Senior RN Case Manager, Care for Me Program, Float - Las Vegas, NV

UnitedHealth Group•Las Vegas, NV

11d•$72,800 - $130,000

About The Position

The Senior RN Case Manager works within the Care for Me Program in a primary care clinic, supporting patients with high-risk health conditions as they navigate the healthcare system. The role promotes patient and family empowerment by serving as an educator, resource, and advocate, with the goal of supporting patients’ quality of life. The case manager collaborates with multidisciplinary care teams, including physicians, nurses, pharmacists, case managers, social workers, and educators, and performs delegated nursing duties within the scope of an applicable state RN license in a less structured, self-directed environment. The role provides transitional case management, supports transitions from emergency or inpatient care to outpatient settings, and coordinates referrals and appointments. The case manager follows contractual and service standards, organizational policies, and applicable regulations to support compliance and patient safety. Participation in compliance and required training is a condition of employment.

Requirements

Valid Nevada RN license.
Current BLS certification, or willingness to obtain it within three months of hire.
At least 2 years of job-related experience in a healthcare environment, such as a hospital, clinic, or practice.
Knowledge of medical terminology, nursing assessment, and follow-up on patient needs.
Skill with MS Office applications and electronic medical records.
Excellent communication, interpersonal, organizational, and customer service skills.
Ability to multitask and work under pressure.
Positive personality and willingness to effect change.
Valid Nevada state driver's license and access to reliable transportation.

Nice To Haves

Bachelor’s degree or higher in nursing.
At least 3 years of experience providing hospital care (ICU or floor), working as an emergency room nurse, or providing case management within a hospital, clinic, or practice.

Responsibilities

Provide transitional case management services while embedded in a primary care clinic, working with patients and clinical and non-clinical teams.
Assess and screen health conditions, collaborating with members, caregivers, clinicians, and other appropriate healthcare professionals to address needs and goals.
Pursue appropriate interventions to reduce the risk of condition exacerbation, emergency department visits, and hospitalizations, and to meet department and organizational metrics or goals.
Support transitions from emergency department visits or inpatient stays to outpatient care.
Assist with referrals, including home health and durable medical equipment, and coordinate primary care and specialist appointments.
Achieve quality measure outcomes by reducing HEDIS gaps in care.
Follow contractual and service standards, policies, procedures, and regulations to support compliance and patient safety.