Senior RN Case Manager — Sign-On Bonus & Care Coordination

Optum; Blue Diamond (KY); On-site; USD 73,000 - 130,000; Full time

Job summary

UnitedHealth Group is seeking a Clinic Case Manager to support high-risk patients within a primary care setting. The role emphasizes collaboration with clinical and non-clinical teams to navigate care, educate, and advocate for patients and families to maximize quality of life.

Responsibilities include assessing health conditions, coordinating with care teams, and guiding referrals to home health or specialists, while contributing to reducing ER visits and improving care outcomes.

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.

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.

Skills

RN License

BLS Certification

Healthcare experience

MS Office

EMR

Communication skills

Multi-tasking

Driver's license

Positive attitude

Education

Bachelor's degree in nursing

Tools

MS Office

EMR

Job description

UnitedHealth Group is seeking a Clinic Case Manager to support high-risk patients within a primary care setting. The role emphasizes collaboration with clinical and non-clinical teams to navigate care, educate, and advocate for patients and families to maximize quality of life.

Responsibilities include assessing health conditions, coordinating with care teams, and guiding referrals to home health or specialists, while contributing to reducing ER visits and improving care outcomes.