UnitedHealth Group RN Case Manager IPA Network SMA Las Vegas in Las Vegas, Nevada
$3000 Sign On Bonus for External Candidates Only
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)
As the Senior RN Case Manager you are responsible for the medical management and care coordination for our Senior Dimension members. As the case manager, you will work directly with the member, providers(s) and facility to ensure the most appropriate care is provided. The sr. case manager will assess, plan, implement, coordinate, monitor and evaluate the options and services required to meet the members' health needs. It is characterized by advocacy, communication, and resource management and promotes quality and cost-effective interventions and outcomes.
Making outbound calls to assess members' current health status
Coordination of members' care through the health care continuum
Collaborate with member, provider, facility to obtain best outcomes
Utilize both company and community based resources to establish a safe and effective case management plan for hospitalized members
Complete cost-benefit analysis as appropriate
Identifying gaps or barriers in treatment plans
Review cases with medical directors on challenging cases as needed
Making referrals to outside sources
Documenting and tracking findings
Other responsibilities as assigned
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.
Current, unrestricted NV RN license or temporary NV RN license with the ability to obtain permanent NV RN license upon expiration of temporary NV RN license
3+ years of clinical RN experience
3+ years using Electronic Medical Records (EMR)
Computer proficiency - able to use multiple systems and multiple screens
You will be provisioned with appropriate Personal Protective Equipment (PPE) and are required to perform this role with patients and members on site, as this is an essential function of this role
Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained
Case management experience
Long term acute care and / or sub acute experience
Knowledge of utilization management in a managed care environment
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)
*PLEASE NOTE* The Sign On Bonus is only available to external candidates. Candidates who are currently working for a UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time, or per diem basis (“Internal Candidates”) are not eligible to receive a Sign On Bonus.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Job Keywords: RN Case Manager, Complex Care, Medical Management, critical care, Las Vegas, NV, Nevada