• U
    $7,500 Sign On Bonus for External Candidates Optum Home & Community Ca... Read More

    $7,500 Sign On Bonus for External Candidates

     

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

     

    Location: Field based position throughout Seattle, WA

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

     

    Primary Responsibilities:

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

     

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

     

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

    Required Qualifications:

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

     

    Preferred Qualifications:

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

    Experience in a telephonic role

     

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

     

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

     

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

     

     

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


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

    Read Less
  • U

    Manager of Case Management  

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

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

     

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

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

     

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

     

    Primary Responsibilities:

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

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

    Required Qualifications:

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

     

    Preferred Qualification:

    Bachelor's degree 

     

    Working Conditions: 

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

    Driving up to one hour per day.

     

    Competencies for High Performers:   

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

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

     

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

     

     

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

     

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

    Read Less
  • U

    Manager of Case Management  

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

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

     

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

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

     

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

     

    Primary Responsibilities:

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

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

    Required Qualifications:

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

     

    Preferred Qualification:

    Bachelor's degree 

     

    Working Conditions: 

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

    Driving up to one hour per day.

     

    Competencies for High Performers:   

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

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

     

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

     

     

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

     

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

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

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


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


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


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


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


    Primary Responsibilities:

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


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

    Required Qualifications:

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


    Preferred Qualifications:

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


    Working Conditions: 

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


    Competencies for High Performers:   

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


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


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


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

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

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


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


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


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


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


    Primary Responsibilities:

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


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

    Required Qualifications:

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


    Preferred Qualifications:

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


    Working Conditions: 

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


    Competencies for High Performers:   

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


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


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


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

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

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


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


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


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


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


    Primary Responsibilities:

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


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

    Required Qualifications:

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


    Preferred Qualifications:

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


    Working Conditions: 

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


    Competencies for High Performers:   

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


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


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


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

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

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


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


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


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


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


    Primary Responsibilities:

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


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

    Required Qualifications:

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


    Preferred Qualifications:

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


    Working Conditions: 

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


    Competencies for High Performers:   

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


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


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


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

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

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


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


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


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


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


    Primary Responsibilities:

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


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

    Required Qualifications:

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


    Preferred Qualifications:

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


    Working Conditions: 

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


    Competencies for High Performers:   

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


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


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


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

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

    $10,000 Sign-on Bonus for External Candidates

     

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


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


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

     
    Primary Responsibilities:

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

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

    Required Qualifications:

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


    Preferred Qualifications:

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

     

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

     

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

     


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


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

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

    $10,000 Sign-on Bonus for External Candidates

     

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


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


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

     
    Primary Responsibilities:

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

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

    Required Qualifications:

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


    Preferred Qualifications:

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

     

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

     

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

     


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


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

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

    $10,000 Sign-on Bonus for External Candidates

     

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


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


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

     
    Primary Responsibilities:

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

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

    Required Qualifications:

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


    Preferred Qualifications:

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

     

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

     

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

     


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


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

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

    $10,000 Sign-on Bonus for External Candidates

     

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


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


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

     
    Primary Responsibilities:

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

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

    Required Qualifications:

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


    Preferred Qualifications:

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

     

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

     

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

     


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


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

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

    $10,000 Sign-on Bonus for External Candidates

     

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


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


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

     
    Primary Responsibilities:

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

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

    Required Qualifications:

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


    Preferred Qualifications:

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

     

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

     

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

     


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


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

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

    $10,000 Sign-on Bonus for External Candidates

     

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


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


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

     
    Primary Responsibilities:

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

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

    Required Qualifications:

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


    Preferred Qualifications:

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

     

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

     

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

     


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


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

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

    $10,000 Sign On Bonus for External Candidates

     

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


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


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

     

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

     

    Primary Responsibilities:

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

     

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

    Required Qualifications:

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

     

    Preferred Qualifications:

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

     

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

     

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


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

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

    $10,000 Sign On Bonus for External Candidates

     

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


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


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

     

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

     

    Primary Responsibilities:

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

     

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

    Required Qualifications:

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

     

    Preferred Qualifications:

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

     

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

     

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


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

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

    $10,000 Sign On Bonus for External Candidates

     

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


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


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

     

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

     

    Primary Responsibilities:

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

     

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

    Required Qualifications:

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

     

    Preferred Qualifications:

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

     

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

     

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


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

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

    $10,000 Sign On Bonus for External Candidates

     

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


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


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

     

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

     

    Primary Responsibilities:

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

     

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

    Required Qualifications:

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

     

    Preferred Qualifications:

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

     

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

     

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


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

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

    $10,000 Sign On Bonus for External Candidates

     

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


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


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

     

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

     

    Primary Responsibilities:

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

     

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

    Required Qualifications:

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

     

    Preferred Qualifications:

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

     

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

     

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


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

    Read Less
  • U
    Explore opportunities with Kelsey-Seybold Clinic, part of the Optum fa... Read More

    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.


    Primary Responsibilities:

    The Manager of Surgical Services provides leadership in the daily clinical operations of the Operating Room, Central Sterile Processing Department, Pre-Op and PACU departments, in accordance with established State rules and regulations, AAAHC and AORN standards for ambulatory surgical facilitiesDevelops and enforces compliance with ASC policies and proceduresThis position works closely with the providers, ASC Director, and ASC Leadership team


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

    Required Qualifications:

    BSN or 5+years of comparable experience in an ASCActive current TX LicenseBCLS - AHA Healthcare ProviderCNOR certification or ability to obtain within a year of hire5+ years of clinical experience in the OR3+ years of experience in managementComputer skills; working knowledge of Word, PowerPointDriver's License and access to reliable transportation

     

    Preferred Qualifications:

    MSNSpecialty Certification - PreoperativeAmbulatory Surgery experienceAAAHC Preparation experience

     

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

     

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


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

    Read Less

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