Senior RN Case Manager: Complex Care & Transitions

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

Benefits offered by this job

Sign-on bonus

Job summary

Optum NV seeks a Senior RN Case Manager - Complex Case to join our team in Las Vegas, NV. The role involves identifying, coordinating, and facilitating appropriate levels of care across the continuum, including home visits and care coordination to improve outcomes.

The position requires a NV RN license and 3+ years of direct case management experience. A $10,000 sign-on bonus for external candidates applies, with a salary range of $72,800–$130,000 depending on experience.

Qualifications

• Current, unrestricted NV RN license.
• 3+ years of direct case management experience.
• Competent with MS Office and other practice management systems or ability to learn new things.
• Proven time management skills.
• Access to reliable transportation with valid driver’s license and car insurance that will enable you to travel to client and/or patient sites within a designated area.

Responsibilities

• Applies motivational interviewing in identifying impact on member engagement and setting goals.
• Member education, medication reconciliation and benefit management.
• Ensures follow through with the Care Navigation Team; timely appointments and referrals to programs, health plan and community.
• Facilitate patient/family and provider communications as indicated and advocate for patient/family with healthcare team as needed.
• Ensures coordinated services delivered and available programs are accessed.
• Communicate with stakeholders, appropriate health care related information to ensure timely coordination care and services for members currently receiving inpatient care.
• Utilizes approved clinical criteria to assess and determine appropriate level of care for members currently receiving inpatient care.
• Identified point of contact for managing transitions of care.

Skills

Time management

Education

BSN

CCM certification

Tools

MS Office

Job description

Optum NV seeks a Senior RN Case Manager - Complex Case to join our team in Las Vegas, NV. The role involves identifying, coordinating, and facilitating appropriate levels of care across the continuum, including home visits and care coordination to improve outcomes.

The position requires a NV RN license and 3+ years of direct case management experience. A $10,000 sign-on bonus for external candidates applies, with a salary range of $72,800–$130,000 depending on experience.