Senior RN Case Manager, Care for Me Program, Float - Las Vegas, NV

UnitedHealth Group; Las Vegas (NV); Vor Ort; USD 73.000 - 130.000; Vollzeit

Zusammenfassung

UnitedHealth Group is seeking a Clinic Case Manager to coordinate transitional care for high-risk patients within a primary care setting. You will collaborate with clinicians and educators to empower patients and families for better quality of life, under an RN license.

The role emphasizes teamwork, compliance, and safe, patient-centered care while navigating complex care coordination requirements across care settings.

Qualifikationen

• 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.
• Proficiency with MS Office and EMR systems.
• Proven excellent communication, interpersonal, organization and customer service skills.
• Proven ability to multi-task and work under pressure.
• Valid NV State Driver\'s license and access to reliable transportation.

Aufgaben

• Role embedded within the primary care clinic, working directly with patients and teams providing transitional case management services.
• Performs assessment/screening of health conditions; collaborates with patient, caregiver(s), clinician(s) and other healthcare professionals.
• Pursues interventions to reduce risk of condition exacerbation, ER and hospitalization utilization.
• Supports transition of care from ED or inpatient to outpatient setting; assists with referrals and appointments.
• Achieves Quality Measures outcomes via reduction in HEDIS Gaps in Care.

Kenntnisse

Communication skills

Organization

Customer service

EMR

MS Office

Multi-tasking

Ausbildung

Bachelor's degree in nursing

NV RN License

Tools

Electronic Medical Records (EMR)

MS Office

Jobbeschreibung

$10,000 Sign On Bonus for External Candidates

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.

The Clinic Case Manager is responsible for fostering collaboration and a team approach for successfully supporting patients with high-risk health conditions to navigate the healthcare system. Promote empowerment by facilitating the role of an educator, resource, and advocate for patients and their families to ensure a maximum quality of life. Interacts and collaborates with multidisciplinary care teams, to include physicians, nurses, pharmacists, case managers, social workers, and other educators. Works in a less structured, self-directed environment and performs all delegated nursing duties within the scope of a RN license of the applicable state board of nursing.

Ensures compliance to contractual and service standards as identified by relevant health insurance plans. Adheres to policies, procedures, and regulations to ensure compliance and patient safety. Participation in Compliance and required training is a condition of employment.

Primary 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

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required 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

Preferred Qualifications:

• Bachelor's degree or higher in nursing
• 3+ years of experience providing hospital care (ICU/Floor) or Emergency room (ED) nurse or case management within Hospital/Clinic/Practice

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 - $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.