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    Mammography Technician - Las Vegas, NV  

    - Spring Valley
    ** $5,000 Sign On Bonus for External Hires **Optum NV is seeking a Mam... Read More

    ** $5,000 Sign On Bonus for External Hires **

    Optum NV is seeking a Mammography Technician to join our team in Las Vegas, NV. Optum is a clinician-led care organization that is changing the way clinicians work and live.


    As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.


    At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.


    Position in this function performs mammography procedures per department protocol. Responsible for daily operations within the Imaging/Mammography department. Participates in daily huddles and meetings, provides customer service to internal and external members, and communication performing their duties. Follows standard of work to maintain 20% or less defect rate.

    Shift: Monday - Friday hours vary from 7 am - 5 pm. Weekend coverage optional. 

    Location: Breast Care Center, 2300 W Charleston Blvd


    Primary Responsibilities:

    Produces mammography images per departmental protocol. Is able to verify all orders and makes appropriate communications and changes as necessary per department protocols and standard of workFollows customer service protocols with internal/external staffs, Teamwork. Greets, and prepares correctly identified patient for examination. Verifies correct exam and provider information with the patient and makes the appropriate communications, as necessary. Explains specific procedures to be performed in appropriate confidential areasPerforms screening or diagnostic mammography exams using excellent positioning and exposure techniques and examines completed images for technical quality. Follows written order or self-referral policyAccurately maintains patient's imaging records utilizing the radiology information systems, EPIC/Radiant (EMR/RIS), and PACS/Synapse application in accordance with HIPAA, and established SMA guidelines, Policies, and procedures as necessary and appropriate for their work. Makes communication to appropriate persons, as necessaryEnsures correct processing of images utilizing the mammography equipment and examines images for technical quality, diagnostic acceptability following the department Quality Assurance guidelines and Technologist Quality guidelinesConducts Quality Control tests following ACR, Manufacture Quality Control Manuals and department policy and procedure manualsMaintains mammography equipment calling for service as necessary and makes appropriate communication. Maintains work area in a neat/clean order. Assists and maintains supply par level/ and maintains storage areasFollows all safety standards and work practices in the workplace. Uses radiation safety and practices when operating radiologic equipment that emits radiationFollows modality standard of workMaintains attendance with work schedules. May also be assigned to other modalities provided incumbent is trained passing department competencies, certified, or licensed in those modalities. May also be assigned to other sites, shifts, and dates based on operational needsWill comply with annual mandatory Fit testing, TB testing as a job requirement. Maintain mandatory web courses as assigned. Maintain licensures and certificatesParticipates in meetings/huddles with attendance and discussion


    You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

    Required Qualifications:

    High School diploma and/or equivalent Have graduated from an accredited school of Radiology Technology or currently attending in good standing Current ARRT® and Nevada State Mammography and Radiography license ARRT (M) certification in Mammography required within one (1) year of hire dateCurrent CPR certificationAnnual TB testing, and annual mask fit testing Thorough knowledge of state and federal imaging guidelines pertaining to specialtiesKnowledge of radiology equipment, testing and safety hazards related to radiology required as well as having knowledge of radiology positioning, procedures, diagnosis, and quality assurance Skilled in properly positioning patients to provide quality imagingAbility to use radiology computerized management system, PACS system, Electronic Health Record, and all other applicable facility computerized systemsProven excellent communication and interpersonal skillsProven ability to effectively communicate technical procedures and results with patients and providersProven excellent organization and time management skillsProven ability to perform imaging exams as applicable to license(s)


    Preferred Qualifications:

    1+ years of experience


    Consideration:

    Exposure to radiation, risk of exposure to blood, body fluids or tissues. Rotates within Mammography department to include various shifts, other site locations, and have reliable transportation is required. May rotate within Imaging Services Department. Flexible to work overtime and weekends. There is potential for heavy volume of patients with occasional lifting of patients


    Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $29 - $52 per hour based on full-time employment. We comply with all minimum wage laws as applicable.


    OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.


    OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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    Per Diem CT Tech  

    - Spring Valley
    Per Diem position- Shift coverage includes overnight's and weekends wi... Read More

    Per Diem position- Shift coverage includes overnight's and weekends with some facilities being open 7 days per week.


    Optum NV is seeking a CT Tech to join our team in Las Vegas, NV. Optum is a clinician-led care organization that is changing the way clinicians work and live.


    As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.


    At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.


    Primary Responsibilities:

    Performs CT exams and general radiology imaging procedures per department protocol. Responsible for daily operations within the Imaging - CT Department/routine x-ray, including patient schedules, reporting equipment failures, and quality assessmentFollowing physicians' orders, produces CT images and routine x-ray images per departmental protocol for the use in diagnosing medical problemsGreets, correctly identifies patient, prepares patient for examination, and explains specific procedures to be performed in appropriate confidential areaObtain necessary consents from the patients and verifies required lab values; Initiates, maintains and discontinues IV accessAccurately maintains patient imaging records, utilizing the radiology information system (R.I.S.) and PACS/Synapse application, EMR (electronic Medical record)  in accordance to HIPAA, and company guidelines, policies and procedureProcesses CT images/ radiologic digital images, examines for technical quality and diagnostic acceptability, and generates additional plans of images as needed for the Radiologist reviewKnowledgeable process for transferring images into the PAC/Synapse computer system (downtime process, print, Cd copy per protocol)Prepares copies of images, preliminary reports, and contacts referring physician when required according to established proceduresMaintains Imaging equipment, work area, and ensures adequate supplies are available, follows all safety standards and uses radiation protection when operating CT equipment/General x-ray equipmentAssists lower level employees with more complex issues and problemsMay also be assigned to other modalities provided incumbent is certified or licensed in those modalitiesWill comply with annual mandatory Fit Testing as a job requirement
     

    Exposure to radiation, risk of exposure to blood, body fluids or tissues. Is able to float with varied days/shifts,  Rotates within Imaging department to include satellite offices to meet business operations; reliable transportations is required. Flexible to work overtime and on call as needed. Work some Holidays required.


    You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. 
     

    Required Qualifications:

    High school education, GEDAdvanced knowledge of CT (imaging) equipment, testing and safety hazards related to radiologyComprehensive knowledge of CT (imaging) positioning/procedures and diagnosisAdvanced understanding in the axial, coronal and sagittal planes of CT imagesKnowledge and experience in performing General radiology routine x-rayExcellent communication and interpersonal skills Basic computer skills, RIS & PACSProven ability to effectively communicate technical procedures and results with patients and providersSkilled in properly positioning patients to provide quality imagingSkilled in starting and stopping IV's (using IV catheters) for contrast injection
     

    Preferred Qualifications:

    1+ years of experience as a CT Technologist

     

    Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $29.00 to $52.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.


    OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

     

    OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. 

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    $10,000 Sign-on Bonus for External Candidates For those who want to in... Read More

    $10,000 Sign-on Bonus for External Candidates

     

    For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.


    The Clinic Case Manager is responsible for fostering collaboration and a team approach for successfully supporting patients with high-risk health conditions to navigate the healthcare system. Promote empowerment by facilitating the role of an educator, resource, and advocate for patients and their families to ensure a maximum quality of life. Interacts and collaborates with multidisciplinary care teams, to include physicians, nurses, pharmacists, case managers, social workers, and other educators. Works in a less structured, self-directed environment and performs all delegated nursing duties within the scope of a RN license of the applicable state board of nursing.


    Ensures compliance to contractual and service standards as identified by relevant health insurance plans.  Adheres to policies, procedures, and regulations to ensure compliance and patient safety. Participation in Compliance and required training is a condition of employment.

     
    Primary Responsibilities:

    Role embedded within the primary care clinic, working directly with patients, clinical and non-clinical teams providing transitional case management servicesPerforms assessment/screening of health conditions; Collaboration with the member, caregiver(s), clinician(s), and/or other appropriate healthcare professionals to address need and goalsPursues appropriate interventions to reduce risk of condition exacerbation, ER and hospitalization utilization to meet department/organization metrics or goalsSupports 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

     
    You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. 

    Required Qualifications:

    Valid NV RN LicenseCurrent BLS Certification or willingness to obtain within 3 months of hire2+ years of job-related experience in an acute care settingKnowledge of medical terminology; nursing assessment and follow up on patient's needsProven skilled with MS Office software applications and electronic medical records (EMR)Proven excellent communication, interpersonal, organization and customer service skillsPositive personality and willingness to effect changeProven ability to multi-task and work under pressureValid NV State Driver's license and access to reliable transportation


    Preferred Qualifications:

    Bachelor's degree or higher in nursing3+ years of experience providing hospital care (ICU/Floor) or Emergency room (ED) nurse or case management within Hospital/Clinic/Practice

     

    Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

     

    At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.    

     


    OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.  


    OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. 

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    LPN, Adult Medicine - Las Vegas, NV  

    - Spring Valley
    $4,000 Sign on Bonus For External Candidates Optum NV is seeking a LPN... Read More

    $4,000 Sign on Bonus For External Candidates

     

    Optum NV is seeking a LPN, Adult Medicine to join our team in Las Vegas, NV. Optum is a clinician-led care organization that is changing the way clinicians work and live.


    As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.


    At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

     

    This LPN position is in adult medicine.
    Location: Las Vegas, NV
    No weekends, nights or holidays.


    Position Highlights & Primary Responsibilities:

    Collection and documentation of patient information to include vital signs, chief compliant, review of medications, allergies health risk screen information, status of extended care benefits and other servicesProvide clinical intervention such as drug administration, treatments, and procedures as ordered by provider and within scope of practiceAssist with phone calls and messagesDetermine best actions and collaborate with team to assign accountabilities to resolveParticipate in monitoring patients with chronic disease and extended care benefits including verification of eligibility and status of servicesAnticipate provider needs for patient exam or treatment in collaboration with RNAssist RN with the coordination and completion of patient care planAssist coworkers with duties when requested to include training of medical Assistants and assisting in areas as neededCompliance requirements such as laboratory QC management, waive testing, maintenance of crash cart and narcotic count as well as other requirements dictated by clinic needsGather medical information as needed to present cases to ITDs as requiredOther responsibilities as required


    You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

    Required Qualifications:

    High school diploma or GEDCurrent, unrestricted NV LPN license or temporary NV LPN license with the ability to obtain permanent NV LPN license upon expiration of temporary NV LPN licenseCurrent CPR/BLS certification1+ years of clinical experience as a LPN

     

    Preferred Qualifications:

    Electronic medical records (EMR) experienceImmunization and injection experienceCharge or leadership experienceBilingual in English and Spanish

     

    Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.38 to $36.44 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

     

    OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

     

    OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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    $10,000 Sign On Bonus for External Candidates Optum NV is seeking a Se... Read More

    $10,000 Sign On Bonus for External Candidates

     

    Optum NV is seeking a Senior RN Case Manager - Complex Case to join our team in Las Vegas, NV. Optum is a clinician-led care organization that is changing the way clinicians work and live.


    As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.


    At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

     

    The Senior Case Manager will identify, coordinate, or provide appropriate levels of care under the direct supervision of an RN or MD. Function is responsible for clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating). This includes case management, coordination of care, and medical management consulting. Function may also be responsible for providing health education, coaching and treatment decision support for members. 

     

    Primary Responsibilities:

    Applies motivational interviewing in identifying impact on member engagement and setting goalsMember education, medication reconciliation and benefit managementEnsures follow through with the Care Navigation Team; timely appointments and referrals to programs, health plan and communityFacilitate patient/family and provider communications as indicated and advocate for patient/family with healthcare team as neededEnsures coordinated services delivered and available programs are accessedCommunicate with stakeholders, appropriate health care related information to ensure timely coordination care and services for members currently receiving inpatient careUtilizes approved clinical criteria to asses and determine appropriate level of care for members currently receiving inpatient careIdentified point of contact for managing transitions of care

     

    You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

    Required Qualifications:

    Current, unrestricted NV RN license3+ years of direct patient care nursing with a focus on discharge planning or case managementCompetent with MS Office and other practice management systems or possess the ability to continue to learn new thingsAccess to reliable transportation that will enable you to travel to client and/or patient sites within a designated areaProven ability of time management skillsLiable transportation with valid driver's license and car insurance

     

    Preferred Qualifications:

    CCM certificationBSNSolid clinical knowledge and capacity for continued learningProficient in critical thinking skills of RN Case managerProven ability to organize and prioritize tasks for self and patientsProven solid verbal and written communication skillsProven ability to perform case management activities

     

    Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

     

    OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.


    OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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  • U
    For those who want to invent the future of health care, here's your op... Read More

    For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

     

    The Ultrasound Technologist is responsible for operation sonographic equipment and for performing and communicating results of diagnostic examination using sonography. Responsible for daily operation within the Imaging - Ultrasound Department, including patient schedules, reporting equipment failures and quality assessment.

    Schedule: Monday, Tuesday, Wednesday and Saturday 7 am - 5:30 pm 

    Location: South Eastern & Rancho Clinic (Las Vegas, NV)

    Primary Responsibilities:

    Following physician's orders, performs clinical assessment and diagnostic sonography examinations. (OB,ABD, Small parts, and Vascular)Uses cognitive sonographic skills to identify record and adapt procedures as appropriate to anatomical, pathological, diagnostic information and imagesGreets, correctly identifies patient, prepares patient for examination and explains specific procedures to be performed in appropriate confidential areaAnalyses sonograms, synthesizes sonographic information and medical history and communicates findings to the appropriate physicianAccurately maintains patient imaging records, utilizing the Radiology Information System (R.I.S., and PACS/Synapse application in accordance with HIPPA and company guidelines, policies and proceduresObtains pertinent medical history from the patient, prepares preliminary reports for radiologist and contacts referring physician when required according to established proceduresMaintains ultrasound equipment and work area, and ensures adequate supplies are available, contacts service as requiredMonitor PACs/Synapse and RIS database for integrity of patient information and proper transferMay also be assigned to other modalities provided incumbent is certified or licensed in those modalitiesComply with annual mandatory Fit Testing as a job requirement

     

    You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

    Required Qualifications:

    Graduate of a formally accredited Diagnostic Medical Sonography ProgramActive certification by American Registry of Diagnostic Medical Sonographers (ARDMS)Current CPR CertificationVascular Certification or ability to obtain in 6 months of hireComplete 5 hours of CME specific to Breast Ultrasound within 30 days of hire or hold an active ARDMS Breast Registry1+ years of experience in fieldBasic computer skillsKnowledge of sonographic equipmentKnowledge of sonographic procedures and diagnosisFlexible to work overtime and on call as neededReliable transportation

     

    Preferred Qualifications:

    3+ years of experience in fieldEPIC and PACs experienceExcellent communication and interpersonal skillsProven ability to effectively communicate technical procedures and results with patients and providers

     

    Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $29.00 - $52.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

     

    At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

     

     

    OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

     

    OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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    Optum NV is seeking a Case Manager RN to join our team in Las Vegas, N... Read More

    Optum NV is seeking a Case Manager RN to join our team in Las Vegas, NV. Optum is a clinician-led care organization that is changing the way clinicians work and live.


    We are currently offering a $10,000 sign on bonus for external candidates!


    At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.


    Daily operational responsibilities include utilization management, discharge planning, referral facilitation and/or collaboration with hospital- based case managers/physicians to move patients to appropriate level of care.  Provide Care interdisciplinary team communication about the hospital stays. This is an on-sight hospital- based function requiring the Case Manager RN to travel to 1-2 hospitals daily, work in collaboration with the hospitalist to improve outcomes with Observation stay, long discharge plans and prevention of readmission.


    Primary responsibility for case management includes discharge planning, improved transitions of care, and utilization management of long length hospitalized health plan members.  Ensure members receive quality medical care in the most appropriate setting.  Performs the following on a daily basis; 1) performs patient assessment of all major domains using evidence based criteria (physical, functional, financial and psychosocial); 2) develop individualized discharge plans that involve provider, patient and caregiver goals for successful transitions of care; 3) implement discharge plan involving health care resources across the continuum; and 4) monitor and report variances that may challenge timely quality care.


    Primary Responsibilities:

    Assess, plan and implement care strategies that are individualized by patients and directed toward the most appropriate, lease restrictive level of careUtilize both company and community-based resources to establish a safe and effective case management plan for hospitalized membersCollaborate with patient, family and health care providers to develop an individualized plan of care that encompasses both acute care episode and post hospital discharge planCommunicate with all stakeholders the required health related information to ensure quality coordinated care and services are provided expeditiously to all hospitalized membersAdvocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care teamUtilize approved clinical criteria to assess and determine appropriate level of care for hospitalized membersUnderstand insurance products, benefits, coverage limitations, insurance and governmental regulations as it applies to the health planUnderstand role and how it affects utilization management benchmarks and quality outcomesCoordinate hand-off of care to primary care provider


    You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

    Required Qualifications:

    High School diploma and/or equivalentActive unrestricted Nevada RN licenseAbility to obtain CCM certification within two years of employment2+ years of varied clinical experience in a hospital or clinical setting with an emphasis on case managementExperience in a managed care organizationKnowledge of utilization management in a managed care environmentIndependent case management knowledge and skills to formulate plans of care without direct supervisionUnderstanding of spectrum of alternative delivery systemsAbility to use computer-based programs and applicationsDemonstrated initiative toward problem solving without direct supervisionProven solid organizational, written, oral computer skillsProven excellent problem-solving skillsProven ability to negotiate with professionals, patients, and caregiversCritical Thinking: Proven ability to integrate guidelines/tools to negotiate most effective plan of care. Formulate plans that incorporate the health plan benefits, community services and patient self-directionValid Nevada driver's license and maintain personal auto insurance coverage


    Preferred Qualifications:

    Bachelor's degreeKnowledge of Interqual or Milliman guidelines Recent Emergency Room hospital care or hospital discharge planning


    Working Conditions: 

    Work completed in acute hospital and/or sub-acute and/or Inpatient Rehabilitation settingDriving up to one hour per day


    Competencies for High Performers:   

    Participation in departmental projects assigned by Director or ManagerCertification in Case Management (CCM) or equivalent Professional Certification (ACM)Metric measures of success: Observation rate discharge, Rate of engagement with patients high risk patients, improved readmission rate of high risk patients and engagement of PCP HFU rate, daily productivity 10-11 patients per day OBs note


    Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $35 to $63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.


    OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.


    OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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    Senior Business Systems Specialist  

    - Spring Valley
    This position is Onsite. Our office is located at 2720 N. Tenaya Way L... Read More

    This position is Onsite. Our office is located at 2720 N. Tenaya Way Las Vegas, NV.

    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together

    As a Senior Business Systems Specialist, you will play a critical role in designing, developing, and delivering high-quality system solutions that support our applications, products, and enterprise technology initiatives.

    If you're looking for a role where you can leverage your skills to connect people, translate ideas into action, and drive meaningful outcomes, this could be the perfect fit.

    What are the reasons to consider working for UnitedHealth Group? Put it all together - a highly competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success.

    Some of our offerings include:

    18 days of Paid Time Off which you start to accrue with your first pay period plus 8 Paid HolidaysMedical Plan options along with participation in a Health Spending Account or a Health Saving accountDental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage401(k) Savings Plan, Employee Stock Purchase PlanEducation Reimbursement - up to $5,250 per calendar year for job-related courseworkAdoption Assistance PlanEmployee DiscountsEmployee Assistance ProgramEmployee Referral Bonus ProgramVoluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)More information can be downloaded at: Health insurance plans | UnitedHealthcare

    This position is full-time 40 hours / week Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 6:00am - 6:00pm PST. It may be necessary, given the business need, to work occasional overtime and or weekends.

    We offer 4-8 weeks of on-the-job training. The hours of the training will be aligned with your schedule. Training will be conducted onsite.  

       

    Primary Responsibilities:

    Consult with business users and technology specialists to define business processes and serve as a liaison between both groupsPerform comprehensive business analysis to identify needs and recommend solutionsDefine project objectives, scope, and develop detailed business and technical requirementsAct as a business liaison to refine, clarify, and document requirementsCollaborate with stakeholders to communicate, validate, and gain approval on requirementsEnsure delivered solutions align with and meet business needsProvide technical support for system development, including new implementations, enhancements, and ongoing maintenance within the Microsoft SuiteLeverage technology to design and enable effective business solutionsAnalyze routine business issues, identify root causes, and recommend corrective actionsProduce, publish, and distribute scheduled and ad hoc client and operational reports on product, process, and technology performanceDefine and manage project scope and objectives throughout the project lifecycleEscalate risks, issues, and concerns to the Manager and Analyst Leads as appropriate  

       

    You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

    Required Qualifications:

    High School Diploma / GED OR equivalent experienceMust be 18 years of age OR older1+ years of current experience and / OR education with evaluating and analyzing data using SQL OR other programming languages1+ years of experience with working in a professional setting utilizing Microsoft Suite applications (including any of the following: Microsoft Word (create correspondence), Microsoft Excel (ability to sort, filter, and create simple spreadsheets), Microsoft Access (database management), OR Microsoft Outlook (email and calendar management))Must be willing to interview onsite at 2720 N. Tenaya Way, Las Vegas, NV, 89128Must be willing to work onsite at 2720 N. Tenaya Way, Las Vegas, NV, 89128Ability to work any of our full-time (40 hours / week), 8-hour shift schedules during our normal business hours of 6:00 am - 6:00 pm PST from Monday - Friday

       

    Preferred Qualifications:

    2+ years of experience in utilizing Visual Basic to automate and enhance Microsoft Suite Processes1+ years of experience in a technical OR metrics - based environment1+ years of experience with analyzing and solving customer problems in an office setting environment1+ years of experience in using Microsoft Access OR other relational database to create reporting and interactive User Interfaces for large amounts of usersVBA in a professional settingHealthcare Industry experienceExperience in Claims AnalysisExperience in FacetsExperience in Project Management and Project Management Life CycleExperience in provider OR product configuration

       

    Soft Skills:

    Problem Solving mindsetExplain complex technical concepts in simple termsTake initiative to figure things out end-to-end

       

    Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $24 - $43 per hour based on full-time employment. We comply with all minimum wage laws as applicable.  

       

    At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

       

       

    UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

       

    UnitedHealth Group) is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

       

    #RPO #RED

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    Per Diem Specialty Pharmacy Technician  

    - Spring Valley
    Optum is a global organization that delivers care, aided by technology... Read More

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. 

    The Specialty Pharmacy Technician will effectively support the successful implementation and execution of all pharmacy programs and processes.  The Specialty Pharmacy Technician will provide support to the pharmacy staff to ensure applicable program processes and operational responsibilities are met.

    Schedule: Open 7 days per week, per diem, Weekdays: 7:30am - 8:00pm PST. Weekends: 8:00am - 7: 00 pm PST Rotating holidays and weekends. The supervisor will determine the schedule.

    Location: 6720 Placid Street, Las Vegas, NV 89119

    Primary Responsibilities: 

    Enter prescriptions and verify appropriate informationContacting patients, pharmacists and doctor's offices to resolve claims issues Process prescriptions (from intake to order completion) Resolve customer issues; ensuring accurate information is providedConsistently meet established productivity, schedule adherence, and quality standards while maintaining a good attendance recordFulfillment of prescription ordersAbility to interpret prescription orders and enter into the pharmacy systemAnswering the telephone utilizing appropriate etiquetteDocumenting interventions and tracking outcomes with Pharmacy teamOther duties as assigned

    What are the reasons to consider working for UnitedHealth Group?   Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

    Paid Time Off which you start to accrue with your first pay period plus 8 Paid HolidaysMedical Plan options along with participation in a Health Spending Account or a Health Saving accountDental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage401(k) Savings Plan, Employee Stock Purchase PlanEducation ReimbursementEmployee DiscountsEmployee Assistance ProgramEmployee Referral Bonus Program

    Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

     

    You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

    Required Qualifications:

    High School Diploma/GEDPharmacy trainee license or Pharmacy Technician LicenseIntermediate level of proficiency with computers using Windows PC applications, and the ability to learn new and complex computer system applicationsAbility to work variable shifts which may include days, evenings, weekends, and holidays (Mon-Fri hours: 7:30am - 8pm, Sat/Sun: 8am-7pm)

    Preferred Qualifications:

    PTCB (Pharmacy Technician Certification Board) Certified 2+ years of Pharmacy Technician experience6+ months of experience with insurance claims processing, rejection, and resolutionExperience with various insurances, pre-approval & authorizations process, and rejectionsSterile compounding experience  

    Soft Skills: 

    Ability to work independently and maintain good judgment and accountability Ability to multi-task and prioritize tasks to meet all deadlines Ability to work well under pressure in a fast-paced environment Demonstrated ability to work well with health care providers Strong organizational and time management skills Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others  

    Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $29.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 

        

    At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

     

        

        

    UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

        

     

    UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

        

    #RPO, #RED

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    $40,000 Student Loan Repayment Or $30,000 Sign-on Bonus This role requ... Read More

    $40,000 Student Loan Repayment Or $30,000 Sign-on Bonus 

    This role requires travel across the entire states of AZ, CA, HI, ID, MT, NV, OR, UT, WA, WY, approximately 85% of the time. All travel expenses are covered, and there is likewise a base salary plus multiple incentives.  You can live anywhere in the state for this role. 

    In this role, you will have the ability to achieve work life balance. Flexible scheduling is offered where providers can flex their time between 8am-8pm over the 7-day work week.  No on-call, no weekends and no holidays required.

     

    Optum Home & Community Care, part of the Optum family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere. As a team member of our Optum HouseCalls team, together in an interdisciplinary care environment, we help patients navigate the health care system and connect them to key support services. This preventive care can help patients stay well at home. We're connecting care to create a seamless health journey for patients across settings. Join us to start Caring. Connecting. Growing together.

     

    HouseCalls is an innovative, performance-driven program that brings care directly to members' homes. As a HouseCalls Nurse Practitioner you will conduct annual in-home health assessments for Medicare Advantage and other plan members. This is a non-prescribing, field-based role focused on improving health outcomes through education, gap closure, and collaboration with primary care providers (PCP).

     

    Primary Responsibilities:

    Conduct comprehensive in-home assessments, including:Past medical history review, medication reconciliation, vital signs, and physical examEvidence-based screenings and point-of-care testing (as appropriate)Identify and document diagnoses for care management and treatment planningCommunicate findings to members' PCPs to address gaps in careRecognize urgent/emergent situations and intervene appropriatelyEducate members on disease processes, medications, and complianceAddress social determinants of health and provide referrals as needed

     

    You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

    Required Qualifications:

    For NPs: Active ANCC or AANP certification in Family, Adult, Geriatric, or Adult-Gerontology Primary CareFor PAs: Current NCCPA certification and state licensureActive, unrestricted licensure in the state you will be practicing in (or ability to obtain by start date) without current disciplinary actions or practice limitationsActive and unrestricted driver's licenseIn addition to a driver's license, access to reliable transportation to complete home visitsAbility to navigate varied home environments; ability to sit/stand/kneel as needed to perform assessments If you're working in a state that allows NPs/PAs to practice independently (without Collaborative Agreement), you must get approval from your licensing board-if required. New hires who are eligible but haven't applied yet must do so within 1 month of starting. If you're not eligible at the time of hire, you must begin working toward eligibility within 1 month and apply for approval within 3 months of becoming eligible

     

    Preferred Qualifications:

    1+ years of clinical experience (family, geriatric, or home health preferred)Proficiency with electronic medical records and technologyAbility to transport equipment weighing up to 30 pounds and navigate stairs as part of home visitsProven communication skills with geriatric or Medicare populations

     

    Compensation for this specialty generally ranges from $109,500 - $164,000. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives.

     

    At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. 

     

     

    OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

     

    OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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    Optum is a global organization that delivers care, aided by technology... Read More

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. 

    You're looking for the next great thing for your career. How about supporting teams architecting the future of health care? Optum Frontier Therapies is a business pioneering a better approach to care for people with rare diseases; we are on a mission to support people with compassion while creating access to therapies at the frontier of health care. With us, you'll find a fast-paced, passionate, and professional culture where you can use your talent and our resources to make a huge impact-ensuring that all people, no matter how unique, have the ability to access a better tomorrow. Take this opportunity to start doing your life's best work.

    The Specialty Pharmacy Technician will be responsible for prescription fulfillment duties and/or order intake of prescription orders within a pharmacy location within the Optum Frontier portfolio under direct supervision from the Site Director.

    Primary Responsibilities:

    Perform various duties related to the fulfillment of prescription orders.Dispense any or all the following: specialty pharmaceuticals, injectables, cell gene therapies, and related supplies following state and federal regulations and company policies and procedures.Process, pack and ship outgoing pharmacy orders, ensuring drug, related supplies and patient collateral (education materials) are included.May also perform drug/supply ordering and inventory/warehouse duties, including proper storage of drugs and supplies and appropriate refrigeration of perishable product, monitor and adjust/calibrate pharmacy equipment.Process, pack and ship outgoing specialty distribution orders, ensuring drug, related supplies and accurate documents are included.Prepare and scan documents, verify member/patient data, submit prescription orders in computer system.Contact patients to validate data, resolve rejected claims, request payment information, establish priority of order or delivery details, address medication issues, and coordinate treatment with on-site facilities personnel.Interpret provider prescription and create order, access, input and retrieve prescription and medical/lab information from computer system, verifies whether order/drug is reimbursable/covered.Perform tracking logistics for outbound shipments to ensure arrived at destination. Work to include triaging packages that were misrouted to ensure meet destination.Acts as liaison between company, patients, insurances, manufacturers, and provider's office via phone, fax, and e-mail communications.Accepts unique HUB enrollment and privacy forms and accurately enters into system specific to program design requirementsProcesses prescriptions through pharmacy dispensing software following all laws for each state for which the medication is being dispensed from.Maintains documentation of calls to and from patients, caregivers, insurances, providers, and manufacturers.

    You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

    Required Qualifications:

    High School Diploma / GED 1+ years of experience as a pharmacy technicianValid pharmacy technician license in good standing in the state of NevadaBe a team player and collaborate across functionsAbility to lift 50 poundsAbility to stand for up to 8 hours with intermittent breaks

    Preferred Qualifications:

    1+ years of working in a warehouse or supply chain inventory environmentNational PTCB certificationSpecialty pharmacy experience

     

    Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $16 to $29 annually based on full-time employment. We comply with all minimum wage laws as applicable. 

     

     At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

         

         

    UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

         

    UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

       

        

    #RPO #RED

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    Southwest Medical (part of the OptumCare Network) is a vital and expan... Read More

    Southwest Medical (part of the OptumCare Network) is a vital and expanding part of the Optum and UnitedHealth Group family of companies. We're a highly successful multispecialty medical practice group that's the career home of more than 340 providers. We're serving over 320,000 patients annually through 20+ health care centers that include six urgent care centers and two state of the art outpatient surgery centers.  Headquartered in Las Vegas, we have over 40 years of experience and provide a wide spectrum of care including specialties: Cardio, Gastro, PM, Podiatry, Wound Care, Neurology, Rheumatology, Endocrinology, and Anesthesiology as well as innovative programs such as Women's health Breast Care Program, Congestive Heart Programs and Total HomeCare.  Get to know us and you'll discover why this could be an opportunity to start Caring. Connecting. Growing together.

     

    Southwest Medical, part of OptumCare, is interviewing for Advance Practice Clinicians for our Clinical Immersion Program.

     

    This competitive immersion program is an unpaid internship that will support the fulfillment of your clinical rotations within your defined clinical program and is open to PA students at Touro and NP students at UNLV. This immersion program is designed to support clinical rotations throughout our multispecialty clinics, while experiencing population health and value-based care in a primary care setting.

     Qualifications - External

     

    Required Qualifications:

    Active enrollment in the Touro University PA or UNLV NP programFull current transcript required.One letter of recommendation from a program director or faculty member within the APC program of studyLocated in the Las Vegas metro area, or willing to self-relocate for the duration of clinical rotations necessary

     

     

    Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

     

    OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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    Bilingual Field Community Health Worker  

    - Spring Valley
    At UnitedHealthcare, we're simplifying the health care experience, cre... Read More

    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. 

    The Field Based Community Health Worker is responsible for assessment, planning and implementing care strategies that are individualized by patients and directed toward the most appropriate, least restrictive level of care. They also Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services, and manage the care plan throughout the continuum of care as a single point of contact for the member. As a Field Based Community Health Worker (CHW), you will act in a liaison role with Medicaid members to ensure appropriate care is accessed as well as to provide home and social assessments and member education. The coordinator also addresses social determinants of health such as transportation, housing, and food access.

    Working Schedule: Schedule is Monday through Friday between the hours of 8 am to 5 pm. This position is a field-based position with a home-based office. You will work from home when not in the field.

    Location: Las Vegas and Surrounding Communities

    If you reside in Las Vegas and Surrounding Communities, you'll enjoy the flexibility to telecommute* as you take on some tough challenges.

    Primary Responsibilities:

    Assess, plan, and implement care strategies that are individualized by patients and directed toward the most appropriate, lease restrictive level of careCreate a positive experience and relationship with the membersUtilize both company and community-based resources to establish a safe and effective case management plan for membersCollaborate with patients, family, and healthcare providersIdentify and initiate referrals for social service programs, including financial, psychosocial, community, and state supportive servicesCommunicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all membersAdvocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the healthcare teamDocument all member assessments, care plan and referrals providedYou'll need to be flexible, adaptable and, above all, patient in all types of situationsEngage members either face to face or telephonicallyHelp members set person-centered SMART goals and develop a care plan to achieve those goals with regular follow up calls and ongoing documentation of progress towards goals metAdhere to detailed, specific documentation requirements in the member's health recordProactively engage the members to manage their own health and healthcare using Motivational Interviewing SkillsSupport the member to ensure pick - up of their RxPartner with care team (community, providers, internal staff) \Knowledge and continued learning of community cultures and values\May conduct Health Risk Assessments (HRA) if neededPartner with and support care team by completing delegated tasksProvide member education on community resources and benefitsUtilize strong skill sets of managing multiple tasks at a time, being self-motivated, driven toward quality results, managing time well, being very detailed oriented and organized, working well in a team and on your own, and the ability to manage multiple deadlinesKnowledge and continued learning of community cultures and valuesPerforms other duties as assigned

    You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

    Required Qualifications:

    High School Diploma/GED OR 5+ years of case management experience2+ years of experience working within the Community Health setting in a field-based healthcare role2+ years of experience or knowledge of the resources available, culture, and values in the communityIntermediate level of computer proficiency including Microsoft Outlook, Teams, and the ability to use multiple web applicationsAccess to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet serviceAbility to travel locally up to 50% of the timeMust reside within Las Vegas, Nevada or surrounding areasValid Nevada driver's license and current automobile insurance with access to reliable transportation that will enable you to travel to client and / or patient sites within a designated areaBilingual (Spanish and English)

    Preferred Qualifications:

    Community Health Worker (CHW) AccreditationLPN, CNA, CMAExperience working in Managed CareKnowledge of Medicaid/Medicare populationSolves routine problems on own. - Works with supervisor to solve more complex problemsPrioritizes and organizes own work to meet agreed upon deadlines.Experience working in team-based care 

    Soft Skills:

    Strong communication and customer service skills both in person and via phone Ability to work independently and maintain good judgment and accountability Demonstrated ability to work well with othersStrong organizational and time management skills Ability to multi-task and prioritize tasks to meet all deadlines Ability to work well under pressure in a fast-paced environment Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others 

    *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

            

    Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20 - $36 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

          

    At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

         

     

    UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

     

    UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

       

     

    #RPO #RED

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    ***$15,000 Signing Bonus + Relocation Package for Qualifying Applicant... Read More

    ***$15,000 Signing Bonus + Relocation Package for Qualifying Applicants***

    Optum NV is seeking an Oncology Nurse Practitioner or Physician Assistant to join our team in Las Vegas, NV. Optum is a clinician-led care organization that is changing the way clinicians work and live.

    As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.

    At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

    Optum Medical Partners is seeking an accomplished Oncology Nurse Practitioner or Physician Assistant for our Hematology & Oncology division located in Las Vegas, NV.  This is an outstanding opportunity for a provider who wants to remain clinically active while helping to shape the future of cancer care in Southern Nevada.

    The Oncology Nurse Practitioner/Physician Assistant will function as a healthcare provider, who with physician oversight, will work in collaboration with a broad multidisciplinary health team.  He/she will be responsible for providing comprehensive care in a primarily outpatient setting, demonstrating a high degree of clinical expertise working with patients with acute and chronic illnesses, both hematologic and oncologic. He/she will be responsible for assessment, understanding of diagnosis, treatment, co-management, education, health promotion and care coordination for patients and families with acute and chronic health needs. The ideal Nurse Practitioner/Physician Assistant candidate will demonstrate an advanced level of medical/nursing clinical knowledge, will be proficient in communication, both with patients and families and within the practice and thrive in a setting based upon interdisciplinary collaboration, professionalism and system-based practice.

    The Oncology Nurse Practitioner/Physician Assistant will provide care within his/her scope of practice as outlined by applicable state laws, licensing, regulations, institutional policy and practice agreements.

    Primary Responsibilities:
    *    Treating and managing patients with hematology and oncology diseases according to standard, usual and acceptable or customary methods and techniques in the outpatient and inpatient settings
     

    Clinical Knowledge
    *    Demonstrates knowledge of etiologies, risk factors, pathophysiology, presentation and epidemiology of medical conditions
    *    Performs history and physical assessments of patients that are accurate, complete, concise, and appropriate for age, gender and clinical problem
    *    Orders appropriate diagnostic studies and correctly interprets the results
    *    Utilizes critical thinking to synthesize and analyze collected data
    *    Develops, implements, evaluates and adjusts the plan of care as needed
    *    Co-manages general medical and surgical conditions based on knowledge of the indications, contraindications, side effects, interactions and adverse reactions of pharmacologic agents and other relevant treatment modalities
    *    Counsels and educates patients and families
    *    Maintains accurate, complete, concise and timely documentation in the electronic medical record
     

    Patient Care
    *    Provides care that is patient and family centered, compassionate, appropriate and effective for the promotion of health, prevention of illness and treatment of disease throughout the lifespan
    *    Facilitates consistent, coordinated care and clear communication among all members of the healthcare team
    *    Incorporates the patient and family in care planning and treatment across settings 
    *    Practice Based Learning and Clinical Improvement
    *    Demonstrates insight into own strengths, limitations and knowledge deficits
    *    Demonstrates initiative to meet identified learning needs using multiple resources
    *    Actively participates in self-evaluation by seeking and utilizing guidance and constructive feedback in a professional manner
    *    Continuously seeks opportunities for clinical advancement and knowledge and skill attainment
    *    Knowledgeable of research opportunities to advance the care and treatment of patients with cancer
     

    Communication and Interdisciplinary Collaboration
    *    Communicates and collaborates effectively with physicians, other health professionals and health related agencies
    *    Works effectively with multidisciplinary team members
    *    Provides understanding of diagnosis, treatment, therapy and management of patients according to current standards of care utilizing best practice recommendations 
    *    Professionalism
    *    Follows ethical principles regarding patient confidentiality, informed consent and unanticipated adverse outcomes
    *    Demonstrates the highest level of accountability for professional practice
    *    Maintains effectiveness throughout changing circumstances. Is flexible, resilient and change oriented
    *    Participates in organizational and departmental meetings, educational opportunities, committees and workgroups as necessary
     

    Systems Based Practice
    *    Considers cost effectiveness and risk/benefit analysis when making decisions about patient care
    *    Uses evidenced-based medicine to systematically analyze and improve patient care practices
    *    Participates in quality initiative/performance activities
    *    Participates in development, evaluates and implements standards of care within area of specialization (policies, protocols, etc.) 
    *    Roles and responsibilities specific to area of clinical practice: Outpatient Specific Responsibilities 
    *    Conduct comprehensive or episodic health history and physical assessment of Hematology/Oncology patients with acute, chronic and/or potential health problems
    *    Establish understanding of medical diagnoses
    *    Oversee supportive care needs
    *    Write specific orders within the limits of the practice agreement/scope of practice
    *    Provide appropriate direction to clinic staff regarding patient care issues
    *    Co-manage outpatient clinical practice and coverage for collaborating physicians
    *    Maintain clinical documentation according to group practice
    *    Educates patients and families on treatment plans, wellness care, and survivorship plans
    *    Provide outpatient urgent call coverage
     

    Inpatient Specific Responsibilities 
    *    Conducts comprehensive health history and physical assessment as part of initial inpatient consult
    *    Participates in rounding and collaborates with attending or consulting team in order to adjust plans of care

    You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

    Required Qualifications:
    *    APRN or PA-C licensure in Nevada, or ability to obtain prior to employment
    *    National Nurse Practitioner certification through AANC or AANP or Physician Assistant certification through NCCPA or ability to obtain prior to employment
    *    DEA or ability to obtain prior to employment
    *    1+ years of oncology APC experience or 3+ years of RN Oncology experience
    *    Familiarity with EMR systems; EPIC is what the clinic uses

    Preferred Qualifications:
    *    Advanced Oncology Certified Nurse Practitioner (AOCNP®) or willing to obtain this certification when eligible

     

    The salary range for this role is $ $104,500 to $ $156,000 annually based on full-time employment. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

     

    OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

    OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
     

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    NP or PA - Gastroenterology  

    - Spring Valley
    Southwest Medical, part of the Optum family of businesses, is seeking... Read More

    Southwest Medical, part of the Optum family of businesses, is seeking a Nurse Practitioner or Physician Assistant to join our Gastroenterology team in Las Vegas, NV.  At Optum, we are transforming healthcare nationally while providing Physician-led care locally.

    As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for everyone.

    At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you’ll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

    Position Highlights:

    Outpatient position involving seeing new and existing patients in office. Very desirable Monday through Friday schedule with no call required. Provide GI clinical services as required for patient cases such as colon cancer screens, IBS, IBD, liver disease, etc. Attractive base salary, sign on bonus, and quarterly bonus plan Comprehensive benefits package, including medical, dental, and life insurance, STD/LTD, professional liability, 401K with match, as well as PTO, 8 paid company holidays and one week of paid CME. 

    What makes an Optum Career different?

    As the largest employer of Advanced Practice Clinicians, we have a best-in-class employee experience and enable you to practice at the top of your license   We believe that better care for clinicians equates to better care for patients  We are influencing change collectively on a national scale while still maintaining the culture and community of our local care organizations  We grow talent from within. No matter where you want to go- geographically or professionally- you can do it here  

    Compensation & Benefits Highlights

    Med/Den/Vis, STD, LTD, United Health stock options Continuing Medical Education allowance with time off Robust Relocation program    Professional Liability Insurance Excellent PTO package Generous retirement program including employer funded contributions (401K)

    Southwest Medical, part of Optum, is a multi-specialty group of Physicians, Nurse Practitioners, and Physician Assistants at clinical locations including health care centers, urgent care clinics, convenient care centers and an outpatient surgery center. SMA offers patients compassion, innovation, and quality care throughout southern Nevada. Together, we're making health care work better for everyone.

    You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

    Required Qualifications:

    National Nurse Practitioner certification or Physician Assistant certification Unrestricted, NP/PA-C active licensure in the State of Nevada or ability to obtain prior to employment Current DEA license or ability to obtain prior to employment 2+ years of GI experience is ideal but not required

    The salary range for this role $110,000 to $166,500 annually based on full time employment. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

    OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. 

      

    OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. 

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    Specialty Pharmacy Technician  

    - Spring Valley
    Optum is a global organization that delivers care, aided by technology... Read More

    Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. 

    Pharmacy Location: 960 W Craig Rd. North Las Vegas, NV

    Hours of Operation: 40 hours a week from Monday - Saturday, 7:30 am - 7:00pm (pharmacy schedule). This position includes benefits.

    Primary Responsibilities:

    Interpret physicians' prescriptions, create order, access/inputs/retrieve prescription information and verify reimbursement eligibility

    Support solid focus on providing a superior level of customer service

    Support the maintenance of consistent inventory levels reflective of plan approved formulary

    Maintain prescriptions in a manner that complies with all legal requirements, including OBRA'90

    Provide accurate and consistent service levels, focusing on timely and accurate medication distribution

    Coordinate with other departments and team members within Optum to provide maximum level of service

    Ensure adherence and compliance with all state and federal regulations pertaining to the Pharmacy

    Exhibit compliant and ethical behavior in the performance of job responsibilities, including complying with all applicable federal and state laws and regulations, Optum Code of Conduct, Business Ethics Policies and Procedures and other policies and procedures applicable to the position

    You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

    Required Qualifications:

    Active and unrestricted Pharmacy Technician license in the state of Nevada

    3+ years of pharmacy related experience (including retail pharmacy)

    Intermediate level of proficiency with computer and Windows PC applications including the ability to navigate and learn new and complex computer system applications 

    Flexibility to support other sites within the Las Vegas area as needed

    Ability to wear a mask during working hours if needed

    18 years of age or older

    Preferred Qualification:

    Fluent in English and Spanish

    National Technician Certification

     

    Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $29.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 

        

    At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.\

        

       

    UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

       

    UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

       

       

    #RPO #RED

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    Referral Navigator  

    - Spring Valley
    Optum is a global organization that delivers care, aided by technology... Read More

    Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. 

    The Referral Navigator is responsible for processing referrals from Primary Care Providers (both internal and external/network) for the purposes of obtaining specialist care by our internal / network specialty Providers.

    Responsible for building, submitting, processing, and scheduling referrals from primary care providers for the purposes of obtaining specialist care by our internal and external/network specialty providers. This includes but is not limited to confirming all necessary documents and information has been provided, sending back for additional information, cancelling those that do not meet criteria or do not have necessary information required within a specified time frame, forwarding to MD review if questionable, accepting referrals and determining if the referral meets outsource or overflow criteria. While most of the work is computer-based, there is a lot of paperwork handling, faxing, scanning, and multiple telephone calls. This position has direct face to face contact with multiple patients.

    Schedule: Monday to Friday from 8:00 am to 5:00 pm 

    Location: 2720 Tennaya Drive, Las Vegas, NV 89128

    Primary Responsibilities:

    Building new referrals from network providersReviewing to ensure all necessary documents and information have been providedSending back documents for additional informationCanceling those that do not meet criteria or do not have necessary information required within a specified time frame, forwarding to MD review if questionableAccepting referrals and determining if meets outsource or overflow criteriaWhile most of the work is computer-based, there is a lot of paperwork handling, faxing, and scanning in addition to multiple telephone callsThis is primarily a sedentary desk job which will consist of >90% of time spent working on a computer and handling the telephonePerform all other duties assigned 

    What are the reasons to consider working for UnitedHealth Group?   Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

    Paid Time Off which you start to accrue with your first pay period plus 8 Paid HolidaysMedical Plan options along with participation in a Health Spending Account or a Health Saving accountDental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage401(k) Savings Plan, Employee Stock Purchase PlanEducation ReimbursementEmployee DiscountsEmployee Assistance ProgramEmployee Referral Bonus ProgramVoluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

    You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

    Required Qualifications:

    High School Diploma/GED2+ years of experience working in a health-related field2+ years of experience working with Electronic Medical Records (EMR) and/or Practice Management Software systems

    Preferred Qualifications:

    1+ years of experience and/or training as a Medical AssistantBilingual in English/Spanish  

    Soft Skills:

    Excellent communication skills and phone etiquette  

     

    Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $18 - $32 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

        

    At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

        

        

    UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

        

    UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

        

        

    #RPO #RED

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    Per Diem Specialty Pharmacy Technician  

    - Spring Valley
    Optum is a global organization that delivers care, aided by technology... Read More

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. 

    The Specialty Pharmacy Technician will effectively support the successful implementation and execution of all pharmacy programs and processes.  The Specialty Pharmacy Technician will provide support to the pharmacy staff to ensure applicable program processes and operational responsibilities are met.

    Schedule: Open 7 days per week, per diem, Weekdays: 7:30am - 8:00pm PST. Weekends: 8:00am - 7: 00 pm PST Rotating holidays and weekends. The supervisor will determine the schedule.

    Location: 6720 Placid Street, Las Vegas, NV 89119

    Primary Responsibilities: 

    Enter prescriptions and verify appropriate informationContacting patients, pharmacists and doctor's offices to resolve claims issues Process prescriptions (from intake to order completion) Resolve customer issues; ensuring accurate information is providedConsistently meet established productivity, schedule adherence, and quality standards while maintaining a good attendance recordFulfillment of prescription ordersAbility to interpret prescription orders and enter into the pharmacy systemAnswering the telephone utilizing appropriate etiquetteDocumenting interventions and tracking outcomes with Pharmacy teamOther duties as assigned

    What are the reasons to consider working for UnitedHealth Group?   Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

    Paid Time Off which you start to accrue with your first pay period plus 8 Paid HolidaysMedical Plan options along with participation in a Health Spending Account or a Health Saving accountDental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage401(k) Savings Plan, Employee Stock Purchase PlanEducation ReimbursementEmployee DiscountsEmployee Assistance ProgramEmployee Referral Bonus Program

    Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

     

    You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

    Required Qualifications:

    High School Diploma/GEDPharmacy trainee license or Pharmacy Technician LicenseIntermediate level of proficiency with computers using Windows PC applications, and the ability to learn new and complex computer system applicationsAbility to work variable shifts which may include days, evenings, weekends, and holidays (Mon-Fri hours: 7:30am - 8pm, Sat/Sun: 8am-7pm)

    Preferred Qualifications:

    PTCB (Pharmacy Technician Certification Board) Certified 2+ years of Pharmacy Technician experience6+ months of experience with insurance claims processing, rejection, and resolutionExperience with various insurances, pre-approval & authorizations process, and rejectionsSterile compounding experience  

    Soft Skills: 

    Ability to work independently and maintain good judgment and accountability Ability to multi-task and prioritize tasks to meet all deadlines Ability to work well under pressure in a fast-paced environment Demonstrated ability to work well with health care providers Strong organizational and time management skills Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others  

    Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $29.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 

        

    At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

         

        

    UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

        

     

    UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

        

    #RPO, #RED

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    Imaging Patient Care Coordinator  

    - Spring Valley
    Optum is a global organization that delivers care, aided by technology... Read More

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. 

    We are looking for a Patient Care Coordinator in our Las Vegas, NV Office. A Patient Care Coordinator works cooperatively with all members of the care team and supports the vision of the Positive Patient Experience (PPE), answers phones, responds appropriately and routes calls as needed, responds appropriately and timely to patients request regarding appointments or exams, reviews referrals/orders for appropriateness and scan, create, protocol, tasking, and scheduling.  Schedule appointments telephonically, inbound, and outbound, schedules appointments according to scheduling guidelines, policy and procedures, department productivity and quality standards and resolve routine to moderately complex issues, refers to supervisor when appropriate.

    Primary Work hours: M-F 8:30 am to 5 pm, with the ability to be flexible in order to cover others on PTO

    Primary work location: 2300 West Charleston Blvd., Las Vegas, NV

    Primary Responsibilities:

    Greet all external and internal customers in a courteous mannerCheck in patients, collect insurance information and patient paperwork as neededConfirming patient eligibility and benefitsMake, verify and schedule appointments, including updating demographicsCollect patient co-pays and co-insurance amounts due. Reconcile daily collectionsAssist with incoming calls, logging into call queueCheck out duties including scheduling return visits, scheduling an obtaining authorization for outpatient special procedures/appointments, initiate referrals to outgoing specialistsAccessing and utilizing third party portals for referrals, authorization, Prescription Monitoring Program, HIE, etc.Daily completion of tasks and email communicationsScan and attach patient medical records and documentsAssists co-workers and team members with duties when requested or assigned, to include but not limited to, floating to other areas

    What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

    Paid Time Off which you start to accrue with your first pay period plus 8 Paid HolidaysMedical Plan options along with participation in a Health Spending Account or a Health Saving accountDental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage401(k) Savings Plan, Employee Stock Purchase PlanEducation ReimbursementEmployee DiscountsEmployee Assistance ProgramEmployee Referral Bonus ProgramVoluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

    You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

     Required Qualifications:

    High School Diploma/GED 2+ years of customer service experience2+ years of experience in a healthcare environment setting2+ years of experience utilizing process-related tools such as electronic referral and medical record systems

    Preferred Qualifications:

    Understanding of insurance programs and basic managed care principals including clear understanding of referral processUnderstanding of diagnosis coding (ICD10) as it relates to referral requirements

    Soft Skills:

    Excellent computer skills and working knowledge of Windows and non-Windows based applications including Microsoft products such as Outlook, Word and ExcelCompetent in the use of phone systemProven ability to resolve patient issues and problems in a positive mannerDemonstrated ability to effectively interact with physicians, patients and other healthcare staff membersDemonstrated ability to work independently with minimal supervisionProven successful achievement of performance objectivesDemonstrated good organizational skills and ability to prioritizeDemonstrated good communications skillsDemonstrated consistent standard work compliance audits of 90% or higher for all assigned work

    Working Conditions:

    High volume patient care atmosphereOffice visits and chemotherapy infusion servicesLarge volume of telephone calls

     

    Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $18.00 to $32.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 

        

    At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

     

     

    UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

        

    UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

        

       

    #RPO, #RED

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  • U

    Referral Navigator  

    - Spring Valley
    Optum is a global organization that delivers care, aided by technology... Read More

    Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. 

    The Referral Navigator is responsible for processing referrals from Primary Care Providers (both internal and external/network) for the purposes of obtaining specialist care by our internal / network specialty Providers.

    Responsible for building, submitting, processing, and scheduling referrals from primary care providers for the purposes of obtaining specialist care by our internal and external/network specialty providers. This includes but is not limited to confirming all necessary documents and information has been provided, sending back for additional information, cancelling those that do not meet criteria or do not have necessary information required within a specified time frame, forwarding to MD review if questionable, accepting referrals and determining if the referral meets outsource or overflow criteria. While most of the work is computer-based, there is a lot of paperwork handling, faxing, scanning, and multiple telephone calls. This position has direct face to face contact with multiple patients.

    Schedule: Monday to Friday from 8:00 am to 5:00 pm 

    Location: 2720 Tennaya Drive, Las Vegas, NV 89128

    Primary Responsibilities:

    Building new referrals from network providersReviewing to ensure all necessary documents and information have been providedSending back documents for additional informationCanceling those that do not meet criteria or do not have necessary information required within a specified time frame, forwarding to MD review if questionableAccepting referrals and determining if meets outsource or overflow criteriaWhile most of the work is computer-based, there is a lot of paperwork handling, faxing, and scanning in addition to multiple telephone callsThis is primarily a sedentary desk job which will consist of >90% of time spent working on a computer and handling the telephonePerform all other duties assigned 

    What are the reasons to consider working for UnitedHealth Group?   Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

    Paid Time Off which you start to accrue with your first pay period plus 8 Paid HolidaysMedical Plan options along with participation in a Health Spending Account or a Health Saving accountDental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage401(k) Savings Plan, Employee Stock Purchase PlanEducation ReimbursementEmployee DiscountsEmployee Assistance ProgramEmployee Referral Bonus ProgramVoluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

    You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

    Required Qualifications:

    High School Diploma/GED 2+ years of experience working in a health-related field2+ years of experience working with Electronic Medical Records (EMR) and/or Practice Management Software systems

    Preferred Qualifications:

    1+ years of experience and/or training as a Medical AssistantBilingual in English/Spanish  

    Soft Skills:

    Excellent communication skills and phone etiquette 

     

    Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $18.00 to $32.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 

        

    At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

       

       

    UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

       

    UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

       

       

    #RPO #RED

    Read Less

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