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

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

Provide leadership and oversight of the Utilization Management (UM) program for higher levels of care, including residential and inpatient treatment for substance use and mental health disordersDeliver clinical supervision, coaching, training, performance management, and professional development for Care Advocates and Wellness Coordinators dedicated to the Medica businessLead process improvement initiatives and serve as a champion for change management, operational excellence, and project implementation across the Utilization Management teamDevelop, maintain, and enhance policies, procedures, knowledge articles, and team resources, ensuring information remains accurate, current, and user-friendlyPartner in regulatory audit preparation, support audit activities, and implement corrective action plans as needed to ensure compliance and continuous quality improvementCommunicate departmental goals and performance expectations clearly, fostering accountability and collaboration to achieve or exceed business objectivesEnsure adequate staffing and service levels, including oversight of phone coverage and after-hours on-call supportMonitor utilization, quality, and performance trends to identify opportunities for improvement and drive operational effectivenessConduct clinical case reviews and audits, providing consultation and guidance to staff to ensure appropriate level-of-care determinations and high-quality member outcomesCollaborate with internal and external stakeholders on customer-focused initiatives, strategic projects, and new business implementationsAnticipate customer and business needs, proactively developing solutions that enhance service delivery and operational performanceServe as a subject matter expert and resource for complex clinical, operational, and customer issues, developing innovative and effective solutionsFoster a positive, high-performing team culture by motivating, mentoring, and inspiring team members to achieve individual and organizational success

 

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:

Master's or doctoral degree in Psychology, Social Work, Counseling, or a related behavioral health fieldCurrent, unrestricted independent clinical license (LP, LPC, LPCC, LMFT, LICSW, or equivalent)5+ years of post-licensure clinical experience in behavioral health, mental health, or substance use treatment settings4+ years of leadership or people management experienceSolid knowledge of behavioral health levels of care, clinical best practices, and utilization management principles
 

Preferred Qualifications:

Experience leading projects, process improvement initiatives, or organizational change effortsExperience working within a managed care, health plan, or payer environmentUtilization Management experience, including review of higher levels of care for mental health and substance use disordersExperience with regulatory compliance, accreditation standards, and audit readiness activitiesSolid analytical skills with the ability to interpret data, identify trends, and drive data-informed decision-making

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 - $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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

 

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

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

Read Less

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

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

Provide leadership and oversight of the Utilization Management (UM) program for higher levels of care, including residential and inpatient treatment for substance use and mental health disordersDeliver clinical supervision, coaching, training, performance management, and professional development for Care Advocates and Wellness Coordinators dedicated to the Medica businessLead process improvement initiatives and serve as a champion for change management, operational excellence, and project implementation across the Utilization Management teamDevelop, maintain, and enhance policies, procedures, knowledge articles, and team resources, ensuring information remains accurate, current, and user-friendlyPartner in regulatory audit preparation, support audit activities, and implement corrective action plans as needed to ensure compliance and continuous quality improvementCommunicate departmental goals and performance expectations clearly, fostering accountability and collaboration to achieve or exceed business objectivesEnsure adequate staffing and service levels, including oversight of phone coverage and after-hours on-call supportMonitor utilization, quality, and performance trends to identify opportunities for improvement and drive operational effectivenessConduct clinical case reviews and audits, providing consultation and guidance to staff to ensure appropriate level-of-care determinations and high-quality member outcomesCollaborate with internal and external stakeholders on customer-focused initiatives, strategic projects, and new business implementationsAnticipate customer and business needs, proactively developing solutions that enhance service delivery and operational performanceServe as a subject matter expert and resource for complex clinical, operational, and customer issues, developing innovative and effective solutionsFoster a positive, high-performing team culture by motivating, mentoring, and inspiring team members to achieve individual and organizational success

 

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:

Master's or doctoral degree in Psychology, Social Work, Counseling, or a related behavioral health fieldCurrent, unrestricted independent clinical license (LP, LPC, LPCC, LMFT, LICSW, or equivalent)5+ years of post-licensure clinical experience in behavioral health, mental health, or substance use treatment settings4+ years of leadership or people management experienceSolid knowledge of behavioral health levels of care, clinical best practices, and utilization management principles
 

Preferred Qualifications:

Experience leading projects, process improvement initiatives, or organizational change effortsExperience working within a managed care, health plan, or payer environmentUtilization Management experience, including review of higher levels of care for mental health and substance use disordersExperience with regulatory compliance, accreditation standards, and audit readiness activitiesSolid analytical skills with the ability to interpret data, identify trends, and drive data-informed decision-making

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 - $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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

 

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

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

Read Less

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

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

Provide leadership and oversight of the Utilization Management (UM) program for higher levels of care, including residential and inpatient treatment for substance use and mental health disordersDeliver clinical supervision, coaching, training, performance management, and professional development for Care Advocates and Wellness Coordinators dedicated to the Medica businessLead process improvement initiatives and serve as a champion for change management, operational excellence, and project implementation across the Utilization Management teamDevelop, maintain, and enhance policies, procedures, knowledge articles, and team resources, ensuring information remains accurate, current, and user-friendlyPartner in regulatory audit preparation, support audit activities, and implement corrective action plans as needed to ensure compliance and continuous quality improvementCommunicate departmental goals and performance expectations clearly, fostering accountability and collaboration to achieve or exceed business objectivesEnsure adequate staffing and service levels, including oversight of phone coverage and after-hours on-call supportMonitor utilization, quality, and performance trends to identify opportunities for improvement and drive operational effectivenessConduct clinical case reviews and audits, providing consultation and guidance to staff to ensure appropriate level-of-care determinations and high-quality member outcomesCollaborate with internal and external stakeholders on customer-focused initiatives, strategic projects, and new business implementationsAnticipate customer and business needs, proactively developing solutions that enhance service delivery and operational performanceServe as a subject matter expert and resource for complex clinical, operational, and customer issues, developing innovative and effective solutionsFoster a positive, high-performing team culture by motivating, mentoring, and inspiring team members to achieve individual and organizational success

 

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:

Master's or doctoral degree in Psychology, Social Work, Counseling, or a related behavioral health fieldCurrent, unrestricted independent clinical license (LP, LPC, LPCC, LMFT, LICSW, or equivalent)5+ years of post-licensure clinical experience in behavioral health, mental health, or substance use treatment settings4+ years of leadership or people management experienceSolid knowledge of behavioral health levels of care, clinical best practices, and utilization management principles
 

Preferred Qualifications:

Experience leading projects, process improvement initiatives, or organizational change effortsExperience working within a managed care, health plan, or payer environmentUtilization Management experience, including review of higher levels of care for mental health and substance use disordersExperience with regulatory compliance, accreditation standards, and audit readiness activitiesSolid analytical skills with the ability to interpret data, identify trends, and drive data-informed decision-making

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 - $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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

 

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

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

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About the Role & Team

At Disney Consumer Products, we inspire imagination around the world and are committed to creating happiness for families and fans by bringing captivating, inspiring, and inclusive products into their daily lives.  From toys to t-shirts, console games, books, and more, our team brings our beloved brands and franchises into the lives of families through products and experiences that can be found worldwide, such as the Disney Store e-commerce platform, Disney Parks, local and international retailers, and Disney Store locations around the world.

The Senior Manager, Store Design is a knowledgeable specialist and strategic leader responsible for the end-to-end design and delivery of retail environments across Walt Disney Parks, Resorts, and Disney Signature Experiences, ensuring every space reflects Disney's storytelling, brand standards, and guest-centric excellence in our theme parks, resorts, cruise, vacation, travel, and retail destinations.

This is a Full-Time role

You will report to the Director, Store Design & Development

What You Will Do

In this management role, you will lead multiple related store design teams, guiding concept development, design execution, and project delivery for retail locations that support Walt Disney World and special locations creative, guest-focused, and consumer-driven business. You will set departmental strategies and priorities, allocate resources, and partner across operations, merchandising, facilities, and external vendors to deliver innovative, on-brand environments that elevate the guest and consumer experience. This role matters because it connects design vision to business goals, requiring a strategic, collaborative, detail-oriented leader who can mentor others, manage complexity, and drive results in a fast-paced, multi-project environment.

Lead and manage day-to-day store design activities from concept through project completion, ensuring alignment with business goals, brand standards, and operational needs.

Oversee the creation of design concepts, store layouts, finish selections, fixture design, and visual storytelling elements that bring Disney stories to life in retail environments.

Provide leadership, coaching, and development to the Store Design & Development team, fostering collaboration, accountability, and an inclusive, team-oriented culture.

Review, interpret, and provide direction on architectural drawings, engineering documents, and vendor shop drawings to ensure accuracy, adherence to design intent, and compliance with codes and standards.

Drive project management excellence by managing multiple concurrent projects, ensuring deliverables meet established timelines, budgets, and quality expectations in fast-paced environments.

Monitor and manage all design milestones and deliverables, proactively identifying risks and implementing solutions to maintain project momentum and schedule integrity.

Resolve design issues quickly during construction and build-out phases, partnering with internal and external teams to protect design intent and guest experience.

Lead cross-functional meetings to align design direction, communicate changes, and ensure seamless coordination across partners and stakeholders.

Represent Store Design as the subject matter expert in internal and external forums, providing guidance, recommendations, and design leadership while influencing without direct authority.

Build strong, collaborative relationships with partners across Operations, Merchandising, Facilities, Architecture & Engineering, and external vendors to support shared objectives and guest-focused outcomes.

Contribute to departmental innovation by supporting pilot programs, process improvements, and new design initiatives that enhance creative, consumer, and operational performance.

Ensure all projects reflect Disney's commitment to quality, storytelling, and exceptional guest experience across theme parks, resorts, cruise, and retail locations.

Define strategies, expectations, and priorities that connect team responsibilities to company-wide goals, empowering teams to pursue solutions for both immediate and future challenges.

Required Qualifications & Skills:

Minimum 8+ years of experience in retail design, store planning, or related architectural design roles including branded architecture or experiential design, with a major retail company or top design agency.

3+ years of management experience leading professional design teams.

Strong proficiency in reading and interpreting architectural and engineering documents, shop drawings, and specifications.

Deep knowledge of building codes, retail design standards, and construction processes for store environments.

Ability to communicate design concepts visually and verbally to leadership and cross-functional partners, including executive stakeholders.

Proven ability to manage multiple fast-paced projects with strict adherence to budget, schedule, and quality requirements.

Demonstrated success working within cross-functional teams and influencing without authority in a collaborative, team-oriented environment.

Proficiency in Microsoft Office applications (Excel, Word, Project).

Proficiency in 3D rendering and visualization tools and familiarity with CAD-based workflows.

Strong organizational, analytical, and creative problem-solving skills; results-oriented, self-motivated, and able to operate independently while escalating appropriately.

Preferred Qualifications:

Experience in leadership roles within multi-unit or experiential retail environments such as theme parks, resorts, cruise, or destination retail.

Expert skills in 3D modeling, CAD, and rendering tools (e.g., SketchUp, Rhino, 3DS, Enscape, VRay) and familiarity with Adobe Creative Suite for environmental and retail graphics.

Education:

Bachelor’s Degree in Architecture, Interior Design, Construction Project Management, or related field with emphasis on retail or experiential environments preferred

Additional Information: 

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. 

#DCPJobs

#DXMedia

The hiring range for this position in Florida is $132,600 to $177,700 per year. The base pay actually offered will take into account internal equity and also may vary depending on the candidate’s geographic 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

$10,000 Sign On Bonus for External Candidates

 

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

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

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

 

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

 

Primary Responsibilities:

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

 

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

Required Qualifications:

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

 

Preferred Qualifications:

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

 

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

 

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

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

Read Less

$10,000 Sign On Bonus for External Candidates

 

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

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

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

 

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

 

Primary Responsibilities:

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

 

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

Required Qualifications:

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

 

Preferred Qualifications:

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

 

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

 

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

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

Read Less

$10,000 Sign On Bonus for External Candidates

 

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

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

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

 

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

 

Primary Responsibilities:

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

 

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

Required Qualifications:

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

 

Preferred Qualifications:

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

 

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

 

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

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

Read Less

$10,000 Sign On Bonus for External Candidates

 

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

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

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

 

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

 

Primary Responsibilities:

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

 

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

Required Qualifications:

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

 

Preferred Qualifications:

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

 

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

 

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

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

Read Less

$10,000 Sign On Bonus for External Candidates

 

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

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

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

 

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

 

Primary Responsibilities:

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

 

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

Required Qualifications:

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

 

Preferred Qualifications:

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

 

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

 

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

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

Read Less

$10,000 Sign On Bonus for External Candidates

 

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

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

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

 

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

 

Primary Responsibilities:

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

 

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

Required Qualifications:

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

 

Preferred Qualifications:

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

 

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

 

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

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

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.

 

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

This position has accountability and oversight the NV Medical Management Command Center RN case Manager functions.   Medical Management includes observation level patients,  acute long-term level patients and the development of plans of care to for transitions of care at discharge.  This positions is responsible for the daily operations of medical management case managers in the assigned facilities.  Collection and oversight of documentation and safety of RN decisions at discharge.  Education and training is an integral part of this position to promote patient care. As a manager lead IDT meetings, participate in taskforces and ensures coverage at large volume hospitals and high risk patients. There is direct responsibility for the development and maintainence of metric performance for the assigned areas of the position.  

 

Primary responsibility for case management includes discharge planning, improved transitions of care, and utilization management of long length hospitalized health plan members.  Ensure members receive quality medical care in the most appropriate setting.  Performs the following on a daily basis; 1) assurance of staffing higher volume hospitals and focusing the case managers on the standard work of command center; 2)  Productivity of case management teams; 3) Audit standard work 4) Produce daily, weekly and monthly operational metrics for the command center and 5) refocus team members on the tactics of the command center with report progress to the Sr. Medical Director

 

Primary Responsibilities:

Ensure the team provides appropriate education, training, support and resources to all staff so that all compliance and customer service standards are met including the appropriateness of decision making, timeliness and completeness of all requestsProvide support to the team to allow for growth and development and encourage the team to think "out of the box" for solutionsIdentify barriers so that staff can maintain high productivity and high levels of moraleEnsure coordination between other internal departments as well as external companies as appropriateDevelop work plans and educational plans to best manage the day-to-day functions of multidisciplinary departmentsIndependently manage work flows including orientation, standard work and report concerns to the directorCollaborates on decisions to promote teamworkCollaboration with Sr. Medical Director and V.P.Promote LEAN work cycles for performance enhancementProvides input to leadership to enhance process flows and efficiencies while addressing initiatives, goals, and missionOther duties as assigned in medical management
 

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

Required Qualifications:

High School diploma and/or equivalentActive unrestricted Nevada RN licenseObtain CCM certification within 2+ years of employmentValid Nevada driver's license and maintain personal auto insurance coverage  1+ years of related professional experience in managed care environment1+ years related supervisory/management experience Solid knowledge of regulatory requirements, competent in case management business as well as clinical arenas Solid technology skills and excellent interpersonal skillsProven ability to negotiate and arbitrate without difficultyProven ability to supervise multiple levels of peopleCritical Thinking: Proven ability to integrate guidelines/tools to negotiate most effective plan of care

 

Preferred Qualification:

Bachelor's degree 

 

Working Conditions: 

Work completed in acute hospital and/or sub-acute and/or Inpatient Rehabilitation setting or office to promote command center management

Driving up to one hour per day.

 

Competencies for High Performers:   

Participation in departmental projects assigned by Director or Manager.Certification in Case Management (CCM) or equivalent Professional Certification (ACM).Metric measures of success: Observation rate discharge, LOS Observation Rate; Observation rate of engagement with patient's high risk patients, improved readmission rate of high risk patients (10 days) and engagement of PCP HFU rate, daily productivity 10-11 patients per day OBs note; Affordability measures 6 O'clock X matrix cost of care on engaged members.  Number of IDT completed within the week with Medical Director.
 

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 - $163,700 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

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.

 

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

This position has accountability and oversight the NV Medical Management Command Center RN case Manager functions.   Medical Management includes observation level patients,  acute long-term level patients and the development of plans of care to for transitions of care at discharge.  This positions is responsible for the daily operations of medical management case managers in the assigned facilities.  Collection and oversight of documentation and safety of RN decisions at discharge.  Education and training is an integral part of this position to promote patient care. As a manager lead IDT meetings, participate in taskforces and ensures coverage at large volume hospitals and high risk patients. There is direct responsibility for the development and maintainence of metric performance for the assigned areas of the position.  

 

Primary responsibility for case management includes discharge planning, improved transitions of care, and utilization management of long length hospitalized health plan members.  Ensure members receive quality medical care in the most appropriate setting.  Performs the following on a daily basis; 1) assurance of staffing higher volume hospitals and focusing the case managers on the standard work of command center; 2)  Productivity of case management teams; 3) Audit standard work 4) Produce daily, weekly and monthly operational metrics for the command center and 5) refocus team members on the tactics of the command center with report progress to the Sr. Medical Director

 

Primary Responsibilities:

Ensure the team provides appropriate education, training, support and resources to all staff so that all compliance and customer service standards are met including the appropriateness of decision making, timeliness and completeness of all requestsProvide support to the team to allow for growth and development and encourage the team to think "out of the box" for solutionsIdentify barriers so that staff can maintain high productivity and high levels of moraleEnsure coordination between other internal departments as well as external companies as appropriateDevelop work plans and educational plans to best manage the day-to-day functions of multidisciplinary departmentsIndependently manage work flows including orientation, standard work and report concerns to the directorCollaborates on decisions to promote teamworkCollaboration with Sr. Medical Director and V.P.Promote LEAN work cycles for performance enhancementProvides input to leadership to enhance process flows and efficiencies while addressing initiatives, goals, and missionOther duties as assigned in medical management
 

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

Required Qualifications:

High School diploma and/or equivalentActive unrestricted Nevada RN licenseObtain CCM certification within 2+ years of employmentValid Nevada driver's license and maintain personal auto insurance coverage  1+ years of related professional experience in managed care environment1+ years related supervisory/management experience Solid knowledge of regulatory requirements, competent in case management business as well as clinical arenas Solid technology skills and excellent interpersonal skillsProven ability to negotiate and arbitrate without difficultyProven ability to supervise multiple levels of peopleCritical Thinking: Proven ability to integrate guidelines/tools to negotiate most effective plan of care

 

Preferred Qualification:

Bachelor's degree 

 

Working Conditions: 

Work completed in acute hospital and/or sub-acute and/or Inpatient Rehabilitation setting or office to promote command center management

Driving up to one hour per day.

 

Competencies for High Performers:   

Participation in departmental projects assigned by Director or Manager.Certification in Case Management (CCM) or equivalent Professional Certification (ACM).Metric measures of success: Observation rate discharge, LOS Observation Rate; Observation rate of engagement with patient's high risk patients, improved readmission rate of high risk patients (10 days) and engagement of PCP HFU rate, daily productivity 10-11 patients per day OBs note; Affordability measures 6 O'clock X matrix cost of care on engaged members.  Number of IDT completed within the week with Medical Director.
 

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 - $163,700 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

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.

 

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

This position has accountability and oversight the NV Medical Management Command Center RN case Manager functions.   Medical Management includes observation level patients,  acute long-term level patients and the development of plans of care to for transitions of care at discharge.  This positions is responsible for the daily operations of medical management case managers in the assigned facilities.  Collection and oversight of documentation and safety of RN decisions at discharge.  Education and training is an integral part of this position to promote patient care. As a manager lead IDT meetings, participate in taskforces and ensures coverage at large volume hospitals and high risk patients. There is direct responsibility for the development and maintainence of metric performance for the assigned areas of the position.  

 

Primary responsibility for case management includes discharge planning, improved transitions of care, and utilization management of long length hospitalized health plan members.  Ensure members receive quality medical care in the most appropriate setting.  Performs the following on a daily basis; 1) assurance of staffing higher volume hospitals and focusing the case managers on the standard work of command center; 2)  Productivity of case management teams; 3) Audit standard work 4) Produce daily, weekly and monthly operational metrics for the command center and 5) refocus team members on the tactics of the command center with report progress to the Sr. Medical Director

 

Primary Responsibilities:

Ensure the team provides appropriate education, training, support and resources to all staff so that all compliance and customer service standards are met including the appropriateness of decision making, timeliness and completeness of all requestsProvide support to the team to allow for growth and development and encourage the team to think "out of the box" for solutionsIdentify barriers so that staff can maintain high productivity and high levels of moraleEnsure coordination between other internal departments as well as external companies as appropriateDevelop work plans and educational plans to best manage the day-to-day functions of multidisciplinary departmentsIndependently manage work flows including orientation, standard work and report concerns to the directorCollaborates on decisions to promote teamworkCollaboration with Sr. Medical Director and V.P.Promote LEAN work cycles for performance enhancementProvides input to leadership to enhance process flows and efficiencies while addressing initiatives, goals, and missionOther duties as assigned in medical management
 

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

Required Qualifications:

High School diploma and/or equivalentActive unrestricted Nevada RN licenseObtain CCM certification within 2+ years of employmentValid Nevada driver's license and maintain personal auto insurance coverage  1+ years of related professional experience in managed care environment1+ years related supervisory/management experience Solid knowledge of regulatory requirements, competent in case management business as well as clinical arenas Solid technology skills and excellent interpersonal skillsProven ability to negotiate and arbitrate without difficultyProven ability to supervise multiple levels of peopleCritical Thinking: Proven ability to integrate guidelines/tools to negotiate most effective plan of care

 

Preferred Qualification:

Bachelor's degree 

 

Working Conditions: 

Work completed in acute hospital and/or sub-acute and/or Inpatient Rehabilitation setting or office to promote command center management

Driving up to one hour per day.

 

Competencies for High Performers:   

Participation in departmental projects assigned by Director or Manager.Certification in Case Management (CCM) or equivalent Professional Certification (ACM).Metric measures of success: Observation rate discharge, LOS Observation Rate; Observation rate of engagement with patient's high risk patients, improved readmission rate of high risk patients (10 days) and engagement of PCP HFU rate, daily productivity 10-11 patients per day OBs note; Affordability measures 6 O'clock X matrix cost of care on engaged members.  Number of IDT completed within the week with Medical Director.
 

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 - $163,700 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

$10,000 Sign-on Bonus for External Candidates

 

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

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

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

 
Primary Responsibilities:

Role embedded within the primary care clinic, working directly with patients, clinical and non-clinical teams providing transitional case management servicesPerforms assessment/screening of health conditions; Collaboration with the member, caregiver(s), clinician(s), and/or other appropriate healthcare professionals to address need and goalsPursues appropriate interventions to reduce risk of condition exacerbation, ER and hospitalization utilization to meet department/organization metrics or goalsSupports transition of care from Emergency Department or inpatient stay to outpatient setting. Assist with referrals (home health/DME) and appointments (PCP/specialist)Achieves Quality Measures outcomes via reduction in HEDIS Gaps in Care

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

Required Qualifications:

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

Preferred Qualifications:

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

 

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

 

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

 

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

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

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.

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

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

 
Primary Responsibilities:

Role embedded within the primary care clinic, working directly with patients, clinical and non-clinical teams providing transitional case management servicesPerforms assessment/screening of health conditions; Collaboration with the member, caregiver(s), clinician(s), and/or other appropriate healthcare professionals to address need and goalsPursues appropriate interventions to reduce risk of condition exacerbation, ER and hospitalization utilization to meet department/organization metrics or goalsSupports transition of care from Emergency Department or inpatient stay to outpatient setting. Assist with referrals (home health/DME) and appointments (PCP/specialist)Achieves Quality Measures outcomes via reduction in HEDIS Gaps in Care

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

Required Qualifications:

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

Preferred Qualifications:

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

 

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

 

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

 

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

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

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.

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

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

 
Primary Responsibilities:

Role embedded within the primary care clinic, working directly with patients, clinical and non-clinical teams providing transitional case management servicesPerforms assessment/screening of health conditions; Collaboration with the member, caregiver(s), clinician(s), and/or other appropriate healthcare professionals to address need and goalsPursues appropriate interventions to reduce risk of condition exacerbation, ER and hospitalization utilization to meet department/organization metrics or goalsSupports transition of care from Emergency Department or inpatient stay to outpatient setting. Assist with referrals (home health/DME) and appointments (PCP/specialist)Achieves Quality Measures outcomes via reduction in HEDIS Gaps in Care

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

Required Qualifications:

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

Preferred Qualifications:

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

 

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

 

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

 

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

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

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$10,000 Sign-on Bonus for External Candidates

 

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

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

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

 
Primary Responsibilities:

Role embedded within the primary care clinic, working directly with patients, clinical and non-clinical teams providing transitional case management servicesPerforms assessment/screening of health conditions; Collaboration with the member, caregiver(s), clinician(s), and/or other appropriate healthcare professionals to address need and goalsPursues appropriate interventions to reduce risk of condition exacerbation, ER and hospitalization utilization to meet department/organization metrics or goalsSupports transition of care from Emergency Department or inpatient stay to outpatient setting. Assist with referrals (home health/DME) and appointments (PCP/specialist)Achieves Quality Measures outcomes via reduction in HEDIS Gaps in Care

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

Required Qualifications:

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

Preferred Qualifications:

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

 

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

 

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

 

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

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

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$7,500 Sign On Bonus for External Candidates

 

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

 

Location: Field based position throughout Seattle, WA

Work Schedule: Monday through Friday 8:00 a.m. - 5:00 p.m. PST  Hours may vary based on business needs  

 

Primary Responsibilities:

Visit members in their homes to assess their current health statusIdentify gaps or barriers in treatment plansProvide patient education to assist with self-managementMake referrals to outside sourcesProvide a complete continuum of quality care through close communication with members via in-person in home or on-phone interactionSupport members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels

 

This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. Strong computer and software navigation skills are critical. You should also be strongly patient-focused and adaptable to changes.

 

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

Required Qualifications:

Current, unrestricted RN license in the state of WashingtonCertified in Basic Life Support, or ability to obtain by start date1+ years of clinical experienceExperience in home care/home visitsReside in or near Seattle, WADriver's license and access to reliable transportation

 

Preferred Qualifications:

BSNCertified Case Manager (CCM)Case management experienceExperience in discharge planningExperience in utilization review, concurrent review or risk management

Experience in a telephonic role

 

Experience working with MS Word, Excel and OutlookBackground in managed careBilingual in English/Spanish

 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The 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.

 

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

 

 

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

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

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.

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

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

 
Primary Responsibilities:

Role embedded within the primary care clinic, working directly with patients, clinical and non-clinical teams providing transitional case management servicesPerforms assessment/screening of health conditions; Collaboration with the member, caregiver(s), clinician(s), and/or other appropriate healthcare professionals to address need and goalsPursues appropriate interventions to reduce risk of condition exacerbation, ER and hospitalization utilization to meet department/organization metrics or goalsSupports transition of care from Emergency Department or inpatient stay to outpatient setting. Assist with referrals (home health/DME) and appointments (PCP/specialist)Achieves Quality Measures outcomes via reduction in HEDIS Gaps in Care

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

Required Qualifications:

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

Preferred Qualifications:

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

 

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

 

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

 

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

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

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.

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

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

 
Primary Responsibilities:

Role embedded within the primary care clinic, working directly with patients, clinical and non-clinical teams providing transitional case management servicesPerforms assessment/screening of health conditions; Collaboration with the member, caregiver(s), clinician(s), and/or other appropriate healthcare professionals to address need and goalsPursues appropriate interventions to reduce risk of condition exacerbation, ER and hospitalization utilization to meet department/organization metrics or goalsSupports transition of care from Emergency Department or inpatient stay to outpatient setting. Assist with referrals (home health/DME) and appointments (PCP/specialist)Achieves Quality Measures outcomes via reduction in HEDIS Gaps in Care

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

Required Qualifications:

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

Preferred Qualifications:

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

 

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

 

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

 

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

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

Read Less