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

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

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

 

Position in this function is responsible for the outpatient care management and coordination of high-risk high need patients empanelled to and IPA or Network PCP, for Medicare Advantage population. Works with the Members, Member's families, the PCPs, Medical Offices, Specialty offices to ensure optimal outpatient outcomes. Follows the standards of Case Management and acts as the single point of contact for patients, families, and providers.  Maintains records and data analysis related to high risk cases to report outcomes and ROI.  Works collaboratively with all internal and external partners to ensure best clinical outcomes.  

 

Primary Responsibilities:

Apply case management standards of practice to focus on effective care of high risk high need patients empanelled to non-SMA PCP'sServe as a patient advocate and resource and provide critical information and recommendations to the rest of the care teamParticipates in assessment activities to develop individualized  plans of care in coordination with patient, family and providersFollows patient through various transitions of care to ensure that any gaps are identified and remedied, break down silos and promote efficient health care delivery.  Works together with Medical Director to determine effective plans of care in the prevention of readmissions to acute careMaintains strong knowledge of UM, Case management, community resources and plan benefits to ensure improved outcomesWorks collaboratively with primary care to ensure patient compliance and adherence to medical plan of careAssist clinicians in implementing best practices for chronic care and disease managementFollow standard protocols, processes and policies to include but not limited to the following:  Medication Refill, Preventative Services, Managing Conditions, and Disease Case Management as signed by department head or designee

 

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

Required Qualifications:

High School diploma or equivalentRegistered Nurse with active unrestricted license in the State of Nevada3+ years of direct patient care nursing with a focus on discharge planning or case managementKnowledge of UM and plan benefit designsSolid clinical knowledge and capacity for continued learningProficient in critical thinking skills of RN Case managerDemonstrated ability to perform case management activitiesProven solid verbal and written communication skillsProven competent with MS Office and other practice management systems or possess the ability to continue to learn new thingsProven ability to organize and prioritize tasks for self and patientsMust possess a valid Nevada driver's license and maintain personal auto insurance coverage

 

Preferred Qualifications:

Bachelor's degree in healthcare or related field or working towards completion of Bachelor's degreeCCM certification

 

WORKING CONDITIONS

Normal office or hospital environmentAbility to have their own transportation to travel frequently within the Las Vegas ValleyAbility to pass FIT testing and wear protective mask as deemed by SMA in the course of work at clinic

 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

 

 

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

 

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

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

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

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

 

Position in this function is responsible for the outpatient care management and coordination of high-risk high need patients empanelled to and IPA or Network PCP, for Medicare Advantage population. Works with the Members, Member's families, the PCPs, Medical Offices, Specialty offices to ensure optimal outpatient outcomes. Follows the standards of Case Management and acts as the single point of contact for patients, families, and providers.  Maintains records and data analysis related to high risk cases to report outcomes and ROI.  Works collaboratively with all internal and external partners to ensure best clinical outcomes.  

 

Primary Responsibilities:

Apply case management standards of practice to focus on effective care of high risk high need patients empanelled to non-SMA PCP'sServe as a patient advocate and resource and provide critical information and recommendations to the rest of the care teamParticipates in assessment activities to develop individualized  plans of care in coordination with patient, family and providersFollows patient through various transitions of care to ensure that any gaps are identified and remedied, break down silos and promote efficient health care delivery.  Works together with Medical Director to determine effective plans of care in the prevention of readmissions to acute careMaintains strong knowledge of UM, Case management, community resources and plan benefits to ensure improved outcomesWorks collaboratively with primary care to ensure patient compliance and adherence to medical plan of careAssist clinicians in implementing best practices for chronic care and disease managementFollow standard protocols, processes and policies to include but not limited to the following:  Medication Refill, Preventative Services, Managing Conditions, and Disease Case Management as signed by department head or designee

 

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

Required Qualifications:

High School diploma or equivalentRegistered Nurse with active unrestricted license in the State of Nevada3+ years of direct patient care nursing with a focus on discharge planning or case managementKnowledge of UM and plan benefit designsSolid clinical knowledge and capacity for continued learningProficient in critical thinking skills of RN Case managerDemonstrated ability to perform case management activitiesProven solid verbal and written communication skillsProven competent with MS Office and other practice management systems or possess the ability to continue to learn new thingsProven ability to organize and prioritize tasks for self and patientsMust possess a valid Nevada driver's license and maintain personal auto insurance coverage

 

Preferred Qualifications:

Bachelor's degree in healthcare or related field or working towards completion of Bachelor's degreeCCM certification

 

WORKING CONDITIONS

Normal office or hospital environmentAbility to have their own transportation to travel frequently within the Las Vegas ValleyAbility to pass FIT testing and wear protective mask as deemed by SMA in the course of work at clinic

 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

 

 

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

 

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

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

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

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

 

Position in this function is responsible for the outpatient care management and coordination of high-risk high need patients empanelled to and IPA or Network PCP, for Medicare Advantage population. Works with the Members, Member's families, the PCPs, Medical Offices, Specialty offices to ensure optimal outpatient outcomes. Follows the standards of Case Management and acts as the single point of contact for patients, families, and providers.  Maintains records and data analysis related to high risk cases to report outcomes and ROI.  Works collaboratively with all internal and external partners to ensure best clinical outcomes.  

 

Primary Responsibilities:

Apply case management standards of practice to focus on effective care of high risk high need patients empanelled to non-SMA PCP'sServe as a patient advocate and resource and provide critical information and recommendations to the rest of the care teamParticipates in assessment activities to develop individualized  plans of care in coordination with patient, family and providersFollows patient through various transitions of care to ensure that any gaps are identified and remedied, break down silos and promote efficient health care delivery.  Works together with Medical Director to determine effective plans of care in the prevention of readmissions to acute careMaintains strong knowledge of UM, Case management, community resources and plan benefits to ensure improved outcomesWorks collaboratively with primary care to ensure patient compliance and adherence to medical plan of careAssist clinicians in implementing best practices for chronic care and disease managementFollow standard protocols, processes and policies to include but not limited to the following:  Medication Refill, Preventative Services, Managing Conditions, and Disease Case Management as signed by department head or designee

 

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

Required Qualifications:

High School diploma or equivalentRegistered Nurse with active unrestricted license in the State of Nevada3+ years of direct patient care nursing with a focus on discharge planning or case managementKnowledge of UM and plan benefit designsSolid clinical knowledge and capacity for continued learningProficient in critical thinking skills of RN Case managerDemonstrated ability to perform case management activitiesProven solid verbal and written communication skillsProven competent with MS Office and other practice management systems or possess the ability to continue to learn new thingsProven ability to organize and prioritize tasks for self and patientsMust possess a valid Nevada driver's license and maintain personal auto insurance coverage

 

Preferred Qualifications:

Bachelor's degree in healthcare or related field or working towards completion of Bachelor's degreeCCM certification

 

WORKING CONDITIONS

Normal office or hospital environmentAbility to have their own transportation to travel frequently within the Las Vegas ValleyAbility to pass FIT testing and wear protective mask as deemed by SMA in the course of work at clinic

 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

 

 

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

 

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

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$10,000 Sign-on Bonus  for External Candidates 

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

 

Optum NY, is seeking a Registered Nurse Manager Gastroenterology to join our team in Lake Success, NY. Optum is a clinician-led care organization that is changing the way clinicians work and live.

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

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

 

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

 

Position details:

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

 

Primary responsibilities:

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

 

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

 

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

Required Qualifications:

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

 

Preferred Qualifications: 

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

 

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

 

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

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

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

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

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

 

Position in this function is responsible for the outpatient care management and coordination of high-risk high need patients empanelled to and IPA or Network PCP, for Medicare Advantage population. Works with the Members, Member's families, the PCPs, Medical Offices, Specialty offices to ensure optimal outpatient outcomes. Follows the standards of Case Management and acts as the single point of contact for patients, families, and providers.  Maintains records and data analysis related to high risk cases to report outcomes and ROI.  Works collaboratively with all internal and external partners to ensure best clinical outcomes.  

 

Primary Responsibilities:

Apply case management standards of practice to focus on effective care of high risk high need patients empanelled to non-SMA PCP'sServe as a patient advocate and resource and provide critical information and recommendations to the rest of the care teamParticipates in assessment activities to develop individualized  plans of care in coordination with patient, family and providersFollows patient through various transitions of care to ensure that any gaps are identified and remedied, break down silos and promote efficient health care delivery.  Works together with Medical Director to determine effective plans of care in the prevention of readmissions to acute careMaintains strong knowledge of UM, Case management, community resources and plan benefits to ensure improved outcomesWorks collaboratively with primary care to ensure patient compliance and adherence to medical plan of careAssist clinicians in implementing best practices for chronic care and disease managementFollow standard protocols, processes and policies to include but not limited to the following:  Medication Refill, Preventative Services, Managing Conditions, and Disease Case Management as signed by department head or designee

 

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

Required Qualifications:

High School diploma or equivalentRegistered Nurse with active unrestricted license in the State of Nevada3+ years of direct patient care nursing with a focus on discharge planning or case managementKnowledge of UM and plan benefit designsSolid clinical knowledge and capacity for continued learningProficient in critical thinking skills of RN Case managerDemonstrated ability to perform case management activitiesProven solid verbal and written communication skillsProven competent with MS Office and other practice management systems or possess the ability to continue to learn new thingsProven ability to organize and prioritize tasks for self and patientsMust possess a valid Nevada driver's license and maintain personal auto insurance coverage

 

Preferred Qualifications:

Bachelor's degree in healthcare or related field or working towards completion of Bachelor's degreeCCM certification

 

WORKING CONDITIONS

Normal office or hospital environmentAbility to have their own transportation to travel frequently within the Las Vegas ValleyAbility to pass FIT testing and wear protective mask as deemed by SMA in the course of work at clinic

 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

 

 

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

 

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

Read Less

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

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

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

 

Position in this function is responsible for the outpatient care management and coordination of high-risk high need patients empanelled to and IPA or Network PCP, for Medicare Advantage population. Works with the Members, Member's families, the PCPs, Medical Offices, Specialty offices to ensure optimal outpatient outcomes. Follows the standards of Case Management and acts as the single point of contact for patients, families, and providers.  Maintains records and data analysis related to high risk cases to report outcomes and ROI.  Works collaboratively with all internal and external partners to ensure best clinical outcomes.  

 

Primary Responsibilities:

Apply case management standards of practice to focus on effective care of high risk high need patients empanelled to non-SMA PCP'sServe as a patient advocate and resource and provide critical information and recommendations to the rest of the care teamParticipates in assessment activities to develop individualized  plans of care in coordination with patient, family and providersFollows patient through various transitions of care to ensure that any gaps are identified and remedied, break down silos and promote efficient health care delivery.  Works together with Medical Director to determine effective plans of care in the prevention of readmissions to acute careMaintains strong knowledge of UM, Case management, community resources and plan benefits to ensure improved outcomesWorks collaboratively with primary care to ensure patient compliance and adherence to medical plan of careAssist clinicians in implementing best practices for chronic care and disease managementFollow standard protocols, processes and policies to include but not limited to the following:  Medication Refill, Preventative Services, Managing Conditions, and Disease Case Management as signed by department head or designee

 

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

Required Qualifications:

High School diploma or equivalentRegistered Nurse with active unrestricted license in the State of Nevada3+ years of direct patient care nursing with a focus on discharge planning or case managementKnowledge of UM and plan benefit designsSolid clinical knowledge and capacity for continued learningProficient in critical thinking skills of RN Case managerDemonstrated ability to perform case management activitiesProven solid verbal and written communication skillsProven competent with MS Office and other practice management systems or possess the ability to continue to learn new thingsProven ability to organize and prioritize tasks for self and patientsMust possess a valid Nevada driver's license and maintain personal auto insurance coverage

 

Preferred Qualifications:

Bachelor's degree in healthcare or related field or working towards completion of Bachelor's degreeCCM certification

 

WORKING CONDITIONS

Normal office or hospital environmentAbility to have their own transportation to travel frequently within the Las Vegas ValleyAbility to pass FIT testing and wear protective mask as deemed by SMA in the course of work at clinic

 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

 

 

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

 

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

Read Less

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

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

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

 

Position in this function is responsible for the outpatient care management and coordination of high-risk high need patients empanelled to and IPA or Network PCP, for Medicare Advantage population. Works with the Members, Member's families, the PCPs, Medical Offices, Specialty offices to ensure optimal outpatient outcomes. Follows the standards of Case Management and acts as the single point of contact for patients, families, and providers.  Maintains records and data analysis related to high risk cases to report outcomes and ROI.  Works collaboratively with all internal and external partners to ensure best clinical outcomes.  

 

Primary Responsibilities:

Apply case management standards of practice to focus on effective care of high risk high need patients empanelled to non-SMA PCP'sServe as a patient advocate and resource and provide critical information and recommendations to the rest of the care teamParticipates in assessment activities to develop individualized  plans of care in coordination with patient, family and providersFollows patient through various transitions of care to ensure that any gaps are identified and remedied, break down silos and promote efficient health care delivery.  Works together with Medical Director to determine effective plans of care in the prevention of readmissions to acute careMaintains strong knowledge of UM, Case management, community resources and plan benefits to ensure improved outcomesWorks collaboratively with primary care to ensure patient compliance and adherence to medical plan of careAssist clinicians in implementing best practices for chronic care and disease managementFollow standard protocols, processes and policies to include but not limited to the following:  Medication Refill, Preventative Services, Managing Conditions, and Disease Case Management as signed by department head or designee

 

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

Required Qualifications:

High School diploma or equivalentRegistered Nurse with active unrestricted license in the State of Nevada3+ years of direct patient care nursing with a focus on discharge planning or case managementKnowledge of UM and plan benefit designsSolid clinical knowledge and capacity for continued learningProficient in critical thinking skills of RN Case managerDemonstrated ability to perform case management activitiesProven solid verbal and written communication skillsProven competent with MS Office and other practice management systems or possess the ability to continue to learn new thingsProven ability to organize and prioritize tasks for self and patientsMust possess a valid Nevada driver's license and maintain personal auto insurance coverage

 

Preferred Qualifications:

Bachelor's degree in healthcare or related field or working towards completion of Bachelor's degreeCCM certification

 

WORKING CONDITIONS

Normal office or hospital environmentAbility to have their own transportation to travel frequently within the Las Vegas ValleyAbility to pass FIT testing and wear protective mask as deemed by SMA in the course of work at clinic

 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

 

 

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

 

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

Read Less

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

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

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

 

Position in this function is responsible for the outpatient care management and coordination of high-risk high need patients empanelled to and IPA or Network PCP, for Medicare Advantage population. Works with the Members, Member's families, the PCPs, Medical Offices, Specialty offices to ensure optimal outpatient outcomes. Follows the standards of Case Management and acts as the single point of contact for patients, families, and providers.  Maintains records and data analysis related to high risk cases to report outcomes and ROI.  Works collaboratively with all internal and external partners to ensure best clinical outcomes.  

 

Primary Responsibilities:

Apply case management standards of practice to focus on effective care of high risk high need patients empanelled to non-SMA PCP'sServe as a patient advocate and resource and provide critical information and recommendations to the rest of the care teamParticipates in assessment activities to develop individualized  plans of care in coordination with patient, family and providersFollows patient through various transitions of care to ensure that any gaps are identified and remedied, break down silos and promote efficient health care delivery.  Works together with Medical Director to determine effective plans of care in the prevention of readmissions to acute careMaintains strong knowledge of UM, Case management, community resources and plan benefits to ensure improved outcomesWorks collaboratively with primary care to ensure patient compliance and adherence to medical plan of careAssist clinicians in implementing best practices for chronic care and disease managementFollow standard protocols, processes and policies to include but not limited to the following:  Medication Refill, Preventative Services, Managing Conditions, and Disease Case Management as signed by department head or designee

 

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

Required Qualifications:

High School diploma or equivalentRegistered Nurse with active unrestricted license in the State of Nevada3+ years of direct patient care nursing with a focus on discharge planning or case managementKnowledge of UM and plan benefit designsSolid clinical knowledge and capacity for continued learningProficient in critical thinking skills of RN Case managerDemonstrated ability to perform case management activitiesProven solid verbal and written communication skillsProven competent with MS Office and other practice management systems or possess the ability to continue to learn new thingsProven ability to organize and prioritize tasks for self and patientsMust possess a valid Nevada driver's license and maintain personal auto insurance coverage

 

Preferred Qualifications:

Bachelor's degree in healthcare or related field or working towards completion of Bachelor's degreeCCM certification

 

WORKING CONDITIONS

Normal office or hospital environmentAbility to have their own transportation to travel frequently within the Las Vegas ValleyAbility to pass FIT testing and wear protective mask as deemed by SMA in the course of work at clinic

 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

 

 

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

 

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

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

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

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

 

Position in this function is responsible for the outpatient care management and coordination of high-risk high need patients empanelled to and IPA or Network PCP, for Medicare Advantage population. Works with the Members, Member's families, the PCPs, Medical Offices, Specialty offices to ensure optimal outpatient outcomes. Follows the standards of Case Management and acts as the single point of contact for patients, families, and providers.  Maintains records and data analysis related to high risk cases to report outcomes and ROI.  Works collaboratively with all internal and external partners to ensure best clinical outcomes.  

 

Primary Responsibilities:

Apply case management standards of practice to focus on effective care of high risk high need patients empanelled to non-SMA PCP'sServe as a patient advocate and resource and provide critical information and recommendations to the rest of the care teamParticipates in assessment activities to develop individualized  plans of care in coordination with patient, family and providersFollows patient through various transitions of care to ensure that any gaps are identified and remedied, break down silos and promote efficient health care delivery.  Works together with Medical Director to determine effective plans of care in the prevention of readmissions to acute careMaintains strong knowledge of UM, Case management, community resources and plan benefits to ensure improved outcomesWorks collaboratively with primary care to ensure patient compliance and adherence to medical plan of careAssist clinicians in implementing best practices for chronic care and disease managementFollow standard protocols, processes and policies to include but not limited to the following:  Medication Refill, Preventative Services, Managing Conditions, and Disease Case Management as signed by department head or designee

 

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

Required Qualifications:

High School diploma or equivalentRegistered Nurse with active unrestricted license in the State of Nevada3+ years of direct patient care nursing with a focus on discharge planning or case managementKnowledge of UM and plan benefit designsSolid clinical knowledge and capacity for continued learningProficient in critical thinking skills of RN Case managerDemonstrated ability to perform case management activitiesProven solid verbal and written communication skillsProven competent with MS Office and other practice management systems or possess the ability to continue to learn new thingsProven ability to organize and prioritize tasks for self and patientsMust possess a valid Nevada driver's license and maintain personal auto insurance coverage

 

Preferred Qualifications:

Bachelor's degree in healthcare or related field or working towards completion of Bachelor's degreeCCM certification

 

WORKING CONDITIONS

Normal office or hospital environmentAbility to have their own transportation to travel frequently within the Las Vegas ValleyAbility to pass FIT testing and wear protective mask as deemed by SMA in the course of work at clinic

 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

 

 

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

 

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

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

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

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

 

Position in this function is responsible for the outpatient care management and coordination of high-risk high need patients empanelled to and IPA or Network PCP, for Medicare Advantage population. Works with the Members, Member's families, the PCPs, Medical Offices, Specialty offices to ensure optimal outpatient outcomes. Follows the standards of Case Management and acts as the single point of contact for patients, families, and providers.  Maintains records and data analysis related to high risk cases to report outcomes and ROI.  Works collaboratively with all internal and external partners to ensure best clinical outcomes.  

 

Primary Responsibilities:

Apply case management standards of practice to focus on effective care of high risk high need patients empanelled to non-SMA PCP'sServe as a patient advocate and resource and provide critical information and recommendations to the rest of the care teamParticipates in assessment activities to develop individualized  plans of care in coordination with patient, family and providersFollows patient through various transitions of care to ensure that any gaps are identified and remedied, break down silos and promote efficient health care delivery.  Works together with Medical Director to determine effective plans of care in the prevention of readmissions to acute careMaintains strong knowledge of UM, Case management, community resources and plan benefits to ensure improved outcomesWorks collaboratively with primary care to ensure patient compliance and adherence to medical plan of careAssist clinicians in implementing best practices for chronic care and disease managementFollow standard protocols, processes and policies to include but not limited to the following:  Medication Refill, Preventative Services, Managing Conditions, and Disease Case Management as signed by department head or designee

 

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

Required Qualifications:

High School diploma or equivalentRegistered Nurse with active unrestricted license in the State of Nevada3+ years of direct patient care nursing with a focus on discharge planning or case managementKnowledge of UM and plan benefit designsSolid clinical knowledge and capacity for continued learningProficient in critical thinking skills of RN Case managerDemonstrated ability to perform case management activitiesProven solid verbal and written communication skillsProven competent with MS Office and other practice management systems or possess the ability to continue to learn new thingsProven ability to organize and prioritize tasks for self and patientsMust possess a valid Nevada driver's license and maintain personal auto insurance coverage

 

Preferred Qualifications:

Bachelor's degree in healthcare or related field or working towards completion of Bachelor's degreeCCM certification

 

WORKING CONDITIONS

Normal office or hospital environmentAbility to have their own transportation to travel frequently within the Las Vegas ValleyAbility to pass FIT testing and wear protective mask as deemed by SMA in the course of work at clinic

 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

 

 

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

 

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

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

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

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

 

Position in this function is responsible for the outpatient care management and coordination of high-risk high need patients empanelled to and IPA or Network PCP, for Medicare Advantage population. Works with the Members, Member's families, the PCPs, Medical Offices, Specialty offices to ensure optimal outpatient outcomes. Follows the standards of Case Management and acts as the single point of contact for patients, families, and providers.  Maintains records and data analysis related to high risk cases to report outcomes and ROI.  Works collaboratively with all internal and external partners to ensure best clinical outcomes.  

 

Primary Responsibilities:

Apply case management standards of practice to focus on effective care of high risk high need patients empanelled to non-SMA PCP'sServe as a patient advocate and resource and provide critical information and recommendations to the rest of the care teamParticipates in assessment activities to develop individualized  plans of care in coordination with patient, family and providersFollows patient through various transitions of care to ensure that any gaps are identified and remedied, break down silos and promote efficient health care delivery.  Works together with Medical Director to determine effective plans of care in the prevention of readmissions to acute careMaintains strong knowledge of UM, Case management, community resources and plan benefits to ensure improved outcomesWorks collaboratively with primary care to ensure patient compliance and adherence to medical plan of careAssist clinicians in implementing best practices for chronic care and disease managementFollow standard protocols, processes and policies to include but not limited to the following:  Medication Refill, Preventative Services, Managing Conditions, and Disease Case Management as signed by department head or designee

 

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

Required Qualifications:

High School diploma or equivalentRegistered Nurse with active unrestricted license in the State of Nevada3+ years of direct patient care nursing with a focus on discharge planning or case managementKnowledge of UM and plan benefit designsSolid clinical knowledge and capacity for continued learningProficient in critical thinking skills of RN Case managerDemonstrated ability to perform case management activitiesProven solid verbal and written communication skillsProven competent with MS Office and other practice management systems or possess the ability to continue to learn new thingsProven ability to organize and prioritize tasks for self and patientsMust possess a valid Nevada driver's license and maintain personal auto insurance coverage

 

Preferred Qualifications:

Bachelor's degree in healthcare or related field or working towards completion of Bachelor's degreeCCM certification

 

WORKING CONDITIONS

Normal office or hospital environmentAbility to have their own transportation to travel frequently within the Las Vegas ValleyAbility to pass FIT testing and wear protective mask as deemed by SMA in the course of work at clinic

 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

 

 

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

 

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

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

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

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

 

Position in this function is responsible for the outpatient care management and coordination of high-risk high need patients empanelled to and IPA or Network PCP, for Medicare Advantage population. Works with the Members, Member's families, the PCPs, Medical Offices, Specialty offices to ensure optimal outpatient outcomes. Follows the standards of Case Management and acts as the single point of contact for patients, families, and providers.  Maintains records and data analysis related to high risk cases to report outcomes and ROI.  Works collaboratively with all internal and external partners to ensure best clinical outcomes.  

 

Primary Responsibilities:

Apply case management standards of practice to focus on effective care of high risk high need patients empanelled to non-SMA PCP'sServe as a patient advocate and resource and provide critical information and recommendations to the rest of the care teamParticipates in assessment activities to develop individualized  plans of care in coordination with patient, family and providersFollows patient through various transitions of care to ensure that any gaps are identified and remedied, break down silos and promote efficient health care delivery.  Works together with Medical Director to determine effective plans of care in the prevention of readmissions to acute careMaintains strong knowledge of UM, Case management, community resources and plan benefits to ensure improved outcomesWorks collaboratively with primary care to ensure patient compliance and adherence to medical plan of careAssist clinicians in implementing best practices for chronic care and disease managementFollow standard protocols, processes and policies to include but not limited to the following:  Medication Refill, Preventative Services, Managing Conditions, and Disease Case Management as signed by department head or designee

 

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

Required Qualifications:

High School diploma or equivalentRegistered Nurse with active unrestricted license in the State of Nevada3+ years of direct patient care nursing with a focus on discharge planning or case managementKnowledge of UM and plan benefit designsSolid clinical knowledge and capacity for continued learningProficient in critical thinking skills of RN Case managerDemonstrated ability to perform case management activitiesProven solid verbal and written communication skillsProven competent with MS Office and other practice management systems or possess the ability to continue to learn new thingsProven ability to organize and prioritize tasks for self and patientsMust possess a valid Nevada driver's license and maintain personal auto insurance coverage

 

Preferred Qualifications:

Bachelor's degree in healthcare or related field or working towards completion of Bachelor's degreeCCM certification

 

WORKING CONDITIONS

Normal office or hospital environmentAbility to have their own transportation to travel frequently within the Las Vegas ValleyAbility to pass FIT testing and wear protective mask as deemed by SMA in the course of work at clinic

 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

 

 

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

 

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

Read Less

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

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

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

 

Position in this function is responsible for the outpatient care management and coordination of high-risk high need patients empanelled to and IPA or Network PCP, for Medicare Advantage population. Works with the Members, Member's families, the PCPs, Medical Offices, Specialty offices to ensure optimal outpatient outcomes. Follows the standards of Case Management and acts as the single point of contact for patients, families, and providers.  Maintains records and data analysis related to high risk cases to report outcomes and ROI.  Works collaboratively with all internal and external partners to ensure best clinical outcomes.  

 

Primary Responsibilities:

Apply case management standards of practice to focus on effective care of high risk high need patients empanelled to non-SMA PCP'sServe as a patient advocate and resource and provide critical information and recommendations to the rest of the care teamParticipates in assessment activities to develop individualized  plans of care in coordination with patient, family and providersFollows patient through various transitions of care to ensure that any gaps are identified and remedied, break down silos and promote efficient health care delivery.  Works together with Medical Director to determine effective plans of care in the prevention of readmissions to acute careMaintains strong knowledge of UM, Case management, community resources and plan benefits to ensure improved outcomesWorks collaboratively with primary care to ensure patient compliance and adherence to medical plan of careAssist clinicians in implementing best practices for chronic care and disease managementFollow standard protocols, processes and policies to include but not limited to the following:  Medication Refill, Preventative Services, Managing Conditions, and Disease Case Management as signed by department head or designee

 

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

Required Qualifications:

High School diploma or equivalentRegistered Nurse with active unrestricted license in the State of Nevada3+ years of direct patient care nursing with a focus on discharge planning or case managementKnowledge of UM and plan benefit designsSolid clinical knowledge and capacity for continued learningProficient in critical thinking skills of RN Case managerDemonstrated ability to perform case management activitiesProven solid verbal and written communication skillsProven competent with MS Office and other practice management systems or possess the ability to continue to learn new thingsProven ability to organize and prioritize tasks for self and patientsMust possess a valid Nevada driver's license and maintain personal auto insurance coverage

 

Preferred Qualifications:

Bachelor's degree in healthcare or related field or working towards completion of Bachelor's degreeCCM certification

 

WORKING CONDITIONS

Normal office or hospital environmentAbility to have their own transportation to travel frequently within the Las Vegas ValleyAbility to pass FIT testing and wear protective mask as deemed by SMA in the course of work at clinic

 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

 

 

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

 

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

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Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together.  

 

Position Highlights & Primary Responsibilities: 

The Nurse Supervisor is accountable for planning and oversight of department staff activities related to patient care, ensuring customer satisfaction and adherence to fiscal budget, policies, procedures, standards and regulationsWorks collaboratively with others at all levels of the organization to create an environment of excellence, trust, and continual learningMust be informed and maintain generalist nursing skill proficiency/competency in all aspects of clinical nurse responsibilities in an ambulatory care setting Scope of responsibility will include single or multiple departments and /or 4 - 10 providers

 

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 or 4+ years of supervisory/management experienceRN from accredited nursing program. Active, current Texas licenseACLS (within three months), BLS (AHA Healthcare Provider), PALS if supervise pediatric department (within six months) 4+ years clinical RN experience with at least 2+ years progressive supervisor/management experienceProven personnel management and clinical management skillsProficient keyboarding and basic computer skillsAbility to use equipment and related supplies for a selected patient population. Able to use mechanical devices, such as those used in cardiopulmonary resuscitation, oxygen administration, and intravenous therapy.

 

Preferred Qualifications: 

Masters degree in nursing or related fieldNurse Certification in work related field (within one year)PALS, CPR Instructor, refined public relations, verbal and writing expertiseExperience with EPIC system

 

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

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

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

 

Position in this function is responsible for the outpatient care management and coordination of high-risk high need patients empanelled to and IPA or Network PCP, for Medicare Advantage population. Works with the Members, Member's families, the PCPs, Medical Offices, Specialty offices to ensure optimal outpatient outcomes. Follows the standards of Case Management and acts as the single point of contact for patients, families, and providers.  Maintains records and data analysis related to high risk cases to report outcomes and ROI.  Works collaboratively with all internal and external partners to ensure best clinical outcomes.  

 

Primary Responsibilities:

Apply case management standards of practice to focus on effective care of high risk high need patients empanelled to non-SMA PCP'sServe as a patient advocate and resource and provide critical information and recommendations to the rest of the care teamParticipates in assessment activities to develop individualized  plans of care in coordination with patient, family and providersFollows patient through various transitions of care to ensure that any gaps are identified and remedied, break down silos and promote efficient health care delivery.  Works together with Medical Director to determine effective plans of care in the prevention of readmissions to acute careMaintains strong knowledge of UM, Case management, community resources and plan benefits to ensure improved outcomesWorks collaboratively with primary care to ensure patient compliance and adherence to medical plan of careAssist clinicians in implementing best practices for chronic care and disease managementFollow standard protocols, processes and policies to include but not limited to the following:  Medication Refill, Preventative Services, Managing Conditions, and Disease Case Management as signed by department head or designee

 

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

Required Qualifications:

High School diploma or equivalentRegistered Nurse with active unrestricted license in the State of Nevada3+ years of direct patient care nursing with a focus on discharge planning or case managementKnowledge of UM and plan benefit designsSolid clinical knowledge and capacity for continued learningProficient in critical thinking skills of RN Case managerDemonstrated ability to perform case management activitiesProven solid verbal and written communication skillsProven competent with MS Office and other practice management systems or possess the ability to continue to learn new thingsProven ability to organize and prioritize tasks for self and patientsMust possess a valid Nevada driver's license and maintain personal auto insurance coverage

 

Preferred Qualifications:

Bachelor's degree in healthcare or related field or working towards completion of Bachelor's degreeCCM certification

 

WORKING CONDITIONS

Normal office or hospital environmentAbility to have their own transportation to travel frequently within the Las Vegas ValleyAbility to pass FIT testing and wear protective mask as deemed by SMA in the course of work at clinic

 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

 

 

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

 

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

Read Less

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

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

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

 

Position in this function is responsible for the outpatient care management and coordination of high-risk high need patients empanelled to and IPA or Network PCP, for Medicare Advantage population. Works with the Members, Member's families, the PCPs, Medical Offices, Specialty offices to ensure optimal outpatient outcomes. Follows the standards of Case Management and acts as the single point of contact for patients, families, and providers.  Maintains records and data analysis related to high risk cases to report outcomes and ROI.  Works collaboratively with all internal and external partners to ensure best clinical outcomes.  

 

Primary Responsibilities:

Apply case management standards of practice to focus on effective care of high risk high need patients empanelled to non-SMA PCP'sServe as a patient advocate and resource and provide critical information and recommendations to the rest of the care teamParticipates in assessment activities to develop individualized  plans of care in coordination with patient, family and providersFollows patient through various transitions of care to ensure that any gaps are identified and remedied, break down silos and promote efficient health care delivery.  Works together with Medical Director to determine effective plans of care in the prevention of readmissions to acute careMaintains strong knowledge of UM, Case management, community resources and plan benefits to ensure improved outcomesWorks collaboratively with primary care to ensure patient compliance and adherence to medical plan of careAssist clinicians in implementing best practices for chronic care and disease managementFollow standard protocols, processes and policies to include but not limited to the following:  Medication Refill, Preventative Services, Managing Conditions, and Disease Case Management as signed by department head or designee

 

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

Required Qualifications:

High School diploma or equivalentRegistered Nurse with active unrestricted license in the State of Nevada3+ years of direct patient care nursing with a focus on discharge planning or case managementKnowledge of UM and plan benefit designsSolid clinical knowledge and capacity for continued learningProficient in critical thinking skills of RN Case managerDemonstrated ability to perform case management activitiesProven solid verbal and written communication skillsProven competent with MS Office and other practice management systems or possess the ability to continue to learn new thingsProven ability to organize and prioritize tasks for self and patientsMust possess a valid Nevada driver's license and maintain personal auto insurance coverage

 

Preferred Qualifications:

Bachelor's degree in healthcare or related field or working towards completion of Bachelor's degreeCCM certification

 

WORKING CONDITIONS

Normal office or hospital environmentAbility to have their own transportation to travel frequently within the Las Vegas ValleyAbility to pass FIT testing and wear protective mask as deemed by SMA in the course of work at clinic

 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

 

 

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

 

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

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Explore opportunities with Elite Hospice, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.

As the Hospice Registered Nurse Case Manager, you will assume full nursing responsibility for the delivery of the Plan of Care for each hospice patient. Continuously evaluating personal and professional performance and making necessary changes to increase productivity and quality of care delivered. You'll also develop the patient's Plan of care in collaboration with other professionals and implement treatment strategies based on scientific nursing theory that promotes physical, psychosocial, emotional, and spiritual well-being.  Familiar with the concepts and needs of patients/families who are facing death and dying.

Primary Responsibilities:

Makes the initial nursing evaluation in determining eligibility for hospice services during visit within forty-eight (48) hours of referralIdentifies the patient's/family's physical, psychosocial, and environmental needs and re-assesses as needed, no less than every fifteen (15) daysInitiates and coordinates the plan of careDocuments problems, appropriate goals, interventions, and patient/family response to hospice careCollaborates with the patient/family, attending physician and other members of the IDG in providing patient and family care dailyInstructs and supervises the patient/family in self-care techniques when appropriate

Maintains accurate and relevant clinical notes regarding the patient's condition

 

Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client  
 

 

 

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 and unrestricted RN licensure in the state of practice 

 

Current driver's license, valid vehicle insurance, and access to a dependable vehicle, or public transportation

 

Preferred Qualifications:

1+ years of clinical experience Current CPR certification or ability to complete within 90 days of hire  

 

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 $83,580 to $125,370 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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


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


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

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

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

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

 

Position in this function is responsible for the outpatient care management and coordination of high-risk high need patients empanelled to and IPA or Network PCP, for Medicare Advantage population. Works with the Members, Member's families, the PCPs, Medical Offices, Specialty offices to ensure optimal outpatient outcomes. Follows the standards of Case Management and acts as the single point of contact for patients, families, and providers.  Maintains records and data analysis related to high risk cases to report outcomes and ROI.  Works collaboratively with all internal and external partners to ensure best clinical outcomes.  

 

Primary Responsibilities:

Apply case management standards of practice to focus on effective care of high risk high need patients empanelled to non-SMA PCP'sServe as a patient advocate and resource and provide critical information and recommendations to the rest of the care teamParticipates in assessment activities to develop individualized  plans of care in coordination with patient, family and providersFollows patient through various transitions of care to ensure that any gaps are identified and remedied, break down silos and promote efficient health care delivery.  Works together with Medical Director to determine effective plans of care in the prevention of readmissions to acute careMaintains strong knowledge of UM, Case management, community resources and plan benefits to ensure improved outcomesWorks collaboratively with primary care to ensure patient compliance and adherence to medical plan of careAssist clinicians in implementing best practices for chronic care and disease managementFollow standard protocols, processes and policies to include but not limited to the following:  Medication Refill, Preventative Services, Managing Conditions, and Disease Case Management as signed by department head or designee

 

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

Required Qualifications:

High School diploma or equivalentRegistered Nurse with active unrestricted license in the State of Nevada3+ years of direct patient care nursing with a focus on discharge planning or case managementKnowledge of UM and plan benefit designsSolid clinical knowledge and capacity for continued learningProficient in critical thinking skills of RN Case managerDemonstrated ability to perform case management activitiesProven solid verbal and written communication skillsProven competent with MS Office and other practice management systems or possess the ability to continue to learn new thingsProven ability to organize and prioritize tasks for self and patientsMust possess a valid Nevada driver's license and maintain personal auto insurance coverage

 

Preferred Qualifications:

Bachelor's degree in healthcare or related field or working towards completion of Bachelor's degreeCCM certification

 

WORKING CONDITIONS

Normal office or hospital environmentAbility to have their own transportation to travel frequently within the Las Vegas ValleyAbility to pass FIT testing and wear protective mask as deemed by SMA in the course of work at clinic

 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

 

 

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

 

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

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

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

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

 

Position in this function is responsible for the outpatient care management and coordination of high-risk high need patients empanelled to and IPA or Network PCP, for Medicare Advantage population. Works with the Members, Member's families, the PCPs, Medical Offices, Specialty offices to ensure optimal outpatient outcomes. Follows the standards of Case Management and acts as the single point of contact for patients, families, and providers.  Maintains records and data analysis related to high risk cases to report outcomes and ROI.  Works collaboratively with all internal and external partners to ensure best clinical outcomes.  

 

Primary Responsibilities:

Apply case management standards of practice to focus on effective care of high risk high need patients empanelled to non-SMA PCP'sServe as a patient advocate and resource and provide critical information and recommendations to the rest of the care teamParticipates in assessment activities to develop individualized  plans of care in coordination with patient, family and providersFollows patient through various transitions of care to ensure that any gaps are identified and remedied, break down silos and promote efficient health care delivery.  Works together with Medical Director to determine effective plans of care in the prevention of readmissions to acute careMaintains strong knowledge of UM, Case management, community resources and plan benefits to ensure improved outcomesWorks collaboratively with primary care to ensure patient compliance and adherence to medical plan of careAssist clinicians in implementing best practices for chronic care and disease managementFollow standard protocols, processes and policies to include but not limited to the following:  Medication Refill, Preventative Services, Managing Conditions, and Disease Case Management as signed by department head or designee

 

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

Required Qualifications:

High School diploma or equivalentRegistered Nurse with active unrestricted license in the State of Nevada3+ years of direct patient care nursing with a focus on discharge planning or case managementKnowledge of UM and plan benefit designsSolid clinical knowledge and capacity for continued learningProficient in critical thinking skills of RN Case managerDemonstrated ability to perform case management activitiesProven solid verbal and written communication skillsProven competent with MS Office and other practice management systems or possess the ability to continue to learn new thingsProven ability to organize and prioritize tasks for self and patientsMust possess a valid Nevada driver's license and maintain personal auto insurance coverage

 

Preferred Qualifications:

Bachelor's degree in healthcare or related field or working towards completion of Bachelor's degreeCCM certification

 

WORKING CONDITIONS

Normal office or hospital environmentAbility to have their own transportation to travel frequently within the Las Vegas ValleyAbility to pass FIT testing and wear protective mask as deemed by SMA in the course of work at clinic

 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

 

 

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

 

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

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

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

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

 

Position in this function is responsible for the outpatient care management and coordination of high-risk high need patients empanelled to and IPA or Network PCP, for Medicare Advantage population. Works with the Members, Member's families, the PCPs, Medical Offices, Specialty offices to ensure optimal outpatient outcomes. Follows the standards of Case Management and acts as the single point of contact for patients, families, and providers.  Maintains records and data analysis related to high risk cases to report outcomes and ROI.  Works collaboratively with all internal and external partners to ensure best clinical outcomes.  

 

Primary Responsibilities:

Apply case management standards of practice to focus on effective care of high risk high need patients empanelled to non-SMA PCP'sServe as a patient advocate and resource and provide critical information and recommendations to the rest of the care teamParticipates in assessment activities to develop individualized  plans of care in coordination with patient, family and providersFollows patient through various transitions of care to ensure that any gaps are identified and remedied, break down silos and promote efficient health care delivery.  Works together with Medical Director to determine effective plans of care in the prevention of readmissions to acute careMaintains strong knowledge of UM, Case management, community resources and plan benefits to ensure improved outcomesWorks collaboratively with primary care to ensure patient compliance and adherence to medical plan of careAssist clinicians in implementing best practices for chronic care and disease managementFollow standard protocols, processes and policies to include but not limited to the following:  Medication Refill, Preventative Services, Managing Conditions, and Disease Case Management as signed by department head or designee

 

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

Required Qualifications:

High School diploma or equivalentRegistered Nurse with active unrestricted license in the State of Nevada3+ years of direct patient care nursing with a focus on discharge planning or case managementKnowledge of UM and plan benefit designsSolid clinical knowledge and capacity for continued learningProficient in critical thinking skills of RN Case managerDemonstrated ability to perform case management activitiesProven solid verbal and written communication skillsProven competent with MS Office and other practice management systems or possess the ability to continue to learn new thingsProven ability to organize and prioritize tasks for self and patientsMust possess a valid Nevada driver's license and maintain personal auto insurance coverage

 

Preferred Qualifications:

Bachelor's degree in healthcare or related field or working towards completion of Bachelor's degreeCCM certification

 

WORKING CONDITIONS

Normal office or hospital environmentAbility to have their own transportation to travel frequently within the Las Vegas ValleyAbility to pass FIT testing and wear protective mask as deemed by SMA in the course of work at clinic

 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

 

 

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

 

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

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