Optum NV is seeking a Case Manager RN - Cardiology 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 is responsible for the care management and coordination of all high risk high need patients assigned to a specific site, including both in and out patient clinical care.  Assists clinicians in making informed decisions with these patients in order to promote better outcomes and smooth transitions of care. Follows the standards of Case Management and acts as the single point of contact for patients and families and providers.  Maintains records and data analysis related to high risk cases to report outcomes and ROI.  Works collaboratively with all internal and external partners to ensure better clinical outcomes.  

 

As the Complex RN Case Manager you will be responsible for care management and coordination of care for high risk cardiac and congestive heart failure patients. You would be working in the Cardiology department. You will be working closely with the Cardiology Providers, assisting with the CHF clinic, assisting with remote telemonitoring of patients and assist management/providers to set up other clinics/programs that are of interest.  The Complex RN Case Manager will have his/her own scheduled patients who come in for visits as well as those patients who will need to be reached telephonically.  

 

Primary Responsibilities:

Apply case management standards of practice to focus on effective care of high risk high need patients at a specific siteServe as a patient advocate and resource and provide critical information and recommendations to the rest of the care teamParticipates in assessment activities to develop individualized  plans of care in coordination with patient, family and providersFollows patient through various transitions of care to ensure that any gaps are identified and remedied, break down silos and promote efficient health care deliveryMaintains strong knowledge of UM, Case management, community resources and plan benefits to ensure improved outcomesWorks collaboratively with primary care on site staff to ensure patient compliance and adherence to medical plan of careAssist clinicians in implementing best practices for chronic care and disease managementFollow standard protocols, processes and policies to include but not limited to the following:  Medication Refill, Preventative Services, Managing Conditions, and Disease Case Management as signed by department head or designeeCare management and coordinating care for our high risk Cardiology and CHF patientsKnowledge of Milliman criteria and utilizing these criteria to manage CHF patientsAssist Clinicians in implementing best practices for chronic care and disease managementParticipates in assessment activities to develop individualized plans of care with patients, family and ProvidersProvide patient education on disease processes to help promote self-management and complianceResponsible for maintaining an active caseload and provide interventions as needed within area of expertise and within their scope of practiceHeart Failure disease management (telephonic and/or in person) will focus on adherence to lifestyle changes, symptoms recognition by patients, developing individualized treatment plans with patients and helping patients with the implementation of the treatment planResponsible for ongoing monitoring of patients treatment plans, adherence, if goals are achieved and evaluation of care; Assisting in reducing readmission ratesExercise sound judgment (Critical Thinking Skills) in evaluating situations and making decisions; notify appropriate staff/providers in situations requiring assistanceMake outbound telephone calls to patients to assess members' current health status.Provide telephonic nursing support to patients/caregivers related to disease process, signs and symptoms to report, telemonitoring, individual treatment plans, medications and for any additional concernsResponsible for monitoring and evaluation of electronic data received in the Telemonitoring Software Application from remote biometric monitors located in the patient's homeResponsible for telephonic nursing assessment of biometric alerts, mission information and intervention accordingly within their scope of practiceMaintains monthly statistics generated from current patient case load and telephonic patient case loadKnowledge of relevant computer systems and software applications (e.g., IDX; MS Word; MS Excel; Outlook; Touchworks) or ability to learn new programsCommunicates with customers in a manner that is clear, concise and understandable. Utilizes appropriate phone etiquette and effective listening skills when interacting with customers/familyMaintaining relevant training and certifications related to management of procedures and protocols (e.g., LearnSource; CPR; ACLS)Functioning as a resource for other co-workers and new hires, assist to help answer questions and direct them to the needed resourcesAssisting Supervisor and/or Manager with department related projects by completing tasks correctly and efficientlyAdheres to Internal company/department-specific protocols, procedures, policies and workflowsMay perform other required duties and responsibilities as outlined by the company/department

 

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 equivalentRegistered Nurse with active unrestricted license in the State of NevadaMust possess a valid Nevada driver's license and maintain personal auto insurance coverageBLS certification or obtain within 30 days of hire 3+ years of nursing experience with direct patient care in a Critical Care setting (Critical Care, general ICU, ER)Knowledge of UM and plan benefit designsDemonstrated ability to perform case management activitiesDemonstrates strong clinical knowledge, ability to perform clinical assessments on Cardiology patients, ability to use critical thinking skills and has the capacity for continued learningProven ability to demonstrate knowledge of and apply those to the job function and responsibilitiesProven to possess solid verbal and written communication skills including excellent phone etiquette and customer service skillsProven competent with MS Office, Excel and other practice management systems or possess the ability to continue to learn new programs

 

Preferred Qualifications:

Bachelor's degree in healthcare or related field preferred or working towards completion of Bachelor's degreeCCM certificationACLS certification or must be able to complete certification within 30 days of hireExperience in Cardiology, Case Management and CCM certification

 

Working Conditions:  Normal clinic environment.  Ability to have their own transportation to travel frequently within the Las Vegas Valley.  Ability to pass FIT testing and wear protective mask as deemed by SMA in the course of work at clinic. Moderate to heavy phone and computer usage.

 

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 $60,200 - $107,400 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. 

Read Less

Optum NV is seeking a Case Manager RN - Cardiology 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 is responsible for the care management and coordination of all high risk high need patients assigned to a specific site, including both in and out patient clinical care.  Assists clinicians in making informed decisions with these patients in order to promote better outcomes and smooth transitions of care. Follows the standards of Case Management and acts as the single point of contact for patients and families and providers.  Maintains records and data analysis related to high risk cases to report outcomes and ROI.  Works collaboratively with all internal and external partners to ensure better clinical outcomes.  

 

As the Complex RN Case Manager you will be responsible for care management and coordination of care for high risk cardiac and congestive heart failure patients. You would be working in the Cardiology department. You will be working closely with the Cardiology Providers, assisting with the CHF clinic, assisting with remote telemonitoring of patients and assist management/providers to set up other clinics/programs that are of interest.  The Complex RN Case Manager will have his/her own scheduled patients who come in for visits as well as those patients who will need to be reached telephonically.  

 

Primary Responsibilities:

Apply case management standards of practice to focus on effective care of high risk high need patients at a specific siteServe as a patient advocate and resource and provide critical information and recommendations to the rest of the care teamParticipates in assessment activities to develop individualized  plans of care in coordination with patient, family and providersFollows patient through various transitions of care to ensure that any gaps are identified and remedied, break down silos and promote efficient health care deliveryMaintains strong knowledge of UM, Case management, community resources and plan benefits to ensure improved outcomesWorks collaboratively with primary care on site staff to ensure patient compliance and adherence to medical plan of careAssist clinicians in implementing best practices for chronic care and disease managementFollow standard protocols, processes and policies to include but not limited to the following:  Medication Refill, Preventative Services, Managing Conditions, and Disease Case Management as signed by department head or designeeCare management and coordinating care for our high risk Cardiology and CHF patientsKnowledge of Milliman criteria and utilizing these criteria to manage CHF patientsAssist Clinicians in implementing best practices for chronic care and disease managementParticipates in assessment activities to develop individualized plans of care with patients, family and ProvidersProvide patient education on disease processes to help promote self-management and complianceResponsible for maintaining an active caseload and provide interventions as needed within area of expertise and within their scope of practiceHeart Failure disease management (telephonic and/or in person) will focus on adherence to lifestyle changes, symptoms recognition by patients, developing individualized treatment plans with patients and helping patients with the implementation of the treatment planResponsible for ongoing monitoring of patients treatment plans, adherence, if goals are achieved and evaluation of care; Assisting in reducing readmission ratesExercise sound judgment (Critical Thinking Skills) in evaluating situations and making decisions; notify appropriate staff/providers in situations requiring assistanceMake outbound telephone calls to patients to assess members' current health status.Provide telephonic nursing support to patients/caregivers related to disease process, signs and symptoms to report, telemonitoring, individual treatment plans, medications and for any additional concernsResponsible for monitoring and evaluation of electronic data received in the Telemonitoring Software Application from remote biometric monitors located in the patient's homeResponsible for telephonic nursing assessment of biometric alerts, mission information and intervention accordingly within their scope of practiceMaintains monthly statistics generated from current patient case load and telephonic patient case loadKnowledge of relevant computer systems and software applications (e.g., IDX; MS Word; MS Excel; Outlook; Touchworks) or ability to learn new programsCommunicates with customers in a manner that is clear, concise and understandable. Utilizes appropriate phone etiquette and effective listening skills when interacting with customers/familyMaintaining relevant training and certifications related to management of procedures and protocols (e.g., LearnSource; CPR; ACLS)Functioning as a resource for other co-workers and new hires, assist to help answer questions and direct them to the needed resourcesAssisting Supervisor and/or Manager with department related projects by completing tasks correctly and efficientlyAdheres to Internal company/department-specific protocols, procedures, policies and workflowsMay perform other required duties and responsibilities as outlined by the company/department

 

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 equivalentRegistered Nurse with active unrestricted license in the State of NevadaMust possess a valid Nevada driver's license and maintain personal auto insurance coverageBLS certification or obtain within 30 days of hire 3+ years of nursing experience with direct patient care in a Critical Care setting (Critical Care, general ICU, ER)Knowledge of UM and plan benefit designsDemonstrated ability to perform case management activitiesDemonstrates strong clinical knowledge, ability to perform clinical assessments on Cardiology patients, ability to use critical thinking skills and has the capacity for continued learningProven ability to demonstrate knowledge of and apply those to the job function and responsibilitiesProven to possess solid verbal and written communication skills including excellent phone etiquette and customer service skillsProven competent with MS Office, Excel and other practice management systems or possess the ability to continue to learn new programs

 

Preferred Qualifications:

Bachelor's degree in healthcare or related field preferred or working towards completion of Bachelor's degreeCCM certificationACLS certification or must be able to complete certification within 30 days of hireExperience in Cardiology, Case Management and CCM certification

 

Working Conditions:  Normal clinic environment.  Ability to have their own transportation to travel frequently within the Las Vegas Valley.  Ability to pass FIT testing and wear protective mask as deemed by SMA in the course of work at clinic. Moderate to heavy phone and computer usage.

 

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 $60,200 - $107,400 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. 

Read Less

Optum NV is seeking a Case Manager RN - Cardiology 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 is responsible for the care management and coordination of all high risk high need patients assigned to a specific site, including both in and out patient clinical care.  Assists clinicians in making informed decisions with these patients in order to promote better outcomes and smooth transitions of care. Follows the standards of Case Management and acts as the single point of contact for patients and families and providers.  Maintains records and data analysis related to high risk cases to report outcomes and ROI.  Works collaboratively with all internal and external partners to ensure better clinical outcomes.  

 

As the Complex RN Case Manager you will be responsible for care management and coordination of care for high risk cardiac and congestive heart failure patients. You would be working in the Cardiology department. You will be working closely with the Cardiology Providers, assisting with the CHF clinic, assisting with remote telemonitoring of patients and assist management/providers to set up other clinics/programs that are of interest.  The Complex RN Case Manager will have his/her own scheduled patients who come in for visits as well as those patients who will need to be reached telephonically.  

 

Primary Responsibilities:

Apply case management standards of practice to focus on effective care of high risk high need patients at a specific siteServe as a patient advocate and resource and provide critical information and recommendations to the rest of the care teamParticipates in assessment activities to develop individualized  plans of care in coordination with patient, family and providersFollows patient through various transitions of care to ensure that any gaps are identified and remedied, break down silos and promote efficient health care deliveryMaintains strong knowledge of UM, Case management, community resources and plan benefits to ensure improved outcomesWorks collaboratively with primary care on site staff to ensure patient compliance and adherence to medical plan of careAssist clinicians in implementing best practices for chronic care and disease managementFollow standard protocols, processes and policies to include but not limited to the following:  Medication Refill, Preventative Services, Managing Conditions, and Disease Case Management as signed by department head or designeeCare management and coordinating care for our high risk Cardiology and CHF patientsKnowledge of Milliman criteria and utilizing these criteria to manage CHF patientsAssist Clinicians in implementing best practices for chronic care and disease managementParticipates in assessment activities to develop individualized plans of care with patients, family and ProvidersProvide patient education on disease processes to help promote self-management and complianceResponsible for maintaining an active caseload and provide interventions as needed within area of expertise and within their scope of practiceHeart Failure disease management (telephonic and/or in person) will focus on adherence to lifestyle changes, symptoms recognition by patients, developing individualized treatment plans with patients and helping patients with the implementation of the treatment planResponsible for ongoing monitoring of patients treatment plans, adherence, if goals are achieved and evaluation of care; Assisting in reducing readmission ratesExercise sound judgment (Critical Thinking Skills) in evaluating situations and making decisions; notify appropriate staff/providers in situations requiring assistanceMake outbound telephone calls to patients to assess members' current health status.Provide telephonic nursing support to patients/caregivers related to disease process, signs and symptoms to report, telemonitoring, individual treatment plans, medications and for any additional concernsResponsible for monitoring and evaluation of electronic data received in the Telemonitoring Software Application from remote biometric monitors located in the patient's homeResponsible for telephonic nursing assessment of biometric alerts, mission information and intervention accordingly within their scope of practiceMaintains monthly statistics generated from current patient case load and telephonic patient case loadKnowledge of relevant computer systems and software applications (e.g., IDX; MS Word; MS Excel; Outlook; Touchworks) or ability to learn new programsCommunicates with customers in a manner that is clear, concise and understandable. Utilizes appropriate phone etiquette and effective listening skills when interacting with customers/familyMaintaining relevant training and certifications related to management of procedures and protocols (e.g., LearnSource; CPR; ACLS)Functioning as a resource for other co-workers and new hires, assist to help answer questions and direct them to the needed resourcesAssisting Supervisor and/or Manager with department related projects by completing tasks correctly and efficientlyAdheres to Internal company/department-specific protocols, procedures, policies and workflowsMay perform other required duties and responsibilities as outlined by the company/department

 

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 equivalentRegistered Nurse with active unrestricted license in the State of NevadaMust possess a valid Nevada driver's license and maintain personal auto insurance coverageBLS certification or obtain within 30 days of hire 3+ years of nursing experience with direct patient care in a Critical Care setting (Critical Care, general ICU, ER)Knowledge of UM and plan benefit designsDemonstrated ability to perform case management activitiesDemonstrates strong clinical knowledge, ability to perform clinical assessments on Cardiology patients, ability to use critical thinking skills and has the capacity for continued learningProven ability to demonstrate knowledge of and apply those to the job function and responsibilitiesProven to possess solid verbal and written communication skills including excellent phone etiquette and customer service skillsProven competent with MS Office, Excel and other practice management systems or possess the ability to continue to learn new programs

 

Preferred Qualifications:

Bachelor's degree in healthcare or related field preferred or working towards completion of Bachelor's degreeCCM certificationACLS certification or must be able to complete certification within 30 days of hireExperience in Cardiology, Case Management and CCM certification

 

Working Conditions:  Normal clinic environment.  Ability to have their own transportation to travel frequently within the Las Vegas Valley.  Ability to pass FIT testing and wear protective mask as deemed by SMA in the course of work at clinic. Moderate to heavy phone and computer usage.

 

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 $60,200 - $107,400 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. 

Read Less

Optum NV is seeking a Case Manager RN - Cardiology 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 is responsible for the care management and coordination of all high risk high need patients assigned to a specific site, including both in and out patient clinical care.  Assists clinicians in making informed decisions with these patients in order to promote better outcomes and smooth transitions of care. Follows the standards of Case Management and acts as the single point of contact for patients and families and providers.  Maintains records and data analysis related to high risk cases to report outcomes and ROI.  Works collaboratively with all internal and external partners to ensure better clinical outcomes.  

 

As the Complex RN Case Manager you will be responsible for care management and coordination of care for high risk cardiac and congestive heart failure patients. You would be working in the Cardiology department. You will be working closely with the Cardiology Providers, assisting with the CHF clinic, assisting with remote telemonitoring of patients and assist management/providers to set up other clinics/programs that are of interest.  The Complex RN Case Manager will have his/her own scheduled patients who come in for visits as well as those patients who will need to be reached telephonically.  

 

Primary Responsibilities:

Apply case management standards of practice to focus on effective care of high risk high need patients at a specific siteServe as a patient advocate and resource and provide critical information and recommendations to the rest of the care teamParticipates in assessment activities to develop individualized  plans of care in coordination with patient, family and providersFollows patient through various transitions of care to ensure that any gaps are identified and remedied, break down silos and promote efficient health care deliveryMaintains strong knowledge of UM, Case management, community resources and plan benefits to ensure improved outcomesWorks collaboratively with primary care on site staff to ensure patient compliance and adherence to medical plan of careAssist clinicians in implementing best practices for chronic care and disease managementFollow standard protocols, processes and policies to include but not limited to the following:  Medication Refill, Preventative Services, Managing Conditions, and Disease Case Management as signed by department head or designeeCare management and coordinating care for our high risk Cardiology and CHF patientsKnowledge of Milliman criteria and utilizing these criteria to manage CHF patientsAssist Clinicians in implementing best practices for chronic care and disease managementParticipates in assessment activities to develop individualized plans of care with patients, family and ProvidersProvide patient education on disease processes to help promote self-management and complianceResponsible for maintaining an active caseload and provide interventions as needed within area of expertise and within their scope of practiceHeart Failure disease management (telephonic and/or in person) will focus on adherence to lifestyle changes, symptoms recognition by patients, developing individualized treatment plans with patients and helping patients with the implementation of the treatment planResponsible for ongoing monitoring of patients treatment plans, adherence, if goals are achieved and evaluation of care; Assisting in reducing readmission ratesExercise sound judgment (Critical Thinking Skills) in evaluating situations and making decisions; notify appropriate staff/providers in situations requiring assistanceMake outbound telephone calls to patients to assess members' current health status.Provide telephonic nursing support to patients/caregivers related to disease process, signs and symptoms to report, telemonitoring, individual treatment plans, medications and for any additional concernsResponsible for monitoring and evaluation of electronic data received in the Telemonitoring Software Application from remote biometric monitors located in the patient's homeResponsible for telephonic nursing assessment of biometric alerts, mission information and intervention accordingly within their scope of practiceMaintains monthly statistics generated from current patient case load and telephonic patient case loadKnowledge of relevant computer systems and software applications (e.g., IDX; MS Word; MS Excel; Outlook; Touchworks) or ability to learn new programsCommunicates with customers in a manner that is clear, concise and understandable. Utilizes appropriate phone etiquette and effective listening skills when interacting with customers/familyMaintaining relevant training and certifications related to management of procedures and protocols (e.g., LearnSource; CPR; ACLS)Functioning as a resource for other co-workers and new hires, assist to help answer questions and direct them to the needed resourcesAssisting Supervisor and/or Manager with department related projects by completing tasks correctly and efficientlyAdheres to Internal company/department-specific protocols, procedures, policies and workflowsMay perform other required duties and responsibilities as outlined by the company/department

 

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 equivalentRegistered Nurse with active unrestricted license in the State of NevadaMust possess a valid Nevada driver's license and maintain personal auto insurance coverageBLS certification or obtain within 30 days of hire 3+ years of nursing experience with direct patient care in a Critical Care setting (Critical Care, general ICU, ER)Knowledge of UM and plan benefit designsDemonstrated ability to perform case management activitiesDemonstrates strong clinical knowledge, ability to perform clinical assessments on Cardiology patients, ability to use critical thinking skills and has the capacity for continued learningProven ability to demonstrate knowledge of and apply those to the job function and responsibilitiesProven to possess solid verbal and written communication skills including excellent phone etiquette and customer service skillsProven competent with MS Office, Excel and other practice management systems or possess the ability to continue to learn new programs

 

Preferred Qualifications:

Bachelor's degree in healthcare or related field preferred or working towards completion of Bachelor's degreeCCM certificationACLS certification or must be able to complete certification within 30 days of hireExperience in Cardiology, Case Management and CCM certification

 

Working Conditions:  Normal clinic environment.  Ability to have their own transportation to travel frequently within the Las Vegas Valley.  Ability to pass FIT testing and wear protective mask as deemed by SMA in the course of work at clinic. Moderate to heavy phone and computer usage.

 

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 $60,200 - $107,400 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. 

Read Less

Optum NV is seeking a Case Manager RN - Cardiology 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 is responsible for the care management and coordination of all high risk high need patients assigned to a specific site, including both in and out patient clinical care.  Assists clinicians in making informed decisions with these patients in order to promote better outcomes and smooth transitions of care. Follows the standards of Case Management and acts as the single point of contact for patients and families and providers.  Maintains records and data analysis related to high risk cases to report outcomes and ROI.  Works collaboratively with all internal and external partners to ensure better clinical outcomes.  

 

As the Complex RN Case Manager you will be responsible for care management and coordination of care for high risk cardiac and congestive heart failure patients. You would be working in the Cardiology department. You will be working closely with the Cardiology Providers, assisting with the CHF clinic, assisting with remote telemonitoring of patients and assist management/providers to set up other clinics/programs that are of interest.  The Complex RN Case Manager will have his/her own scheduled patients who come in for visits as well as those patients who will need to be reached telephonically.  

 

Primary Responsibilities:

Apply case management standards of practice to focus on effective care of high risk high need patients at a specific siteServe as a patient advocate and resource and provide critical information and recommendations to the rest of the care teamParticipates in assessment activities to develop individualized  plans of care in coordination with patient, family and providersFollows patient through various transitions of care to ensure that any gaps are identified and remedied, break down silos and promote efficient health care deliveryMaintains strong knowledge of UM, Case management, community resources and plan benefits to ensure improved outcomesWorks collaboratively with primary care on site staff to ensure patient compliance and adherence to medical plan of careAssist clinicians in implementing best practices for chronic care and disease managementFollow standard protocols, processes and policies to include but not limited to the following:  Medication Refill, Preventative Services, Managing Conditions, and Disease Case Management as signed by department head or designeeCare management and coordinating care for our high risk Cardiology and CHF patientsKnowledge of Milliman criteria and utilizing these criteria to manage CHF patientsAssist Clinicians in implementing best practices for chronic care and disease managementParticipates in assessment activities to develop individualized plans of care with patients, family and ProvidersProvide patient education on disease processes to help promote self-management and complianceResponsible for maintaining an active caseload and provide interventions as needed within area of expertise and within their scope of practiceHeart Failure disease management (telephonic and/or in person) will focus on adherence to lifestyle changes, symptoms recognition by patients, developing individualized treatment plans with patients and helping patients with the implementation of the treatment planResponsible for ongoing monitoring of patients treatment plans, adherence, if goals are achieved and evaluation of care; Assisting in reducing readmission ratesExercise sound judgment (Critical Thinking Skills) in evaluating situations and making decisions; notify appropriate staff/providers in situations requiring assistanceMake outbound telephone calls to patients to assess members' current health status.Provide telephonic nursing support to patients/caregivers related to disease process, signs and symptoms to report, telemonitoring, individual treatment plans, medications and for any additional concernsResponsible for monitoring and evaluation of electronic data received in the Telemonitoring Software Application from remote biometric monitors located in the patient's homeResponsible for telephonic nursing assessment of biometric alerts, mission information and intervention accordingly within their scope of practiceMaintains monthly statistics generated from current patient case load and telephonic patient case loadKnowledge of relevant computer systems and software applications (e.g., IDX; MS Word; MS Excel; Outlook; Touchworks) or ability to learn new programsCommunicates with customers in a manner that is clear, concise and understandable. Utilizes appropriate phone etiquette and effective listening skills when interacting with customers/familyMaintaining relevant training and certifications related to management of procedures and protocols (e.g., LearnSource; CPR; ACLS)Functioning as a resource for other co-workers and new hires, assist to help answer questions and direct them to the needed resourcesAssisting Supervisor and/or Manager with department related projects by completing tasks correctly and efficientlyAdheres to Internal company/department-specific protocols, procedures, policies and workflowsMay perform other required duties and responsibilities as outlined by the company/department

 

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 equivalentRegistered Nurse with active unrestricted license in the State of NevadaMust possess a valid Nevada driver's license and maintain personal auto insurance coverageBLS certification or obtain within 30 days of hire 3+ years of nursing experience with direct patient care in a Critical Care setting (Critical Care, general ICU, ER)Knowledge of UM and plan benefit designsDemonstrated ability to perform case management activitiesDemonstrates strong clinical knowledge, ability to perform clinical assessments on Cardiology patients, ability to use critical thinking skills and has the capacity for continued learningProven ability to demonstrate knowledge of and apply those to the job function and responsibilitiesProven to possess solid verbal and written communication skills including excellent phone etiquette and customer service skillsProven competent with MS Office, Excel and other practice management systems or possess the ability to continue to learn new programs

 

Preferred Qualifications:

Bachelor's degree in healthcare or related field preferred or working towards completion of Bachelor's degreeCCM certificationACLS certification or must be able to complete certification within 30 days of hireExperience in Cardiology, Case Management and CCM certification

 

Working Conditions:  Normal clinic environment.  Ability to have their own transportation to travel frequently within the Las Vegas Valley.  Ability to pass FIT testing and wear protective mask as deemed by SMA in the course of work at clinic. Moderate to heavy phone and computer usage.

 

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 $60,200 - $107,400 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. 

Read Less

Optum NV is seeking a Case Manager RN - Cardiology 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 is responsible for the care management and coordination of all high risk high need patients assigned to a specific site, including both in and out patient clinical care.  Assists clinicians in making informed decisions with these patients in order to promote better outcomes and smooth transitions of care. Follows the standards of Case Management and acts as the single point of contact for patients and families and providers.  Maintains records and data analysis related to high risk cases to report outcomes and ROI.  Works collaboratively with all internal and external partners to ensure better clinical outcomes.  

 

As the Complex RN Case Manager you will be responsible for care management and coordination of care for high risk cardiac and congestive heart failure patients. You would be working in the Cardiology department. You will be working closely with the Cardiology Providers, assisting with the CHF clinic, assisting with remote telemonitoring of patients and assist management/providers to set up other clinics/programs that are of interest.  The Complex RN Case Manager will have his/her own scheduled patients who come in for visits as well as those patients who will need to be reached telephonically.  

 

Primary Responsibilities:

Apply case management standards of practice to focus on effective care of high risk high need patients at a specific siteServe as a patient advocate and resource and provide critical information and recommendations to the rest of the care teamParticipates in assessment activities to develop individualized  plans of care in coordination with patient, family and providersFollows patient through various transitions of care to ensure that any gaps are identified and remedied, break down silos and promote efficient health care deliveryMaintains strong knowledge of UM, Case management, community resources and plan benefits to ensure improved outcomesWorks collaboratively with primary care on site staff to ensure patient compliance and adherence to medical plan of careAssist clinicians in implementing best practices for chronic care and disease managementFollow standard protocols, processes and policies to include but not limited to the following:  Medication Refill, Preventative Services, Managing Conditions, and Disease Case Management as signed by department head or designeeCare management and coordinating care for our high risk Cardiology and CHF patientsKnowledge of Milliman criteria and utilizing these criteria to manage CHF patientsAssist Clinicians in implementing best practices for chronic care and disease managementParticipates in assessment activities to develop individualized plans of care with patients, family and ProvidersProvide patient education on disease processes to help promote self-management and complianceResponsible for maintaining an active caseload and provide interventions as needed within area of expertise and within their scope of practiceHeart Failure disease management (telephonic and/or in person) will focus on adherence to lifestyle changes, symptoms recognition by patients, developing individualized treatment plans with patients and helping patients with the implementation of the treatment planResponsible for ongoing monitoring of patients treatment plans, adherence, if goals are achieved and evaluation of care; Assisting in reducing readmission ratesExercise sound judgment (Critical Thinking Skills) in evaluating situations and making decisions; notify appropriate staff/providers in situations requiring assistanceMake outbound telephone calls to patients to assess members' current health status.Provide telephonic nursing support to patients/caregivers related to disease process, signs and symptoms to report, telemonitoring, individual treatment plans, medications and for any additional concernsResponsible for monitoring and evaluation of electronic data received in the Telemonitoring Software Application from remote biometric monitors located in the patient's homeResponsible for telephonic nursing assessment of biometric alerts, mission information and intervention accordingly within their scope of practiceMaintains monthly statistics generated from current patient case load and telephonic patient case loadKnowledge of relevant computer systems and software applications (e.g., IDX; MS Word; MS Excel; Outlook; Touchworks) or ability to learn new programsCommunicates with customers in a manner that is clear, concise and understandable. Utilizes appropriate phone etiquette and effective listening skills when interacting with customers/familyMaintaining relevant training and certifications related to management of procedures and protocols (e.g., LearnSource; CPR; ACLS)Functioning as a resource for other co-workers and new hires, assist to help answer questions and direct them to the needed resourcesAssisting Supervisor and/or Manager with department related projects by completing tasks correctly and efficientlyAdheres to Internal company/department-specific protocols, procedures, policies and workflowsMay perform other required duties and responsibilities as outlined by the company/department

 

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 equivalentRegistered Nurse with active unrestricted license in the State of NevadaMust possess a valid Nevada driver's license and maintain personal auto insurance coverageBLS certification or obtain within 30 days of hire 3+ years of nursing experience with direct patient care in a Critical Care setting (Critical Care, general ICU, ER)Knowledge of UM and plan benefit designsDemonstrated ability to perform case management activitiesDemonstrates strong clinical knowledge, ability to perform clinical assessments on Cardiology patients, ability to use critical thinking skills and has the capacity for continued learningProven ability to demonstrate knowledge of and apply those to the job function and responsibilitiesProven to possess solid verbal and written communication skills including excellent phone etiquette and customer service skillsProven competent with MS Office, Excel and other practice management systems or possess the ability to continue to learn new programs

 

Preferred Qualifications:

Bachelor's degree in healthcare or related field preferred or working towards completion of Bachelor's degreeCCM certificationACLS certification or must be able to complete certification within 30 days of hireExperience in Cardiology, Case Management and CCM certification

 

Working Conditions:  Normal clinic environment.  Ability to have their own transportation to travel frequently within the Las Vegas Valley.  Ability to pass FIT testing and wear protective mask as deemed by SMA in the course of work at clinic. Moderate to heavy phone and computer usage.

 

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 $60,200 - $107,400 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. 

Read Less

$10,000 Sign-on Bonus  for External Candidates 

Full benefits within 30 days including annual bonus potential, annual merit reviews, generous PTO, paid holidays, 401K, tuition reimbursement and many more!

 

Optum NY, is seeking a Registered Nurse Manager Gastroenterology to join our team in Lake Success, NY. 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 Nurse Manager will be primarily responsible for overseeing the operational efficiency and quality of GI services, including direct supervision of Registered Nurses and indirect supervision and training of clinical staff (RN, LPN, & Endotechs). The manager will lead efforts to improve quality outcomes and clinic operations in a way that contributes to an enhanced experience for staff and patients; these quality improvements include (but are not limited to) Practice, Health & Safety Assessments, and accreditation surveys. Collaborative responsibilities include building and maintaining safe policies and patient protocol to ensure efficient operations of endoscopy services.

 

Position details:

Locations: Syosset, Lake Success, Massapequa, and Hewlett  The successful candidate can be located out of our Lake Sucess, Syosset or Hewlett locations!Specialty: Gastroenterology endoscopy procedural suite

 

Primary responsibilities:

Coordinates staff competency plan in collaboration with nursing education. Identifies and meets learning needs to maintain competency and respond to new clinical and management expectationsSupervises and directs all Registered Nurses employed in the endoscopy unitsAnalyzes quality data and information to identify areas for improving services and patient outcomesPrepares RN schedulesPlans for unit staffing needs on a long term and short-term basis, adjusts these appropriately to maintain safe, efficient care in an effective mannerActs as a resource to staff for regulatory and policy mattersEnsure strict adherence to Optum Practice, Health & Safety and third-party accreditor (TJC/AAAASF) policies, procedures, and standardsResponsible for ongoing accreditation of the GI endoscopy practices; including all quality  improvement, risk management, infection control, facility, and fire safetyOversees and participates on Performance Improvement Committee to facilitate improvement of nursing care and achievement of mission of the facilityRecognizes legal and policy limits of individual practiceCompletes annual evaluations of assigned staff

 

Optum NY/NJ was formed in 2022 by bringing together Riverside Medical Group, CareMount Medical, Crystal Run Healthcare and ProHealth Care. The regional alignment combines resources and services across the care continuum - from preventative medicine to diagnostics to treatment and beyond across New York, New Jersey, and Southern Connecticut. As a Patient Centered Medical Home, Optum NY/NJ can provide patient-focused medical care to the entire family. You will find our team working in local clinics, surgery centers and urgent care centers, within care models focused on managing risk, higher quality outcomes and driving change through collaboration and innovation. 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:

BSNNursing Leadership experience BLS/ACLS certification - Required within the first 6 months of employmentDriver's License and access to reliable transportation

 

Preferred Qualifications: 

PACU/OR and/or ambulatory care nursing experienceKnowledge of and experienced with accreditation preferred (examples include but are not limited to Joint Commission accreditation, AAAHC accreditation, Quad A accreditation) 

 

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 $91,700 to $163,700 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.

Read Less

Optum NV is seeking a Case Manager RN - Cardiology 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 is responsible for the care management and coordination of all high risk high need patients assigned to a specific site, including both in and out patient clinical care.  Assists clinicians in making informed decisions with these patients in order to promote better outcomes and smooth transitions of care. Follows the standards of Case Management and acts as the single point of contact for patients and families and providers.  Maintains records and data analysis related to high risk cases to report outcomes and ROI.  Works collaboratively with all internal and external partners to ensure better clinical outcomes.  

 

As the Complex RN Case Manager you will be responsible for care management and coordination of care for high risk cardiac and congestive heart failure patients. You would be working in the Cardiology department. You will be working closely with the Cardiology Providers, assisting with the CHF clinic, assisting with remote telemonitoring of patients and assist management/providers to set up other clinics/programs that are of interest.  The Complex RN Case Manager will have his/her own scheduled patients who come in for visits as well as those patients who will need to be reached telephonically.  

 

Primary Responsibilities:

Apply case management standards of practice to focus on effective care of high risk high need patients at a specific siteServe as a patient advocate and resource and provide critical information and recommendations to the rest of the care teamParticipates in assessment activities to develop individualized  plans of care in coordination with patient, family and providersFollows patient through various transitions of care to ensure that any gaps are identified and remedied, break down silos and promote efficient health care deliveryMaintains strong knowledge of UM, Case management, community resources and plan benefits to ensure improved outcomesWorks collaboratively with primary care on site staff to ensure patient compliance and adherence to medical plan of careAssist clinicians in implementing best practices for chronic care and disease managementFollow standard protocols, processes and policies to include but not limited to the following:  Medication Refill, Preventative Services, Managing Conditions, and Disease Case Management as signed by department head or designeeCare management and coordinating care for our high risk Cardiology and CHF patientsKnowledge of Milliman criteria and utilizing these criteria to manage CHF patientsAssist Clinicians in implementing best practices for chronic care and disease managementParticipates in assessment activities to develop individualized plans of care with patients, family and ProvidersProvide patient education on disease processes to help promote self-management and complianceResponsible for maintaining an active caseload and provide interventions as needed within area of expertise and within their scope of practiceHeart Failure disease management (telephonic and/or in person) will focus on adherence to lifestyle changes, symptoms recognition by patients, developing individualized treatment plans with patients and helping patients with the implementation of the treatment planResponsible for ongoing monitoring of patients treatment plans, adherence, if goals are achieved and evaluation of care; Assisting in reducing readmission ratesExercise sound judgment (Critical Thinking Skills) in evaluating situations and making decisions; notify appropriate staff/providers in situations requiring assistanceMake outbound telephone calls to patients to assess members' current health status.Provide telephonic nursing support to patients/caregivers related to disease process, signs and symptoms to report, telemonitoring, individual treatment plans, medications and for any additional concernsResponsible for monitoring and evaluation of electronic data received in the Telemonitoring Software Application from remote biometric monitors located in the patient's homeResponsible for telephonic nursing assessment of biometric alerts, mission information and intervention accordingly within their scope of practiceMaintains monthly statistics generated from current patient case load and telephonic patient case loadKnowledge of relevant computer systems and software applications (e.g., IDX; MS Word; MS Excel; Outlook; Touchworks) or ability to learn new programsCommunicates with customers in a manner that is clear, concise and understandable. Utilizes appropriate phone etiquette and effective listening skills when interacting with customers/familyMaintaining relevant training and certifications related to management of procedures and protocols (e.g., LearnSource; CPR; ACLS)Functioning as a resource for other co-workers and new hires, assist to help answer questions and direct them to the needed resourcesAssisting Supervisor and/or Manager with department related projects by completing tasks correctly and efficientlyAdheres to Internal company/department-specific protocols, procedures, policies and workflowsMay perform other required duties and responsibilities as outlined by the company/department

 

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 equivalentRegistered Nurse with active unrestricted license in the State of NevadaMust possess a valid Nevada driver's license and maintain personal auto insurance coverageBLS certification or obtain within 30 days of hire 3+ years of nursing experience with direct patient care in a Critical Care setting (Critical Care, general ICU, ER)Knowledge of UM and plan benefit designsDemonstrated ability to perform case management activitiesDemonstrates strong clinical knowledge, ability to perform clinical assessments on Cardiology patients, ability to use critical thinking skills and has the capacity for continued learningProven ability to demonstrate knowledge of and apply those to the job function and responsibilitiesProven to possess solid verbal and written communication skills including excellent phone etiquette and customer service skillsProven competent with MS Office, Excel and other practice management systems or possess the ability to continue to learn new programs

 

Preferred Qualifications:

Bachelor's degree in healthcare or related field preferred or working towards completion of Bachelor's degreeCCM certificationACLS certification or must be able to complete certification within 30 days of hireExperience in Cardiology, Case Management and CCM certification

 

Working Conditions:  Normal clinic environment.  Ability to have their own transportation to travel frequently within the Las Vegas Valley.  Ability to pass FIT testing and wear protective mask as deemed by SMA in the course of work at clinic. Moderate to heavy phone and computer usage.

 

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 $60,200 - $107,400 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. 

Read Less

WellMed, part of the Optum family of businesses, is seeking a Case Manager RN to join our team in Corpus Christi, TX. 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 Case Manager II - Inpatient Services performs onsite review or telephonic clinical review of inpatient admissions in an acute hospital, rehabilitation facility, LTAC or skilled nursing facility. Actively implements a plan of care utilizing approved clinical guidelines to transition and provide continuity of care for members to an appropriate lower level of care in collaboration with the hospitals/physician team, acute or skilled facility staff, ambulatory care team, and the member and/or family/caregiver. The case manager is responsible for coordinating the care from admission through discharge. The Case Manager participates in Patient Care Conferences to review clinical status, update/finalize transition discharge needs, and identify members at risk for readmission.  

Primary Responsibilities:

Independently collaborates effectively with Interdisciplinary care team (ICT) to establish an individualized transition plan for membersIndependently serves as the clinical liaison with hospital, clinical and administrative staff as well as performs a review for clinical authorizations for inpatient care utilizing evidenced-based criteria within our documentation systemPerforms expedited, standard, concurrent, and retrospective onsite or telephonic clinical reviews at in network and/or out of network facilities. The Case Manager documents medical necessity and appropriate level of care utilizing national recognized clinical guidelines for all authorizations Interacts and effectively communicates with facility staff, members and their families and/or designated representative to assess discharge needs, formulate discharge plan and provide health plan benefit informationIdentifies member's level of risk by utilizing the Population Stratification tools and communicates during transition process the member's transition discharge plan with the ICTConducts a transition discharge assessment onsite and/or telephonically to identify member needs at time of transition to a lower level of careManages assigned case load in an efficient and effective manner utilizing time management skills  Demonstrates exemplary knowledge of utilization management and care coordination processes as a foundation for transition planning activitiesIndependently confers with UM Medical Directors and/ or Market Medical Directors on a regular basis regarding inpatient cases and participates in department huddlesEnters timely and accurate documentation into designated care management applications to comply with documentation requirements and achieve audit scores of 90% or better on a monthly basisAdheres to organizational and departmental policies and proceduresTakes on-call assignment as directedThe Case Manager will also maintain current licensure to work in State of employment and maintain hospital credentialing as indicatedDecision-making is based on regulatory requirements, policy and procedures and current clinical guidelinesMaintains current knowledge of health plan benefits and provider network including inclusions and exclusions in contract termsRefers cases to UM Medical Director as appropriate for review for cases not meeting medical necessity criteria or for complex case situationsMonitors for any quality concerns regarding member care and reports as per policy and procedurePerforms all other related duties as assigned

In 2011, WellMed partnered with Optum to provide care to patients across Texas and Florida. WellMed is a network of doctors, specialists and other medical professionals that specialize in providing care for more than 1 million older adults with over 16,000 doctors' offices. At WellMed our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. WellMed has more than 22,000+ primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000+ older adults. 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:

Bachelor's degree in Nursing and/or, Associate's degree in Nursing combined with 4+ years of experience above the required years of experienceCurrent, unrestricted RN license specific to the state of employmentCase Management Certification (CCM) or ability to obtain CCM within 12 months after the first year of employment.  4+ years of diverse clinical experience in caring for the acutely ill patients with multiple disease conditions3+ years of managed care and/ or case management experienceKnowledge of utilization management, quality improvement, and discharge planningKnowledgeable in Microsoft Office applications including Outlook, Word, and ExcelProven ability to read, analyze and interpret information in medical records, and health plan documentsProven ability to problem solve and identify community resourcesProven planning, organizing, conflict resolution, negotiating and interpersonal skillsProven ability to utilize critical thinking skills, nursing judgement, and decision making skillsProven ability to prioritize, plan, and handle multiple tasks/demands simultaneouslyProven ability to be in a stationary position or move for prolonged periodsReliable transportation and Case Manager is responsible for maintaining an active driver's license

Preferred Qualifications:

Experience working with psychiatric and geriatric patient populationsBilingual (English/Spanish) language proficiency

Physical & Mental Requirements:  

Ability to lift up to 25 pounds  Ability to push or pull heavy objects using up to 10 pounds of force  Ability to sit for extended periods of time  Ability to stand for extended periods of time  Ability to use fine motor skills to operate office equipment and/or machinery  Ability to receive and comprehend instructions verbally and/or in writing  Ability to use logical reasoning for simple and complex problem solving  

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 $60,200 to $107,400 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.

Read Less

$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.

First Hill Surgery Center is a multi- specialty outpatient surgery center seeking a full-time OR Nurse Manager responsible for the operations, personnel, and financial management of the Operating Rooms. The role is accountable to support the Executive Director of First Hill Surgery Center, to ensure high quality, safe and appropriate nursing care, competency of clinical and non-clinical staff, and appropriate resource management related to patient care.

First Hill Surgery Center operates as joint venture between Polyclinic, dba Optum, and Swedish Health Services. Our AAAHC accredited, state of the art, 12 operating room, multi-specialty surgery center specializes in Orthopedics, Spine Surgery, Pain Management, Urology, General Surgery, Breast Surgery, Gynecology, Bariatrics, Ear, Nose and Throat, Podiatry, Colorectal Surgery, and Ophthalmology. First Hill Surgery Center is a leader in the outpatient surgery industry located near Swedish Hospital and Virginia Mason Hospitals in Seattle, WA.

Primary Responsibilities:

Maintains the Operating Room as assigned, in accordance with written policies and in compliance with various regulatory and accrediting agenciesEffective staffing management of labor/productivity as well as flexing teammates appropriatelyAbility to maintain a high level of collaboration and communication through team meetings and daily huddles via in-person, electronic and written formatsAssists with the development and monitoring of the standards of assigned areas pertaining to the Operating Room, and corresponding ancillary areasEfficient and effective patient care and quality improvementHelps in determining goals and effectively manages resources to achieve the goalsProvides immediate mentoring/coaching to teammates as neededMaintains a collegial relationship with physicians to ensure quality patient careManages Vendor coordination and ensures compliance of FHSC Policies

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:

BSN from an accredited school of nursingValid WA RN LicenseBLS and ACLS or obtain within 2 months of hireSolid competency as an RN circulator with preference given to those who have scrub experience

Preferred Qualifications:

CNOR, CNAMB, or CSSM2+ years management/leadership in the operating room

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 $89,900 to $160,600 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.

Read Less

Optum NV is seeking a Case Manager RN - Cardiology 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 is responsible for the care management and coordination of all high risk high need patients assigned to a specific site, including both in and out patient clinical care.  Assists clinicians in making informed decisions with these patients in order to promote better outcomes and smooth transitions of care. Follows the standards of Case Management and acts as the single point of contact for patients and families and providers.  Maintains records and data analysis related to high risk cases to report outcomes and ROI.  Works collaboratively with all internal and external partners to ensure better clinical outcomes.  

 

As the Complex RN Case Manager you will be responsible for care management and coordination of care for high risk cardiac and congestive heart failure patients. You would be working in the Cardiology department. You will be working closely with the Cardiology Providers, assisting with the CHF clinic, assisting with remote telemonitoring of patients and assist management/providers to set up other clinics/programs that are of interest.  The Complex RN Case Manager will have his/her own scheduled patients who come in for visits as well as those patients who will need to be reached telephonically.  

 

Primary Responsibilities:

Apply case management standards of practice to focus on effective care of high risk high need patients at a specific siteServe as a patient advocate and resource and provide critical information and recommendations to the rest of the care teamParticipates in assessment activities to develop individualized  plans of care in coordination with patient, family and providersFollows patient through various transitions of care to ensure that any gaps are identified and remedied, break down silos and promote efficient health care deliveryMaintains strong knowledge of UM, Case management, community resources and plan benefits to ensure improved outcomesWorks collaboratively with primary care on site staff to ensure patient compliance and adherence to medical plan of careAssist clinicians in implementing best practices for chronic care and disease managementFollow standard protocols, processes and policies to include but not limited to the following:  Medication Refill, Preventative Services, Managing Conditions, and Disease Case Management as signed by department head or designeeCare management and coordinating care for our high risk Cardiology and CHF patientsKnowledge of Milliman criteria and utilizing these criteria to manage CHF patientsAssist Clinicians in implementing best practices for chronic care and disease managementParticipates in assessment activities to develop individualized plans of care with patients, family and ProvidersProvide patient education on disease processes to help promote self-management and complianceResponsible for maintaining an active caseload and provide interventions as needed within area of expertise and within their scope of practiceHeart Failure disease management (telephonic and/or in person) will focus on adherence to lifestyle changes, symptoms recognition by patients, developing individualized treatment plans with patients and helping patients with the implementation of the treatment planResponsible for ongoing monitoring of patients treatment plans, adherence, if goals are achieved and evaluation of care; Assisting in reducing readmission ratesExercise sound judgment (Critical Thinking Skills) in evaluating situations and making decisions; notify appropriate staff/providers in situations requiring assistanceMake outbound telephone calls to patients to assess members' current health status.Provide telephonic nursing support to patients/caregivers related to disease process, signs and symptoms to report, telemonitoring, individual treatment plans, medications and for any additional concernsResponsible for monitoring and evaluation of electronic data received in the Telemonitoring Software Application from remote biometric monitors located in the patient's homeResponsible for telephonic nursing assessment of biometric alerts, mission information and intervention accordingly within their scope of practiceMaintains monthly statistics generated from current patient case load and telephonic patient case loadKnowledge of relevant computer systems and software applications (e.g., IDX; MS Word; MS Excel; Outlook; Touchworks) or ability to learn new programsCommunicates with customers in a manner that is clear, concise and understandable. Utilizes appropriate phone etiquette and effective listening skills when interacting with customers/familyMaintaining relevant training and certifications related to management of procedures and protocols (e.g., LearnSource; CPR; ACLS)Functioning as a resource for other co-workers and new hires, assist to help answer questions and direct them to the needed resourcesAssisting Supervisor and/or Manager with department related projects by completing tasks correctly and efficientlyAdheres to Internal company/department-specific protocols, procedures, policies and workflowsMay perform other required duties and responsibilities as outlined by the company/department

 

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 equivalentRegistered Nurse with active unrestricted license in the State of NevadaMust possess a valid Nevada driver's license and maintain personal auto insurance coverageBLS certification or obtain within 30 days of hire 3+ years of nursing experience with direct patient care in a Critical Care setting (Critical Care, general ICU, ER)Knowledge of UM and plan benefit designsDemonstrated ability to perform case management activitiesDemonstrates strong clinical knowledge, ability to perform clinical assessments on Cardiology patients, ability to use critical thinking skills and has the capacity for continued learningProven ability to demonstrate knowledge of and apply those to the job function and responsibilitiesProven to possess solid verbal and written communication skills including excellent phone etiquette and customer service skillsProven competent with MS Office, Excel and other practice management systems or possess the ability to continue to learn new programs

 

Preferred Qualifications:

Bachelor's degree in healthcare or related field preferred or working towards completion of Bachelor's degreeCCM certificationACLS certification or must be able to complete certification within 30 days of hireExperience in Cardiology, Case Management and CCM certification

 

Working Conditions:  Normal clinic environment.  Ability to have their own transportation to travel frequently within the Las Vegas Valley.  Ability to pass FIT testing and wear protective mask as deemed by SMA in the course of work at clinic. Moderate to heavy phone and computer usage.

 

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 $60,200 - $107,400 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. 

Read Less

$10,000 Sign-on Bonus  for External Candidates 

Full benefits within 30 days including annual bonus potential, annual merit reviews, generous PTO, paid holidays, 401K, tuition reimbursement and many more!

 

Optum NY, is seeking a Registered Nurse Manager Gastroenterology to join our team in Lake Success, NY. 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 Nurse Manager will be primarily responsible for overseeing the operational efficiency and quality of GI services, including direct supervision of Registered Nurses and indirect supervision and training of clinical staff (RN, LPN, & Endotechs). The manager will lead efforts to improve quality outcomes and clinic operations in a way that contributes to an enhanced experience for staff and patients; these quality improvements include (but are not limited to) Practice, Health & Safety Assessments, and accreditation surveys. Collaborative responsibilities include building and maintaining safe policies and patient protocol to ensure efficient operations of endoscopy services.

 

Position details:

Locations: Syosset, Lake Success, Massapequa, and Hewlett  The successful candidate can be located out of our Lake Sucess, Syosset or Hewlett locations!Specialty: Gastroenterology endoscopy procedural suite

 

Primary responsibilities:

Coordinates staff competency plan in collaboration with nursing education. Identifies and meets learning needs to maintain competency and respond to new clinical and management expectationsSupervises and directs all Registered Nurses employed in the endoscopy unitsAnalyzes quality data and information to identify areas for improving services and patient outcomesPrepares RN schedulesPlans for unit staffing needs on a long term and short-term basis, adjusts these appropriately to maintain safe, efficient care in an effective mannerActs as a resource to staff for regulatory and policy mattersEnsure strict adherence to Optum Practice, Health & Safety and third-party accreditor (TJC/AAAASF) policies, procedures, and standardsResponsible for ongoing accreditation of the GI endoscopy practices; including all quality  improvement, risk management, infection control, facility, and fire safetyOversees and participates on Performance Improvement Committee to facilitate improvement of nursing care and achievement of mission of the facilityRecognizes legal and policy limits of individual practiceCompletes annual evaluations of assigned staff

 

Optum NY/NJ was formed in 2022 by bringing together Riverside Medical Group, CareMount Medical, Crystal Run Healthcare and ProHealth Care. The regional alignment combines resources and services across the care continuum - from preventative medicine to diagnostics to treatment and beyond across New York, New Jersey, and Southern Connecticut. As a Patient Centered Medical Home, Optum NY/NJ can provide patient-focused medical care to the entire family. You will find our team working in local clinics, surgery centers and urgent care centers, within care models focused on managing risk, higher quality outcomes and driving change through collaboration and innovation. 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:

BSNNursing Leadership experience BLS/ACLS certification - Required within the first 6 months of employmentDriver's License and access to reliable transportation

 

Preferred Qualifications: 

PACU/OR and/or ambulatory care nursing experienceKnowledge of and experienced with accreditation preferred (examples include but are not limited to Joint Commission accreditation, AAAHC accreditation, Quad A accreditation) 

 

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 $91,700 to $163,700 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.

Read Less

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.

As the Palliative Care Manager, you provide expert palliative care support to patients and families while strengthening primary palliative care capabilities across clinical teams. You improve quality of life for patients with serious illness by leading advanced communication and goals-of-care discussions, supporting symptom management, coordinating care, and collaborating across interdisciplinary teams. You partner across care settings to ensure compassionate, patient-centered, and goal-concordant care throughout the disease trajectory.

Primary Responsibilities:

Conducts home dyad visitsConducts telephonic nursing follow upAssess patient and family understanding, values, and preferences to guide care decisionsDevelop, implement, and adjust individualized palliative care plans aligned with clinical status and patient goalsCoordinate care across settings (primary care, specialty care, inpatient, SNF, hospice, home health, community partners)Support advance care planning, including POLST, advance directives, and DPOA documentationDocument complex cases, care plans, and transitions clearly and in a timely mannerManage competing priorities independently while adhering to organizational policies and regulatory requirementsEducate and coach staff on serious illness communication, symptom management, and palliative care principlesPromote interdisciplinary collaboration and patient-centered care practicesParticipate in case reviews and team meetingsEngage in ongoing professional development in palliative care best practicesFoster a collaborative, respectful, and patient-centered work environmentMaintain strong relationships with patients, families, providers, and community partnersDemonstrate professionalism, adaptability, and emotional intelligenceSupport organizational mission, values, and continuous improvement initiatives
 

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, active RN licensure in the State of WashingtonCurrent BLS certification or ability to obtain certification within 30 days of employment hire date3+ years of experience in a physician's office, clinical, hospice or hospital settingValid driver's license within the state of workReliable transportation for daily travel to various locations as assigned

Preferred Qualifications:

BSNCertification or specialized training in palliative careExperience in palliative care, hospice, geriatrics, complex case management, or serious illness careExperience working with geriatric populationsExperience providing staff education, coaching, or clinical training

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 $91,500 - $137, 300 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. 

Read Less

Optum NV is seeking a Case Manager RN - Cardiology 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 is responsible for the care management and coordination of all high risk high need patients assigned to a specific site, including both in and out patient clinical care.  Assists clinicians in making informed decisions with these patients in order to promote better outcomes and smooth transitions of care. Follows the standards of Case Management and acts as the single point of contact for patients and families and providers.  Maintains records and data analysis related to high risk cases to report outcomes and ROI.  Works collaboratively with all internal and external partners to ensure better clinical outcomes.  

 

As the Complex RN Case Manager you will be responsible for care management and coordination of care for high risk cardiac and congestive heart failure patients. You would be working in the Cardiology department. You will be working closely with the Cardiology Providers, assisting with the CHF clinic, assisting with remote telemonitoring of patients and assist management/providers to set up other clinics/programs that are of interest.  The Complex RN Case Manager will have his/her own scheduled patients who come in for visits as well as those patients who will need to be reached telephonically.  

 

Primary Responsibilities:

Apply case management standards of practice to focus on effective care of high risk high need patients at a specific siteServe as a patient advocate and resource and provide critical information and recommendations to the rest of the care teamParticipates in assessment activities to develop individualized  plans of care in coordination with patient, family and providersFollows patient through various transitions of care to ensure that any gaps are identified and remedied, break down silos and promote efficient health care deliveryMaintains strong knowledge of UM, Case management, community resources and plan benefits to ensure improved outcomesWorks collaboratively with primary care on site staff to ensure patient compliance and adherence to medical plan of careAssist clinicians in implementing best practices for chronic care and disease managementFollow standard protocols, processes and policies to include but not limited to the following:  Medication Refill, Preventative Services, Managing Conditions, and Disease Case Management as signed by department head or designeeCare management and coordinating care for our high risk Cardiology and CHF patientsKnowledge of Milliman criteria and utilizing these criteria to manage CHF patientsAssist Clinicians in implementing best practices for chronic care and disease managementParticipates in assessment activities to develop individualized plans of care with patients, family and ProvidersProvide patient education on disease processes to help promote self-management and complianceResponsible for maintaining an active caseload and provide interventions as needed within area of expertise and within their scope of practiceHeart Failure disease management (telephonic and/or in person) will focus on adherence to lifestyle changes, symptoms recognition by patients, developing individualized treatment plans with patients and helping patients with the implementation of the treatment planResponsible for ongoing monitoring of patients treatment plans, adherence, if goals are achieved and evaluation of care; Assisting in reducing readmission ratesExercise sound judgment (Critical Thinking Skills) in evaluating situations and making decisions; notify appropriate staff/providers in situations requiring assistanceMake outbound telephone calls to patients to assess members' current health status.Provide telephonic nursing support to patients/caregivers related to disease process, signs and symptoms to report, telemonitoring, individual treatment plans, medications and for any additional concernsResponsible for monitoring and evaluation of electronic data received in the Telemonitoring Software Application from remote biometric monitors located in the patient's homeResponsible for telephonic nursing assessment of biometric alerts, mission information and intervention accordingly within their scope of practiceMaintains monthly statistics generated from current patient case load and telephonic patient case loadKnowledge of relevant computer systems and software applications (e.g., IDX; MS Word; MS Excel; Outlook; Touchworks) or ability to learn new programsCommunicates with customers in a manner that is clear, concise and understandable. Utilizes appropriate phone etiquette and effective listening skills when interacting with customers/familyMaintaining relevant training and certifications related to management of procedures and protocols (e.g., LearnSource; CPR; ACLS)Functioning as a resource for other co-workers and new hires, assist to help answer questions and direct them to the needed resourcesAssisting Supervisor and/or Manager with department related projects by completing tasks correctly and efficientlyAdheres to Internal company/department-specific protocols, procedures, policies and workflowsMay perform other required duties and responsibilities as outlined by the company/department

 

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 equivalentRegistered Nurse with active unrestricted license in the State of NevadaMust possess a valid Nevada driver's license and maintain personal auto insurance coverageBLS certification or obtain within 30 days of hire 3+ years of nursing experience with direct patient care in a Critical Care setting (Critical Care, general ICU, ER)Knowledge of UM and plan benefit designsDemonstrated ability to perform case management activitiesDemonstrates strong clinical knowledge, ability to perform clinical assessments on Cardiology patients, ability to use critical thinking skills and has the capacity for continued learningProven ability to demonstrate knowledge of and apply those to the job function and responsibilitiesProven to possess solid verbal and written communication skills including excellent phone etiquette and customer service skillsProven competent with MS Office, Excel and other practice management systems or possess the ability to continue to learn new programs

 

Preferred Qualifications:

Bachelor's degree in healthcare or related field preferred or working towards completion of Bachelor's degreeCCM certificationACLS certification or must be able to complete certification within 30 days of hireExperience in Cardiology, Case Management and CCM certification

 

Working Conditions:  Normal clinic environment.  Ability to have their own transportation to travel frequently within the Las Vegas Valley.  Ability to pass FIT testing and wear protective mask as deemed by SMA in the course of work at clinic. Moderate to heavy phone and computer usage.

 

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 $60,200 - $107,400 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. 

Read Less

Optum NV is seeking a Case Manager RN - Cardiology 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 is responsible for the care management and coordination of all high risk high need patients assigned to a specific site, including both in and out patient clinical care.  Assists clinicians in making informed decisions with these patients in order to promote better outcomes and smooth transitions of care. Follows the standards of Case Management and acts as the single point of contact for patients and families and providers.  Maintains records and data analysis related to high risk cases to report outcomes and ROI.  Works collaboratively with all internal and external partners to ensure better clinical outcomes.  

 

As the Complex RN Case Manager you will be responsible for care management and coordination of care for high risk cardiac and congestive heart failure patients. You would be working in the Cardiology department. You will be working closely with the Cardiology Providers, assisting with the CHF clinic, assisting with remote telemonitoring of patients and assist management/providers to set up other clinics/programs that are of interest.  The Complex RN Case Manager will have his/her own scheduled patients who come in for visits as well as those patients who will need to be reached telephonically.  

 

Primary Responsibilities:

Apply case management standards of practice to focus on effective care of high risk high need patients at a specific siteServe as a patient advocate and resource and provide critical information and recommendations to the rest of the care teamParticipates in assessment activities to develop individualized  plans of care in coordination with patient, family and providersFollows patient through various transitions of care to ensure that any gaps are identified and remedied, break down silos and promote efficient health care deliveryMaintains strong knowledge of UM, Case management, community resources and plan benefits to ensure improved outcomesWorks collaboratively with primary care on site staff to ensure patient compliance and adherence to medical plan of careAssist clinicians in implementing best practices for chronic care and disease managementFollow standard protocols, processes and policies to include but not limited to the following:  Medication Refill, Preventative Services, Managing Conditions, and Disease Case Management as signed by department head or designeeCare management and coordinating care for our high risk Cardiology and CHF patientsKnowledge of Milliman criteria and utilizing these criteria to manage CHF patientsAssist Clinicians in implementing best practices for chronic care and disease managementParticipates in assessment activities to develop individualized plans of care with patients, family and ProvidersProvide patient education on disease processes to help promote self-management and complianceResponsible for maintaining an active caseload and provide interventions as needed within area of expertise and within their scope of practiceHeart Failure disease management (telephonic and/or in person) will focus on adherence to lifestyle changes, symptoms recognition by patients, developing individualized treatment plans with patients and helping patients with the implementation of the treatment planResponsible for ongoing monitoring of patients treatment plans, adherence, if goals are achieved and evaluation of care; Assisting in reducing readmission ratesExercise sound judgment (Critical Thinking Skills) in evaluating situations and making decisions; notify appropriate staff/providers in situations requiring assistanceMake outbound telephone calls to patients to assess members' current health status.Provide telephonic nursing support to patients/caregivers related to disease process, signs and symptoms to report, telemonitoring, individual treatment plans, medications and for any additional concernsResponsible for monitoring and evaluation of electronic data received in the Telemonitoring Software Application from remote biometric monitors located in the patient's homeResponsible for telephonic nursing assessment of biometric alerts, mission information and intervention accordingly within their scope of practiceMaintains monthly statistics generated from current patient case load and telephonic patient case loadKnowledge of relevant computer systems and software applications (e.g., IDX; MS Word; MS Excel; Outlook; Touchworks) or ability to learn new programsCommunicates with customers in a manner that is clear, concise and understandable. Utilizes appropriate phone etiquette and effective listening skills when interacting with customers/familyMaintaining relevant training and certifications related to management of procedures and protocols (e.g., LearnSource; CPR; ACLS)Functioning as a resource for other co-workers and new hires, assist to help answer questions and direct them to the needed resourcesAssisting Supervisor and/or Manager with department related projects by completing tasks correctly and efficientlyAdheres to Internal company/department-specific protocols, procedures, policies and workflowsMay perform other required duties and responsibilities as outlined by the company/department

 

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 equivalentRegistered Nurse with active unrestricted license in the State of NevadaMust possess a valid Nevada driver's license and maintain personal auto insurance coverageBLS certification or obtain within 30 days of hire 3+ years of nursing experience with direct patient care in a Critical Care setting (Critical Care, general ICU, ER)Knowledge of UM and plan benefit designsDemonstrated ability to perform case management activitiesDemonstrates strong clinical knowledge, ability to perform clinical assessments on Cardiology patients, ability to use critical thinking skills and has the capacity for continued learningProven ability to demonstrate knowledge of and apply those to the job function and responsibilitiesProven to possess solid verbal and written communication skills including excellent phone etiquette and customer service skillsProven competent with MS Office, Excel and other practice management systems or possess the ability to continue to learn new programs

 

Preferred Qualifications:

Bachelor's degree in healthcare or related field preferred or working towards completion of Bachelor's degreeCCM certificationACLS certification or must be able to complete certification within 30 days of hireExperience in Cardiology, Case Management and CCM certification

 

Working Conditions:  Normal clinic environment.  Ability to have their own transportation to travel frequently within the Las Vegas Valley.  Ability to pass FIT testing and wear protective mask as deemed by SMA in the course of work at clinic. Moderate to heavy phone and computer usage.

 

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 $60,200 - $107,400 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. 

Read Less

As a Senior Construction Project Manager, you will be accountable to ensure that all assigned projects are properly scoped, designed and performed with an emphasis on strict scope, budget and schedule control. You will manage implementing assigned projects. You will perform accountabilities according to established operating procedures and will take an active role in continually improving these processes. The position objective is to manage each assigned project from creation to completion. The goal of this position is to complete projects within approved budget and schedule with the highest quality and in the most cost effective and efficient manner.

You will report to the Senior Program Manager.

You Will:

SAFETY: Manage overall project safety, obtaining final approval for contractor submitted safety plans and compliance to the project safety plan. Includes compliance to all regulatory (OSHA) requirements, corporate governance requirements and FAM SOGs.

PLANNING & DEVELOPMENT: Oversee the development, planning, execution and closeout of the project throughout the project life. Includes project design, development, implementation, budget, cash flow reporting and maintaining accurate EFCs for financial reporting, and maintenance of all job files.

TEAMWORK AND COLLABORATION: Assemble project teams with internal and external resources to complete all assigned projects and oversee to ensure that they are working as an integrated team in delivering against project goals.

CONTRACT DEVELOPMENT: Provide support for the administration of contracts including scope of work, unit costing items, and bid alternates and operational constraints required for contract preparation.

PROJECT SCHEDULE: Manage the project schedule, establishing critical path tasks to ensure schedule compliance and ensuring proper man loading requirements of the contractor to achieve the desired completion date.

CLIENT COMMUNICATION: Coordinate operational constraints and job goals together as to achieve a seamless project; including communication with Partners, Clients and management regarding project status, schedule, financial and guest impacts.

TECHNICAL COMPETENCY: Technically competent with various software programs such as construction management software and Microsoft suite of products (Excel, Word, PowerPoint, etc.) Use project and contract management systems in the daily operation of the business.

PROCESS COMPETENCY: Manage the change order process within the department guidelines, while updating project budget and EFCs based on project driven cost trends.

You Have:

Six years of project management/construction management in hospitality, commercial, and industrial construction.

Knowledge of project management process and demonstrated ability to manage a portfolio of projects more than $10M annually.

Knowledge of project accounting, estimating, scheduling, budgeting, document management, best value contracting, contract management and cost forecasting.

Knowledge of construction materials, methods and techniques. Familiarity with all construction applicable codes, i.e., UBC, NEC & UFC.

Ability to prepare presentations for department management review that drive related decisions.

Outstanding attention to detail and organization skills, as well as problem solving skills.

Leadership experience: You will be expected to manage and mentor an early career project manager. You could be expected to mentor participants from our Professional Intern Program.

Identify project related risks and propose mitigation plans.

Preferred Qualifications:

Project management/construction management within a Theme Park environment.

Required Education:

Four-year college degree (BA/BS) in project/construction management or related field and 6+ years of applicable hands-on project/ construction experience

OR

2 years of college and 8+ years of applicable hands-on project/ construction experience.

Preferred Education:

MBA in Project/Construction Management or related field.

#DXMedia

#DXFOS

#LI-AH3

Our Benefits: Disney offers a rewards package to help you live your best life. This includes health and savings benefits, educational opportunities and special extras that only Disney can provide. Learn more about our benefits and perks at https://jobs.disneycareers.com/benefits

The hiring range for this position in Anaheim, CA is $139,200 to $170,000 per year. The base pay actually offered will take into account internal equity and also may vary depending on the candidate’s geographical region, job-related knowledge, skills, and experience among other factors. A bonus and/or long-term incentive units may be provided as part of the compensation package, in addition to the full range of medical, financial, and/or other benefits, dependent on the level and position offered. Read Less

By clicking the “Apply” button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda’s Privacy Notice and Terms of Use.  I further attest that all information I submit in my employment application is true to the best of my knowledge.

Job Description

About the Role

The Dermatology sales force is primarily responsible for driving demand following potential regulatory approval for the assigned product through education.  They are responsible for educating healthcare providers (HCPs) and optimizing the business opportunities in targeted physician offices, key clinics and hospital accounts that specialize in the Dermatology therapeutic area.  The Specialty Business Manager (SBM) will be required to demonstrate excellence in developing and applying business processes that benefit patients and lead to the achievement of sales goals and objectives. 

How you will contribute:

Support account on-boarding through education.Engage in clinical selling activities, including delivering the clinical value proposition, advancing customers across a brand educational continuum.Support initial clinical and patient access education for medical staff.Coordinate and support clinical education opportunities and programs for HCPs, such as peer-to-peer education.Conduct account management activities within Dermatology practices, clinics and outlets as well as independent physician offices.Attain sales goals and objectives by delivering product volume as well as other key metrics in the assigned Territory.  Utilize discretion and judgment to execute the franchise and company brand strategy and tactics within the assigned customer segment, which may include physicians within specialty medical practices and their staff, specialists within local hospitals, clinics, and support staff as well as pharmacists within a specific geographic areaEstablish professional working relationships with Health Care Providers decision makers, support staff, and other stakeholders within assigned customers, to support the safe and effective use of the company's products - through developing and applying clinical and business expertise, and effective selling skills.Develop and deliver a targeted sales message to HCPs to support patients’ safe and effective use of assigned product based on accurate clinical information, utilizing approved marketing materials and medical reprints, and discuss therapeutic strategies to inform and educate decision makers.Executes marketing strategies at the local level, leveraging resources appropriately and working successfully with company team members and counterparts to share ideas and information to enhance business results.   Accountable to build customer engagement by identifying and cultivating relationships and educating key decision makers at the local level who can inform decision making within the healthcare provider systems and specialty medical practices.Presents complex clinical and business information on the assigned products and patient support services to an audience of office and institutional based Dermatologists, health care professionals, professional and patient groups, and others involved in the decision-making process.Develop and implement medical education opportunities and sponsor programs to expand the knowledge of healthcare professionals.  Frequently educate self on the latest information related to disease states, treatments and the changing business environment.Strategically manages all allocated resources provided including financial/budgets, managed markets, medical affairs, home office, etc.Exemplify Takeda’s patient-first values and commitment to upholding high standards of customer satisfaction. Adhere to all Takeda compliance policies, guidelines, and training. Demonstrate leadership and integrity by seeking clarification when uncertain on compliance matters.

Minimum Requirements/Qualifications
Required

Bachelors degree – BA/BS3+ years of successful selling experience in pharmaceutical, biotech or medical device and/or relevant clinical or industry experience.; OR 2+years of successful selling experience at TakedaExperience calling on Dermatologists/Dermatology experience highly preferredDemonstrated business and strategic planning skills to identify unique selling opportunities and adaptability to changing market conditions.Demonstrated understanding of managed care landscape and how it influences/impacts business.Strong verbal, influencing, presentation and written communication skills.Strong collaboration skills and success working in teams.Reside within or close proximity to assigned geography.

Preferred:

A minimum of 5 years’ direct selling experience to healthcare professionals in the pharmaceutical, biotech, device or healthcare industry and/or relevant clinical or industry experienceExperience in calling on Dermatologists highly preferredExperience with managing and communicating complex reimbursement issues

Training Requirements:

This position and continued employment are contingent upon the employee successfully passing mandatory product training which includes written and oral examinations.External Takeda Hires Only: During that training period, the employee will be classified as a non-exempt employee and will be eligible for overtime during the training period only in accordance with applicable federal and/or state law, but the employee will not be eligible for any Takeda-related sales incentive programs and/or other production-based bonuses.  The training period will consist of live instruction, independent study, role play, and other training related activities which should take no more than 8 hours per day and 40 hours total in a work week. After successful passage of the mandatory product training examinations, the employee will be transitioned to exempt status and will no longer be eligible for overtime.   They will then be paid on a bi-weekly basis and eligible to participate in various Takeda related sales incentive programs and/or contests.

LICENSES/CERTIFICATIONS:

Valid Driver's License

TRAVEL REQUIREMENTS:

Ability to drive and/or fly to accounts and occasional business meetings

Some overnight travel of up to 25-50% may be required depending on geographic assignment

Takeda Compensation and Benefits Summary

We understand compensation is an important factor as you consider the next step in your career. We are committed to equitable pay for all employees, and we strive to be more transparent with our pay practices. 

For Location:

Georgia - Virtual

U.S. Hourly Wage Range:

$63.51 - $87.31

The estimated hourly wage range reflects an anticipated range for this position. The actual hourly wage offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. The actual hourly wage offered will be in accordance with state or local minimum wage requirements for the job location. 

U.S. based employees may be eligible for short-term incentives. U.S. based employees may be eligible to participate in medical, dental, vision insurance, a 401(k) plan and company match, short-term and long-term disability coverage, basic life insurance, a tuition reimbursement program, paid volunteer time off, company holidays, and well-being benefits, among others. U.S. based employees are also eligible to receive, per calendar year, up to 80 hours of sick time, and new hires are eligible to accrue up to 120 hours of paid vacation. 

EEO Statement

Takeda is proud in its commitment to creating a diverse workforce and providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, parental status, national origin, age, disability, citizenship status, genetic information or characteristics, marital status, status as a Vietnam era veteran, special disabled veteran, or other protected veteran in accordance with applicable federal, state and local laws, and any other characteristic protected by law.

LocationsGeorgia - Virtual

Worker TypeEmployee

Worker Sub-TypeRegular

Time TypeFull time

Job Exempt

No

#LI-Remote

Read Less

By clicking the “Apply” button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda’s Privacy Notice and Terms of Use.  I further attest that all information I submit in my employment application is true to the best of my knowledge.

Job Description

About the Role

The Dermatology sales force is primarily responsible for driving demand following potential regulatory approval for the assigned product through education.  They are responsible for educating healthcare providers (HCPs) and optimizing the business opportunities in targeted physician offices, key clinics and hospital accounts that specialize in the Dermatology therapeutic area.  The Specialty Business Manager (SBM) will be required to demonstrate excellence in developing and applying business processes that benefit patients and lead to the achievement of sales goals and objectives. 

How you will contribute:

Support account on-boarding through education.Engage in clinical selling activities, including delivering the clinical value proposition, advancing customers across a brand educational continuum.Support initial clinical and patient access education for medical staff.Coordinate and support clinical education opportunities and programs for HCPs, such as peer-to-peer education.Conduct account management activities within Dermatology practices, clinics and outlets as well as independent physician offices.Attain sales goals and objectives by delivering product volume as well as other key metrics in the assigned Territory.  Utilize discretion and judgment to execute the franchise and company brand strategy and tactics within the assigned customer segment, which may include physicians within specialty medical practices and their staff, specialists within local hospitals, clinics, and support staff as well as pharmacists within a specific geographic areaEstablish professional working relationships with Health Care Providers decision makers, support staff, and other stakeholders within assigned customers, to support the safe and effective use of the company's products - through developing and applying clinical and business expertise, and effective selling skills.Develop and deliver a targeted sales message to HCPs to support patients’ safe and effective use of assigned product based on accurate clinical information, utilizing approved marketing materials and medical reprints, and discuss therapeutic strategies to inform and educate decision makers.Executes marketing strategies at the local level, leveraging resources appropriately and working successfully with company team members and counterparts to share ideas and information to enhance business results.   Accountable to build customer engagement by identifying and cultivating relationships and educating key decision makers at the local level who can inform decision making within the healthcare provider systems and specialty medical practices.Presents complex clinical and business information on the assigned products and patient support services to an audience of office and institutional based Dermatologists, health care professionals, professional and patient groups, and others involved in the decision-making process.Develop and implement medical education opportunities and sponsor programs to expand the knowledge of healthcare professionals.  Frequently educate self on the latest information related to disease states, treatments and the changing business environment.Strategically manages all allocated resources provided including financial/budgets, managed markets, medical affairs, home office, etc.Exemplify Takeda’s patient-first values and commitment to upholding high standards of customer satisfaction. Adhere to all Takeda compliance policies, guidelines, and training. Demonstrate leadership and integrity by seeking clarification when uncertain on compliance matters.

Minimum Requirements/Qualifications
Required

Bachelors degree – BA/BS3+ years of successful selling experience in pharmaceutical, biotech or medical device and/or relevant clinical or industry experience.; OR 2+years of successful selling experience at TakedaExperience calling on Dermatologists/Dermatology experience highly preferred.Demonstrated business and strategic planning skills to identify unique selling opportunities and adaptability to changing market conditions.Demonstrated understanding of managed care landscape and how it influences/impacts business.Strong verbal, influencing, presentation and written communication skills.Strong collaboration skills and success working in teams.Reside within or close proximity to assigned geography.

Preferred:

A minimum of 5 years’ direct selling experience to healthcare professionals in the pharmaceutical, biotech, device or healthcare industry and/or relevant clinical or industry experienceExperience in calling on DermatologistsExperience with managing and communicating complex reimbursement issues

Training Requirements:

This position and continued employment are contingent upon the employee successfully passing mandatory product training which includes written and oral examinations.External Takeda Hires Only: During that training period, the employee will be classified as a non-exempt employee and will be eligible for overtime during the training period only in accordance with applicable federal and/or state law, but the employee will not be eligible for any Takeda-related sales incentive programs and/or other production-based bonuses.  The training period will consist of live instruction, independent study, role play, and other training related activities which should take no more than 8 hours per day and 40 hours total in a work week. After successful passage of the mandatory product training examinations, the employee will be transitioned to exempt status and will no longer be eligible for overtime.   They will then be paid on a bi-weekly basis and eligible to participate in various Takeda related sales incentive programs and/or contests.

LICENSES/CERTIFICATIONS:

Valid Driver's License

TRAVEL REQUIREMENTS:

Ability to drive and/or fly to accounts and occasional business meetingsSome overnight travel of up to 25-50% may be required depending on geographic assignment

Takeda Compensation and Benefits Summary

We understand compensation is an important factor as you consider the next step in your career. We are committed to equitable pay for all employees, and we strive to be more transparent with our pay practices. 

For Location:

Texas - Virtual

U.S. Hourly Wage Range:

$63.51 - $87.31

The estimated hourly wage range reflects an anticipated range for this position. The actual hourly wage offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. The actual hourly wage offered will be in accordance with state or local minimum wage requirements for the job location. 

U.S. based employees may be eligible for short-term incentives. U.S. based employees may be eligible to participate in medical, dental, vision insurance, a 401(k) plan and company match, short-term and long-term disability coverage, basic life insurance, a tuition reimbursement program, paid volunteer time off, company holidays, and well-being benefits, among others. U.S. based employees are also eligible to receive, per calendar year, up to 80 hours of sick time, and new hires are eligible to accrue up to 120 hours of paid vacation. 

EEO Statement

Takeda is proud in its commitment to creating a diverse workforce and providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, parental status, national origin, age, disability, citizenship status, genetic information or characteristics, marital status, status as a Vietnam era veteran, special disabled veteran, or other protected veteran in accordance with applicable federal, state and local laws, and any other characteristic protected by law.

LocationsTexas - Virtual

Worker TypeEmployee

Worker Sub-TypeRegular

Time TypeFull time

Job Exempt

No

#LI-Remote

Read Less

By clicking the “Apply” button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda’s Privacy Notice and Terms of Use.  I further attest that all information I submit in my employment application is true to the best of my knowledge.

Job Description

About the Role

The Dermatology sales force is primarily responsible for driving demand following potential regulatory approval for the assigned product through education.  They are responsible for educating healthcare providers (HCPs) and optimizing the business opportunities in targeted physician offices, key clinics and hospital accounts that specialize in the Dermatology therapeutic area.  The Specialty Business Manager (SBM) will be required to demonstrate excellence in developing and applying business processes that benefit patients and lead to the achievement of sales goals and objectives. 

How you will contribute:

Support account on-boarding through education.Engage in clinical selling activities, including delivering the clinical value proposition, advancing customers across a brand educational continuum.Support initial clinical and patient access education for medical staff.Coordinate and support clinical education opportunities and programs for HCPs, such as peer-to-peer education.Conduct account management activities within Dermatology practices, clinics and outlets as well as independent physician offices.Attain sales goals and objectives by delivering product volume as well as other key metrics in the assigned Territory.  Utilize discretion and judgment to execute the franchise and company brand strategy and tactics within the assigned customer segment, which may include physicians within specialty medical practices and their staff, specialists within local hospitals, clinics, and support staff as well as pharmacists within a specific geographic areaEstablish professional working relationships with Health Care Providers decision makers, support staff, and other stakeholders within assigned customers, to support the safe and effective use of the company's products - through developing and applying clinical and business expertise, and effective selling skills.Develop and deliver a targeted sales message to HCPs to support patients’ safe and effective use of assigned product based on accurate clinical information, utilizing approved marketing materials and medical reprints, and discuss therapeutic strategies to inform and educate decision makers.Executes marketing strategies at the local level, leveraging resources appropriately and working successfully with company team members and counterparts to share ideas and information to enhance business results.   Accountable to build customer engagement by identifying and cultivating relationships and educating key decision makers at the local level who can inform decision making within the healthcare provider systems and specialty medical practices.Presents complex clinical and business information on the assigned products and patient support services to an audience of office and institutional based Dermatologists, health care professionals, professional and patient groups, and others involved in the decision-making process.Develop and implement medical education opportunities and sponsor programs to expand the knowledge of healthcare professionals.  Frequently educate self on the latest information related to disease states, treatments and the changing business environment.Strategically manages all allocated resources provided including financial/budgets, managed markets, medical affairs, home office, etc.Exemplify Takeda’s patient-first values and commitment to upholding high standards of customer satisfaction. Adhere to all Takeda compliance policies, guidelines, and training. Demonstrate leadership and integrity by seeking clarification when uncertain on compliance matters.

Minimum Requirements/Qualifications
Required

Bachelors degree – BA/BS3+ years of successful selling experience in pharmaceutical, biotech or medical device and/or relevant clinical or industry experience.; OR 2+years of successful selling experience at TakedaExperience calling on Dermatologists/Dermatology highly preferredDemonstrated business and strategic planning skills to identify unique selling opportunities and adaptability to changing market conditions.Demonstrated understanding of managed care landscape and how it influences/impacts business.Strong verbal, influencing, presentation and written communication skills.Strong collaboration skills and success working in teams.Reside within or close proximity to assigned geography.

Preferred:

A minimum of 5 years’ direct selling experience to healthcare professionals in the pharmaceutical, biotech, device or healthcare industry and/or relevant clinical or industry experienceExperience in calling on DermatologistsExperience with managing and communicating complex reimbursement issues

Training Requirements:

This position and continued employment are contingent upon the employee successfully passing mandatory product training which includes written and oral examinations.External Takeda Hires Only: During that training period, the employee will be classified as a non-exempt employee and will be eligible for overtime during the training period only in accordance with applicable federal and/or state law, but the employee will not be eligible for any Takeda-related sales incentive programs and/or other production-based bonuses.  The training period will consist of live instruction, independent study, role play, and other training related activities which should take no more than 8 hours per day and 40 hours total in a work week. After successful passage of the mandatory product training examinations, the employee will be transitioned to exempt status and will no longer be eligible for overtime.   They will then be paid on a bi-weekly basis and eligible to participate in various Takeda related sales incentive programs and/or contests.

LICENSES/CERTIFICATIONS:

Valid Driver's License

TRAVEL REQUIREMENTS:

Ability to drive and/or fly to accounts and occasional business meetingsSome overnight travel of up to 25-50% may be required depending on geographic assignment

Takeda Compensation and Benefits Summary

We understand compensation is an important factor as you consider the next step in your career. We are committed to equitable pay for all employees, and we strive to be more transparent with our pay practices. 

For Location:

Massachusetts - Virtual

U.S. Hourly Wage Range:

$63.51 - $87.31

The estimated hourly wage range reflects an anticipated range for this position. The actual hourly wage offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. The actual hourly wage offered will be in accordance with state or local minimum wage requirements for the job location. 

U.S. based employees may be eligible for short-term incentives. U.S. based employees may be eligible to participate in medical, dental, vision insurance, a 401(k) plan and company match, short-term and long-term disability coverage, basic life insurance, a tuition reimbursement program, paid volunteer time off, company holidays, and well-being benefits, among others. U.S. based employees are also eligible to receive, per calendar year, up to 80 hours of sick time, and new hires are eligible to accrue up to 120 hours of paid vacation. 

EEO Statement

Takeda is proud in its commitment to creating a diverse workforce and providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, parental status, national origin, age, disability, citizenship status, genetic information or characteristics, marital status, status as a Vietnam era veteran, special disabled veteran, or other protected veteran in accordance with applicable federal, state and local laws, and any other characteristic protected by law.

LocationsMassachusetts - Virtual

Worker TypeEmployee

Worker Sub-TypeRegular

Time TypeFull time

Job Exempt

No

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

#LI-Remote

Read Less

By clicking the “Apply” button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda’s Privacy Notice and Terms of Use.  I further attest that all information I submit in my employment application is true to the best of my knowledge.

Job Description

About the Role

The Dermatology sales force is primarily responsible for driving demand following potential regulatory approval for the assigned product through education.  They are responsible for educating healthcare providers (HCPs) and optimizing the business opportunities in targeted physician offices, key clinics and hospital accounts that specialize in the Dermatology therapeutic area.  The Specialty Business Manager (SBM) will be required to demonstrate excellence in developing and applying business processes that benefit patients and lead to the achievement of sales goals and objectives. 

How you will contribute:

Support account on-boarding through education.Engage in clinical selling activities, including delivering the clinical value proposition, advancing customers across a brand educational continuum.Support initial clinical and patient access education for medical staff.Coordinate and support clinical education opportunities and programs for HCPs, such as peer-to-peer education.Conduct account management activities within Dermatology practices, clinics and outlets as well as independent physician offices.Attain sales goals and objectives by delivering product volume as well as other key metrics in the assigned Territory.  Utilize discretion and judgment to execute the franchise and company brand strategy and tactics within the assigned customer segment, which may include physicians within specialty medical practices and their staff, specialists within local hospitals, clinics, and support staff as well as pharmacists within a specific geographic areaEstablish professional working relationships with Health Care Providers decision makers, support staff, and other stakeholders within assigned customers, to support the safe and effective use of the company's products - through developing and applying clinical and business expertise, and effective selling skills.Develop and deliver a targeted sales message to HCPs to support patients’ safe and effective use of assigned product based on accurate clinical information, utilizing approved marketing materials and medical reprints, and discuss therapeutic strategies to inform and educate decision makers.Executes marketing strategies at the local level, leveraging resources appropriately and working successfully with company team members and counterparts to share ideas and information to enhance business results.   Accountable to build customer engagement by identifying and cultivating relationships and educating key decision makers at the local level who can inform decision making within the healthcare provider systems and specialty medical practices.Presents complex clinical and business information on the assigned products and patient support services to an audience of office and institutional based Dermatologists, health care professionals, professional and patient groups, and others involved in the decision-making process.Develop and implement medical education opportunities and sponsor programs to expand the knowledge of healthcare professionals.  Frequently educate self on the latest information related to disease states, treatments and the changing business environment.Strategically manages all allocated resources provided including financial/budgets, managed markets, medical affairs, home office, etc.Exemplify Takeda’s patient-first values and commitment to upholding high standards of customer satisfaction. Adhere to all Takeda compliance policies, guidelines, and training. Demonstrate leadership and integrity by seeking clarification when uncertain on compliance matters.

Minimum Requirements/Qualifications
Required

Bachelors degree – BA/BS3+ years of successful selling experience in pharmaceutical, biotech or medical device and/or relevant clinical or industry experience.; OR 2+years of successful selling experience at TakedaExperience calling on Dermatologists/Dermatology experience highly preferredDemonstrated business and strategic planning skills to identify unique selling opportunities and adaptability to changing market conditions.Demonstrated understanding of managed care landscape and how it influences/impacts business.Strong verbal, influencing, presentation and written communication skills.Strong collaboration skills and success working in teams.Reside within or close proximity to assigned geography.

Preferred:

A minimum of 5 years’ direct selling experience to healthcare professionals in the pharmaceutical, biotech, device or healthcare industry and/or relevant clinical or industry experienceExperience in calling on Dermatologists highly preferredExperience with managing and communicating complex reimbursement issues

Training Requirements:

This position and continued employment are contingent upon the employee successfully passing mandatory product training which includes written and oral examinations.External Takeda Hires Only: During that training period, the employee will be classified as a non-exempt employee and will be eligible for overtime during the training period only in accordance with applicable federal and/or state law, but the employee will not be eligible for any Takeda-related sales incentive programs and/or other production-based bonuses.  The training period will consist of live instruction, independent study, role play, and other training related activities which should take no more than 8 hours per day and 40 hours total in a work week. After successful passage of the mandatory product training examinations, the employee will be transitioned to exempt status and will no longer be eligible for overtime.   They will then be paid on a bi-weekly basis and eligible to participate in various Takeda related sales incentive programs and/or contests.

LICENSES/CERTIFICATIONS:

Valid Driver's License

TRAVEL REQUIREMENTS:

Ability to drive and/or fly to accounts and occasional business meetings

Some overnight travel of up to 25-50% may be required depending on geographic assignment

Takeda Compensation and Benefits Summary

We understand compensation is an important factor as you consider the next step in your career. We are committed to equitable pay for all employees, and we strive to be more transparent with our pay practices. 

For Location:

Georgia - Virtual

U.S. Hourly Wage Range:

$63.51 - $87.31

The estimated hourly wage range reflects an anticipated range for this position. The actual hourly wage offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. The actual hourly wage offered will be in accordance with state or local minimum wage requirements for the job location. 

U.S. based employees may be eligible for short-term incentives. U.S. based employees may be eligible to participate in medical, dental, vision insurance, a 401(k) plan and company match, short-term and long-term disability coverage, basic life insurance, a tuition reimbursement program, paid volunteer time off, company holidays, and well-being benefits, among others. U.S. based employees are also eligible to receive, per calendar year, up to 80 hours of sick time, and new hires are eligible to accrue up to 120 hours of paid vacation. 

EEO Statement

Takeda is proud in its commitment to creating a diverse workforce and providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, parental status, national origin, age, disability, citizenship status, genetic information or characteristics, marital status, status as a Vietnam era veteran, special disabled veteran, or other protected veteran in accordance with applicable federal, state and local laws, and any other characteristic protected by law.

LocationsGeorgia - Virtual

Worker TypeEmployee

Worker Sub-TypeRegular

Time TypeFull time

Job Exempt

No

#LI-Remote

Read Less