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

    $10,000 Sign On Bonus for External Candidates

     

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


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


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

     

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

     

    Primary Responsibilities:

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

     

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

    Required Qualifications:

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

     

    Preferred Qualifications:

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

     

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

     

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


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

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

    $10,000 Sign On Bonus for External Candidates

     

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


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


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

     

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

     

    Primary Responsibilities:

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

     

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

    Required Qualifications:

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

     

    Preferred Qualifications:

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

     

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

     

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


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

    Read Less
  • U

    Case Manager RN WellMed Parkdale  

    - CORPUS CHRISTI
    WellMed, part of the Optum family of businesses, is seeking a Case Man... Read More

    WellMed, part of the Optum family of businesses, is seeking a Case Manager RN to join our team in Corpus Christi, TX. Optum is a clinician-led care organization that is changing the way clinicians work and live.

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


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


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


    Primary Responsibilities:

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


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


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

    Required Qualifications:

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


    Preferred Qualifications:

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


    Physical & Mental Requirements:  

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


    Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.


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


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

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

    $10,000 Sign On Bonus for External Candidates

     

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


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


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

     

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

     

    Primary Responsibilities:

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

     

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

    Required Qualifications:

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

     

    Preferred Qualifications:

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

     

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

     

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


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

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

    $10,000 Sign-on Bonus for External Candidates

     

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


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


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

     
    Primary Responsibilities:

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

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

    Required Qualifications:

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


    Preferred Qualifications:

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

     

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

     

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

     


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


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

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

    $10,000 Sign-on Bonus for External Candidates

     

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


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


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

     
    Primary Responsibilities:

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

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

    Required Qualifications:

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


    Preferred Qualifications:

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

     

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

     

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

     


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


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

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

    $10,000 Sign-on Bonus for External Candidates

     

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


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


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

     
    Primary Responsibilities:

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

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

    Required Qualifications:

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


    Preferred Qualifications:

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

     

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

     

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

     


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


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

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

    $10,000 Sign-on Bonus for External Candidates

     

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


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


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

     
    Primary Responsibilities:

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

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

    Required Qualifications:

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


    Preferred Qualifications:

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

     

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

     

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

     


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


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

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

    $10,000 Sign-on Bonus for External Candidates

     

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


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


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

     
    Primary Responsibilities:

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

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

    Required Qualifications:

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


    Preferred Qualifications:

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

     

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

     

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

     


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


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

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

    $10,000 Sign On Bonus for External Candidates

     

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


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


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

     

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

     

    Primary Responsibilities:

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

     

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

    Required Qualifications:

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

     

    Preferred Qualifications:

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

     

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

     

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


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

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

    $10,000 Sign On Bonus for External Candidates

     

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


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


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

     

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

     

    Primary Responsibilities:

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

     

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

    Required Qualifications:

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

     

    Preferred Qualifications:

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

     

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

     

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


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

    Read Less
  • U

    RN - Palliative Care Manager  

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

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


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


    Primary Responsibilities:

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

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

    Required Qualifications:

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


    Preferred Qualifications:

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


    Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,500 - $137, 300 annually based on full-time employment. We comply with all minimum wage laws as applicable.
     

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

     

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

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

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

    $10,000 Sign-on Bonus for External Candidates

     

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


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


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

     
    Primary Responsibilities:

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

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

    Required Qualifications:

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


    Preferred Qualifications:

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

     

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

     

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

     


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


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

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

    $10,000 Sign-on Bonus for External Candidates

     

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


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


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

     
    Primary Responsibilities:

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

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

    Required Qualifications:

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


    Preferred Qualifications:

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

     

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

     

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

     


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


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

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

    $10,000 Sign On Bonus for External Candidates

     

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


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


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

     

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

     

    Primary Responsibilities:

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

     

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

    Required Qualifications:

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

     

    Preferred Qualifications:

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

     

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

     

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


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

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

    $10,000 Sign On Bonus for External Candidates

     

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


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


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

     

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

     

    Primary Responsibilities:

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

     

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

    Required Qualifications:

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

     

    Preferred Qualifications:

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

     

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

     

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


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

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

    $10,000 Sign On Bonus for External Candidates

     

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


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


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

     

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

     

    Primary Responsibilities:

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

     

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

    Required Qualifications:

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

     

    Preferred Qualifications:

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

     

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

     

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


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

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  • J

    Manufacturing Engineering Manager  

    - ST. PETERSBURG
    SUMMARYThe ME/IE Manager is the “site technology leader” of Jabil’s ma... Read More

    SUMMARY
    The ME/IE Manager is the “site technology leader” of Jabil’s manufacturing processes and systems, which is designed to deliver superior performance and operational efficiency. The ME/IE Manager supports Operation’s business development effort with current and potential customers, and development / implementation of both site a global ME/IE strategies. Responsible for the establishment of optional manufacturing methods and processes for the organization’s production lines. Lead and motivate a large group of Engineers whose primary responsibility is to define and implement complete manufacturing processes. Provides ongoing review of the effective utilization of equipment, production methods, equipment layout, personnel, and material flow. Provide exceptional support to customers, team members, and shareholders.

    ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

    LEADERSHIP AND MANAGEMENT RESPONSIBILITIES

    Recruitment and Retention:
    ·         Recruit, interview and hire Industrial Engineers, Process, Manufacturing and Project Engineers.
    ·         Communicate criteria to recruiters for Industrial Engineers, Process, Manufacturing and Project Engineer position candidates.
    ·         Coach Industrial Engineering, Manufacturing and Process Engineering staff in the interviewing/hiring process.
    ·         Monitor team member turnover; identify key factors that can be improved; make improvements.

    Employee and Team Development:
    ·         Identify individual and team strengths and development needs on an ongoing basis.
    ·         Create and/or validate training curriculum in area of responsibility.
    ·         Coach and mentor Industrial Engineering staff to deliver excellence to every internal and external customer.
    ·         Create and manage succession plans for Industrial & Manufacturing Engineering function.

    Performance Management:
    ·         Establish clear measurable goals and objectives by which to determine individual and team results (i.e. operational metrics, results against project timelines, training documentation, attendance records, knowledge of operational roles and responsibilities, personal development goals).
    ·         Solicit ongoing feedback from Workcell Manager (WCM), Business Unit Manager (BUM), peers and team member on team member’s contribution to the Workcell team. Provide coaching and counseling to team member based on feedback.
    ·         Express pride in staff and encourage them to feel good about their accomplishments.
    ·         Perform team member evaluations professionally and on time.
    ·         Drive individuals and the team to continuously improve in key operational metrics and the achievement of the organizational goals.
    ·         Coordinate activities of large teams and keep them focused in times of crises.
    ·         Ensure recognition and rewards are managed fairly and consistently in area of responsibility.

    Communication
    ·         Provide communication forum for the exchange of ideas and information with the department.
    ·         Organize verbal and written ideas clearly and use an appropriate business style.
    ·         Ask questions; encourage input from team members
    ·         Assess communication style of individual team members and adapt own communication style accordingly.

    FUNCTIONAL MANAGEMENT RESPONSIBILITIES




    Business Strategy and Direction:
    ·         Know and understand Corporate, Campus and Global PE, IE, & ME tactical and strategic direction.
    ·         Define, develop and implement a Process Engineering & Industrial Engineering strategy which contributes to the campus strategic directions.
    ·         Develop an understanding of the Workcell business strategy as it pertains to Industrial & Process Engineering.
    ·         Provide regular updates to BUM, WCM, and Operations Manager on the execution of the strategy.
    ·         Manage technical support globally to sustain Corporate Intranet Site worldwide growth strategy as needed.


    Cost Management:
    ·         Identify creative ways to reduce cost by streamlining processes and systems (i.e. modification of responsibilities or consolidation of tasks, elimination of non-value-added processes, or complete re-engineering of processes and systems).
    ·         Utilize tools to monitor departmental cost and cost trends, striving continuously to improve value.
    ·         Provide feedback to peers (BUMs, WCMs, Functional Managers (FMs) on cost and cost trends.

    Forecast Development and Accuracy:
    ·         Prepare timely forecasts for the department.
    ·         Compare forward forecast results to historical actual results for trend assessment and analysis.
    ·         Anticipate future headcount requirements based on open Bays and projected business.

    TECHNICAL MANAGEMENT RESPONSIBILITIES

    ·         Drive continuous improvement through trend reporting analysis and metrics management.
    ·         Assess the adequacy of data gathering methods utilized by the workcells.
    ·         Assure that procedures and work instructions are efficient and not redundant.
    ·         Prepare quotes for new and potential customers.
    ·         Forecast future requirements and technical trends to drive gear suppliers in their technology roadmap.
    ·         Verify reconfiguration requirements and monitor line moves.
    ·         Lead equipment evaluations. Assure measurement criteria meet all Jabil site requirements worldwide.
    ·         Explore and monitor new processes and procedures to support customer’s expanding requirements on cutting edge technology and product densification.
    ·         Assist Project and Design Engineers with Design for Manufacturability issues.
    ·         Assure that procedures and work instructions are efficient and not redundant.
    ·         Utilize Jabil’s Advanced Engineering group to ensure useful support to Jabil South.
    ·         Establish new measurement systems if/where possible.
    ·         Offer new ideas and suggestions for improvement. Identify and implement new practices and processes that are “best in field.”
    ·         Drive the concept of an IE being an “Integration Engineer” that ensures everything works smoothly to guarantee efficient and high quality processes that translate into high customer satisfaction and revenues for Jabil.
    ·         Demonstrate a commitment to customer service; anticipate, meet, and exceed expectations by solving problems quickly and effectively; making customer issues a priority.
    ·         Periodically “get down in the trenches” to rehabilitate troubled workcells or to help during product launch. Foster a “back to basics” mentality during these times. Lead by example; “walk the talk.”
    ·         Establish new measurement systems if/where possible.
    ·         Exchange knowledge and information with other Jabil facilities to ensure best practices are shared throughout the Jabil organization.
    ·         Ensure 100% adherence to all company policies and procedures (i.e. Health and Safety, Quality).
    ·         Ensure all sensitive and confidential information is handled appropriately.
    ·         Drive Lean Manufacturing in a consistent, structured manner throughout the campus.
    ·         Adhere to all safety and health rules and regulations associated with this position and as directed by supervisor.
    ·         Comply and follow all procedures within the company security policy.

    MINIMUM REQUIREMENTS
    Extensive knowledge of Manufacturing / Industrial Engineering philosophies and processes. Proven track record in communication, leadership, business analysis, process development, administration, and change management. Bachelor’s degree preferred with 3-5 years of related experience in the electronics manufacturing industry; 2-3 years of supervisory experience or equivalent combination of education and experience.

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  • J

    Workcell Manager  

    - HENDERSONVILLE
    JOB SUMMARY Drive continuous improvement in operational metrics while... Read More

    JOB SUMMARY


    Drive continuous improvement in operational metrics while maximizing profitability within the business unit. Drive team to exceed customer expectations. Provide exceptional support to customers, team members and shareholders.

    ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

    LEADERSHIP AND MANAGEMENT RESPONSIBILITIES

    Recruitment and Retention:
    ·         Identify people requirements that meet the needs of the Workcell and the customer/product (i.e. # of ME’s, QE’s, TE’s, IE’s)
    ·         Communicate people requirements to Functional Managers (FM).
    ·         Identify key factors in team member turnover that can be improved and make improvements.

    Employee and Team Development:
    ·         Identify individual and team strengths and development needs on an ongoing basis.
    ·         Coach and mentor Workcell team members daily to deliver excellence to every internal and external customer.

    Performance Management:
    ·         Establish clear measurable goals and objectives to determine individual and team results (i.e. operational metrics, results against project timelines, knowledge of operational roles and responsibilities, personal development goals).
    ·         Provide ongoing feedback to Functional Managers on team member’s contribution to the Workcell.
    ·         Express pride in team and encourage members of the Workcell to feel good about their accomplishments.
    ·         Drive individuals and the team to continuously improve in key operational metrics and in the achievement of the customer and Workcell goals.
    ·         Coordinate activities of large teams and keep them focused in times of crises.
    ·         Ensure recognition and rewards are recommended fairly and consistently in the Workcell to Function Managers.

    Communication:
    ·         Provide communication forum for the exchange of ideas and information with the workcell.
    ·         Organize verbal and written ideas clearly and use an appropriate business style.
    ·         Ask questions; encourage input from Workcell team.
    ·         Assess communication style of individual team members and adapt own communication style accordingly.
    ·         Act as a communication link between the Business Unit and Operations Unit.

    FUNCTIONAL MANAGEMENT RESPONSIBILITIES

    Business Strategy and Direction:
    ·         Know and understand the campus strategic directions.
    ·         Define, develop and implement a customer/workcell strategy that contributes to the campus strategic directions.
    ·         Develop an understanding of the Functional business strategies as they pertain to the workcell/customer.
    ·         Provide regular updates to the Function Manager, Business Unit Manager, and Assistant Operations Manager on the execution of the strategy.
    ·         Identify resource requirements that meet the needs of the workcell and the customer/product (i.e. machines, lines, visuals).
    ·         Communicate resource requirements to Function Managers.

    Cost Management:
    ·         Develop the monthly business unit forecast with the Business Unit Manager.
    ·         Identify creative ways to reduce cost by streamlining processes and systems (i.e. modification of responsibilities or consolidation of tasks, elimination of non-value-added processes, or complete re-engineering of processes and systems).
    ·         Utilize tools to monitor department cost and cost trends, striving continuously to improve value.
    ·         Provide feedback to Business Unit Manager and Assistant Operations Manager on costs and cost trends.


    Forecast Development and Accuracy:
    ·         Prepare timely forecasts for the workcell.
    ·         Compare forward forecast results to historical actual results for trend assessment and analysis.
    ·         Complete variance of actual results versus the forecast on time and communicate results to Business Unit Manger, Assistant Operations Manager, Operations Manager and Workcell Team.

    TECHNICAL MANAGEMENT RESPONSIBILITIES

    ·         Train the workcell teams on the validity of management by metrics and with the team monitor all workcell metrics.
    ·         Drive continuous improvement through trend reporting analysis and metrics management.
    ·         Assure that procedures and work instructions are efficient and not redundant.
    ·         Offer new ideas and suggestions for improvement. Identify and implement new practices and processes.
    ·         Demonstrate a commitment to customer service; anticipate, meet, and exceed expectations by solving problems quickly and effectively; making customer issues a priority.
    ·         Lead by example.
    ·         Exchange knowledge and information with other in-house units and Jabil facilities to ensure best practices are shared throughout the Jabil organization.
    ·         Ensure all sensitive and confidential information is handled appropriately.
    ·         Review all internal and external business plans, process changes, and personnel changes related to Workcell. Influence win/win outcome on unreasonable demands and bad plans.
    ·         Adhere to all safety and health rules and regulations associated with this position and as directed by supervisor.
    ·         Comply and follow all procedures within the company security policy.

    EDUCATION AND MINIMUM REQUIREMENTS


    ·   Bachelor’s degree preferred

    ·   Five years experience supporting a high-volume production setting, one year in a supervisory role

    ·   Or equivalent combination of education and experience.

    LANGUAGE SKILLS
    Ability to read, analyze, interpret and communicate regarding common scientific and/or technical journals, financial reports, and legal documents. Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community. Ability to effectively present information to top management, public groups, and/or boards of directors. Advanced PC skills, including training and knowledge of Jabil’s software packages.

    MATHEMATICAL SKILLS
    Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry

    REASONING ABILITY
    Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

    PHYSICAL DEMANDS
    The physical demands described here are representative of those that must be met by a team member to successfully perform the essential functions of this job. Ability to work effectively under pressure with constantly changing priorities and deadlines. Individual may be required to sit, stand, walk regularly and occasionally lift up to 15 lbs. Be accessible to production floor and office staff and to use required office equipment. Specific vision requirements include reading of written documents and use of computer monitor screen frequently.


    WORK ENVIRONMENT
    The work environment characteristics described here are representative of those a team member encounters while performing the essential functions of this job. Individual’s primary workstation is located in the office area, where the noise level is low. Team member may frequently be present on the manufacturing floor where the noise level is low to moderate.

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  • M

    Care Manager (BH Licensed) LCSW, LMHC, LMFT, LMSW  

    - KEY COLONY BEACH
    Come join us for our upcoming virtual hiring event! Event Date & Time:... Read More

    Come join us for our upcoming virtual hiring event!

    Event Date & Time: Tuesday July 14th at 12:00pm EST   Register here today: Florida Care Managers (Miami) & Care Review Clinicians Virtual Hiring Event

    Event Date & Time: Thursday, July 23rd at 12:00pm EST Register here today: Florida Care Managers (Miami) & Care Review Clinicians Virtual Hiring Event

    Event Date & Time: Thursday, July 30th at 12:00pm EST Register here today: Florida Care Manager Virtual Hiring Event – Molina HealthcareJOB DESCRIPTION Job Summary

    Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. 

     

    Essential Job Duties


    • Completes comprehensive behavioral health assessments of members per regulated timelines and determines who may qualify for care coordination/case management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments. 
    • Develops and implements care plan in collaboration with member, caregiver, physician and/or other appropriate healthcare professionals and member support network to address member needs and goals. 
    • Conducts telephonic, face-to-face or home visits as required. 
    • Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. 
    • Maintains ongoing member caseload for regular outreach and management. 
    • Promotes integration of services for members including behavioral health, long-term services and supports (LTSS), and home and community resources to enhance continuity of care. 
    • Facilitates interdisciplinary care team meetings and informal ICT collaboration. 
    • Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. 
    • Assesses for barriers to care, provides care coordination and assistance to member to address concerns. 
    • May provide consultation, resources and recommendations to peers as needed. 
    • 25-40% estimated local travel may be required (based upon state/contractual requirements).

     

    Required Qualifications


    • At least 2 years health care experience, preferably in behavioral health, or equivalent combination of relevant education and experience. 
    • Licensed behavioral health clinician to include: Licensed Clinical Social Worker (LCSW), Licensed Master Social Worker (LMSW), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC), Licensed Marriage and Family Therapist (LMFT, Doctor of Psychology (PhD or PsyD) or equivalency based on state contract, regulation, or state board licensing mandate. If licensed, license must be active and unrestricted in state of practice. 
    • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. 
    • Experience with working with persons with severe and persistent mental health concerns and serious emotional disturbances, to include substance use disorder and foster care. 
    • Knowledge and experience related to whole person care principles, chronic health conditions, and discharge planning coordination. 
    • Data entry skills and previous experience utilizing a clinical platform. 
    • Excellent verbal and written communication skills. 
    • Microsoft Office suite/applicable software program(s) proficiency. 

     

    Preferred Qualifications


    • Certified Case Manager (CCM). 
    • Experience in behavioral health care management. 
    • Field-based care management or home health experience.

     

    #PJHS

    #LI-AC1

    To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. 

    Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

    Pay Range: $26 - $42 / HOURLY
    *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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