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Senior RN Case Manager, Complex Case - Las Vegas, NV

UnitedHealth GroupLas Vegas, NV
$72,800 - $130,000Hybrid

About The Position

Optum NV is seeking a Senior RN Case Manager - Complex Case to join their team in Las Vegas, NV. Optum is a clinician-led care organization focused on changing the way clinicians work and live. As a member of the Optum Care Delivery team, you will be an integral part of their vision to make healthcare better for everyone. At Optum, you will have the clinical resources, data, and support of a global organization to help patients live healthier lives. The Senior Case Manager will identify, coordinate, or provide appropriate levels of care under the direct supervision of an RN or MD. This role is responsible for clinical operations and medical management activities across the continuum of care, including case management, coordination of care, and medical management consulting. The function may also involve providing health education, coaching, and treatment decision support for members. You will be rewarded and recognized for your performance in an environment that challenges you and provides clear direction for success, along with development opportunities for other roles.

Requirements

  • Current, unrestricted NV RN license
  • 3+ years of direct patient care nursing with a focus on discharge planning or case management
  • Competent with MS Office and other practice management systems or possess the ability to continue to learn new things
  • Access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area
  • Proven ability of time management skills
  • Liable transportation with valid driver’s license and car insurance

Nice To Haves

  • CCM certification
  • BSN
  • Solid clinical knowledge and capacity for continued learning
  • Proficient in critical thinking skills of RN Case manager
  • Proven ability to organize and prioritize tasks for self and patients
  • Proven solid verbal and written communication skills
  • Proven ability to perform case management activities

Responsibilities

  • Applies motivational interviewing in identifying impact on member engagement and setting goals
  • Member education, medication reconciliation and benefit management
  • Ensures follow through with the Care Navigation Team; timely appointments and referrals to programs, health plan and community
  • Facilitate patient/family and provider communications as indicated and advocate for patient/family with healthcare team as needed
  • Ensures coordinated services delivered and available programs are accessed
  • Communicate with stakeholders, appropriate health care related information to ensure timely coordination care and services for members currently receiving inpatient care
  • Utilizes approved clinical criteria to asses and determine appropriate level of care for members currently receiving inpatient care
  • Identified point of contact for managing transitions of care

Benefits

  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401k contribution

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