Senior RN Case Manager — Care Transitions & Outcomes

Jobtome; North Las Vegas (NV); On-site; USD 73,000 - 130,000; Full time

Benefits offered by this job

Comprehensive benefits package

401k contribution

Equity stock purchase

Job summary

UnitedHealth Group seeks a Nurse Case Manager to work within a primary care clinic, coordinating transitional care and supporting patients, families and clinical staff. You will assess health needs, collaborate with providers, and implement interventions to reduce ER/hospital utilization.

The role emphasizes accurate documentation, timely referrals, and adherence to care plans, with a focus on improving HEDIS outcomes and patient satisfaction in a fast-paced environment.

Qualifications

• Valid NV RN license.
• Current BLS certification or willingness to obtain within 3 months of hire.
• 2+ years in a healthcare environment.
• Knowledge of medical terminology and nursing assessment.
• Proficient with MS Office and EMR systems.
• Strong communication, organization and customer service skills.
• Ability to multi-task and work under pressure.

Responsibilities

• Embedded within primary care clinic, working with patients and teams on transitional case management.
• Assess and screen health conditions with care team collaboration.
• Pursue interventions to reduce risk of condition exacerbation and ER visits to meet metrics.
• Support transition of care from ED/hospital to outpatient with referrals and appointments.
• Achieve Quality Measures outcomes by reducing HEDIS Gaps in Care.

Skills

Medical terminology

Nursing assessment

Communication skills

MS Office

EMR

Education

NV RN License

Bachelor's degree in nursing

Tools

EMR systems

MS Office

Job description

UnitedHealth Group seeks a Nurse Case Manager to work within a primary care clinic, coordinating transitional care and supporting patients, families and clinical staff. You will assess health needs, collaborate with providers, and implement interventions to reduce ER/hospital utilization.

The role emphasizes accurate documentation, timely referrals, and adherence to care plans, with a focus on improving HEDIS outcomes and patient satisfaction in a fast-paced environment.