Senior RN Case Manager: Care Navigator & Transitions

Jobtome; Sunrise Manor (NV); Sur place; USD 73 000 - 130 000; Plein temps

Avantages offerts par ce poste

Sign-on bonus

Résumé du poste

UnitedHealth Group’s OptumCare is seeking a Clinic Case Manager to support high-risk patients across the continuum of care. You will collaborate with physicians, nurses, pharmacists, case managers, social workers, and educators to empower patients and families, improving quality of life.

You’ll work in a less structured, self-directed environment, performing RN duties within state scope, ensuring compliance with plans and regulations, and driving key health outcomes through coordinated care.

Qualifications

• Valid NV RN License.
• 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's needs.
• Proven skilled with MS Office software applications and electronic medical records (EMR).
• Proven excellent communication, interpersonal, organization and customer service skills.
• Positive personality and willingness to effect change.
• Proven 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 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

Connaissances

Communication skills

Interpersonal skills

Organizational skills

Customer service

Multi-tasking

Formation

Bachelor's degree in nursing

Outils

MS Office

EMR

Description du poste

UnitedHealth Group’s OptumCare is seeking a Clinic Case Manager to support high-risk patients across the continuum of care. You will collaborate with physicians, nurses, pharmacists, case managers, social workers, and educators to empower patients and families, improving quality of life.

You’ll work in a less structured, self-directed environment, performing RN duties within state scope, ensuring compliance with plans and regulations, and driving key health outcomes through coordinated care.