven ability to use MS Office and EMR systems
• Strong communication, interpersonal, organization and customer service skills
• Valid NV driver’s license and access to reliable transportation

Responsibilities

• Role embedded within the primary care clinic, providing transitional case management
• Perform assessments and collaborate with member, caregiver, clinician, and other healthcare professionals
• Pursue interventions to reduce risk of condition exacerbation, ER and hospital utilization
• Support transition of care from ED or inpatient stay to outpatient setting and assist with referrals
• Aim to reduce HEDIS Gaps in Care through quality measures

Skills

Communication

Interpersonal skills

Organizational skills

Customer service

EMR proficiency

MS Office

Education

Bachelor's degree in nursing

Registered Nurse license (NV RN)

Tools

EMR

MS Office

Job description

Optum is hiring an Clinic Case Manager in Nevada to support patients with high-risk health conditions. You will collaborate with multidisciplinary teams to navigate care, educate and advocate for patients, and ensure high-quality outcomes within RN scope and state regulations.

The role emphasizes transitions of care, care coordination, and proactive patient engagement, with a $10k sign-on bonus for external candidates and a salary aligned with experience and market norms.