Senior RN Case Manager - Care Transitions Advocate

Optum; Boulder City (MO); Sur place; USD 73 000 - 130 000; Plein temps

Avantages offerts par ce poste

Sign-on bonus

Résumé du poste

UnitedHealth Group seeks a Clinic Case Manager to coordinate care for high-risk patients within a primary care setting. You will collaborate with clinicians, nurses, pharmacists, social workers, and educators to navigate the healthcare system and improve quality of life.

The role emphasizes education, advocacy, and empowerment, with responsibilities across assessment, care planning, and transition of care to reduce hospitalizations and ER visits.

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
• 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

Organization

Customer service

Multi-tasking

Formation

NV RN License

BLS Certification

Bachelor's degree in Nursing (preferred)

Outils

EMR system

MS Office suite

Description du poste

UnitedHealth Group seeks a Clinic Case Manager to coordinate care for high-risk patients within a primary care setting. You will collaborate with clinicians, nurses, pharmacists, social workers, and educators to navigate the healthcare system and improve quality of life.

The role emphasizes education, advocacy, and empowerment, with responsibilities across assessment, care planning, and transition of care to reduce hospitalizations and ER visits.