Senior RN Case Manager: Transition of Care Leader

Jobtome; Mesquite (TX); On-site; USD 73,000 - 130,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase

401k contribution

Job summary

UnitedHealth Group is seeking a Clinic Case Manager to support high-risk patients by coordinating care within a primary care setting. The role emphasizes educator, resource, and advocate functions across a multidisciplinary team to ensure quality of life for patients and families.

Responsibilities include assessing health needs, coordinating with clinicians and caregivers, and facilitating transitions of care to reduce ER visits and hospitalizations.

Qualifications

• Active 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.

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

EMR proficiency

MS Office

Communication

Multitasking

Education

Bachelor's degree in nursing

Tools

EMR software

MS Office

Job description

UnitedHealth Group is seeking a Clinic Case Manager to support high-risk patients by coordinating care within a primary care setting. The role emphasizes educator, resource, and advocate functions across a multidisciplinary team to ensure quality of life for patients and families.

Responsibilities include assessing health needs, coordinating with clinicians and caregivers, and facilitating transitions of care to reduce ER visits and hospitalizations.