Senior RN Case Manager: Care Coordination & Transitions

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

Benefits offered by this job

Sign-on bonus

Benefits package

401k & stock purchase

Job summary

OptumCare seeks a Clinic Case Manager in Sunrise Manor, NV, to support high-risk patients within a primary care clinic. The role collaborates with physicians, nurses, social workers, and educators to empower patients and families toward better quality of life.

Responsibilities include assessments, care coordination, and interventions to reduce hospitalizations, with an emphasis on transitioning care and meeting quality metrics.

Qualifications

• NV RN license is required.
• 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.
• Proficiency with MS Office and electronic medical records (EMR).
• Excellent communication, interpersonal, organization and customer service skills.
• Positive personality and willingness to effect change.
• Valid NV driver's license and reliable transportation.
• Preferred: Bachelor's degree or higher in nursing.
• Preferred: 3+ years hospital care or ER case management experience.

Responsibilities

• Role embedded within the primary care clinic, working directly with patients and care teams.
• Performs assessment/screening of health conditions; collaborates with members and clinicians.
• Pursues interventions to reduce risk, ER and hospitalization utilization.
• Supports transition of care from ED or inpatient stay to outpatient setting; assists with referrals.
• Achieves Quality Measures outcomes via reduction in HEDIS gaps in care.

Skills

NV RN License

BLS Certification

MS Office & EMR proficiency

Communication skills

Multi-tasking

Healthcare navigation

Education

Bachelor's degree in Nursing (BSN) or higher

Tools

MS Office

EMR systems

Job description

OptumCare seeks a Clinic Case Manager in Sunrise Manor, NV, to support high-risk patients within a primary care clinic. The role collaborates with physicians, nurses, social workers, and educators to empower patients and families toward better quality of life.

Responsibilities include assessments, care coordination, and interventions to reduce hospitalizations, with an emphasis on transitioning care and meeting quality metrics.