Jobs
>
Las Vegas

    Senior RN Complex Case Manager - Las Vegas, United States - UnitedHealth Group Inc.

    UnitedHealth Group Inc.
    UnitedHealth Group Inc. Las Vegas, United States

    2 weeks ago

    Default job background
    Description
    $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 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 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


    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.

    Years of post-high school education can be substituted/is equivalent to years of experience


    Required Qualifications:

    • Current, unrestricted NV RN license
    • 3+ years of direct patient care nursing with a focus on discharge planning or case management
    • Proven knowledge of UM and plan benefit designs
    • Proven knowledge of Utilization review and MCG
    • 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

    Preferred Qualifications:

    • CCM certification
    • 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
    • Ability to perform case management activities

    Nevada Residents Only:
    The salary range for Nevada residents is $70,200 to $137,800 annually. Pay is based on several factors including but not limited to education, work experience, certifications, etc.

    In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.


    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.


    Diversity creates a healthier atmosphere:

    OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

    OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
  • Amaya Springs Health Care Center

    Case Manager

    1 week ago

    Amaya Springs Health Care Center Spring Valley, United States

    **Case Manager Principal Responsibilities: CLINICAL** · - Case Manager coordinates patient care specific to meet patient, payor and Center needs for patient outcome, cost and communication. · - Conducts pre-admission on-site assessments to ensure clinically appropriate admissions ...

  • North Vista Hospital

    Case Manager

    4 weeks ago

    North Vista Hospital North Las Vegas, United States

    Overview: · At North Vista Hospital, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, a Top-15 hospital system in the United States, North Vista Hospital is actively seeking new members t ...

  • The Valley Health System

    case manager

    3 weeks ago

    The Valley Health System Las vegas, United States Full time

    Responsibilities · Valley Health Specialty Hospitalis the first orthopedic surgery and inpatient rehabilitation facility in the Las Vegas area. The Valley Health Specialty Hospital is the first of its kind to offer both specialty orthopedics and inpatient rehab in one location. ...

  • Prime Healthcare

    Case Manager

    3 weeks ago

    Prime Healthcare North Las Vegas, United States

    Overview · At North Vista Hospital, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, a Top-15 hospital system in the United States, North Vista Hospital is actively seeking new members to ...

  • North Vista Hospital

    Case Manager

    2 days ago

    North Vista Hospital North Las Vegas, United States

    Overview: · At North Vista Hospital, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, a Top-15 hospital system in the United States, North Vista Hospital is actively seeking new members t ...

  • Prove Partners

    Case Manager

    2 weeks ago

    Prove Partners Las Vegas, United States

    Job Description · Job DescriptionPROVE Partners, LLC, founded in 2003 and based in Las Vegas Nevada and Denver, Colorado, is a patient-centric personal injury claims administration and healthcare finance company that provides innovative services and financial products to injury v ...

  • Prime Healthcare

    Case Manager

    3 days ago

    Prime Healthcare North Las Vegas, United States

    Overview · At North Vista Hospital, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, a Top-15 hospital system in the United States, North Vista Hospital is actively seeking new members to ...

  • North Vista Hospital

    Case Manager

    3 days ago

    North Vista Hospital North Las Vegas, United States

    Overview · At North Vista Hospital, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, a Top-15 hospital system in the United States, North Vista Hospital is actively seeking new members to ...

  • Apple Grove Treatment Center

    Case Manager

    2 weeks ago

    Apple Grove Treatment Center Las Vegas, United States

    Job Description · Job DescriptionBenefits:401(k) matching · Opportunity for advancement · Paid time off · Job description · Compassionate, professional individuals needed to support our work · Apple Grove is a multi-service agency that provides foster care services, supports to i ...

  • The 702 Firm

    Case Manager

    1 week ago

    The 702 Firm Las Vegas, United States

    Job Description · Job DescriptionJob Overview: · We are seeking a dedicated Case Manager to join our team. The ideal candidate will be responsible for all aspects of personal injury claims, including, but not limited to initial client contact, scheduling medical appointments, com ...

  • ST JUDES

    Case Manager

    2 weeks ago

    ST JUDES Las Vegas, United States

    Job Description · Job DescriptionDescription:SUMMARY OF JOB PURPOSE: · Responsible for the provision of intensive case management for homeless transition age individuals and families 18-24 years old, residing in any Transitional or Rapid Re-Housing Program; includes supportive se ...

  • Mindoula Health

    Case Manager

    2 weeks ago

    Mindoula Health Las Vegas, United States

    Job Description · Job DescriptionOur team is seeking a Case Manager to work with us in Clark County, Henderson / Nevada. This position requires some local travel in Nevada, therefore requires residence in NV. · Case Managers are one of Mindoula's key front-line roles in deliveri ...

  • Westcare Foundation, Inc.

    Case Manager

    3 weeks ago

    Westcare Foundation, Inc. Las Vegas, NV, United States

    Job Details · Job Location Las Vegas Duncan Drive - Las Vegas, NVPosition Type Full TimeSalary Range $ $20.40 HourlyDescription · Position Summary: Working as part of a collaborative care team, the person in this position will assist individuals with identify challenges to sustai ...

  • Sierra Sage

    Case Manager

    2 weeks ago

    Sierra Sage North Las Vegas, United States

    Job Description · Job DescriptionSalary: DOE · Behavioral health facility seeking to fill a full-time case management position. · Requirements include: · High school diploma or equivalent (Bachelor's degree preferred) · Valid Nevada driver's license · 1 year case management exper ...

  • Maria Parham Health

    Case Management Coordinator

    1 week ago

    Maria Parham Health Henderson, United States Full time

    Maria Parham Health · Who We Are: · People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. With 205 licensed beds, Maria Parham Health is equipped for every health care need one can encounter. We are fully licensed by Joi ...

  • Maria Parham Health

    Case Management Coordinator

    2 weeks ago

    Maria Parham Health Henderson, United States Full time

    Maria Parham Health · Who We Are: · People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. With 205 licensed beds, Maria Parham Health is equipped for every health care need one can encounter. We are fully licensed by Joi ...

  • HCA Healthcare

    Manager of Case Management

    4 weeks ago

    HCA Healthcare Las Vegas, United States Full time

    Description · Salary Estimate: / year · Learn more about the benefits offered for this job. · The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years ...

  • Evergreen Healthcare Group

    LPN Case Manager

    2 weeks ago

    Evergreen Healthcare Group Las Vegas, NV, United States

    Case Manager LPN or RN · Full Time · We're so happy that you're considering a career with us · Evergreen Healthcare stands as an excellent choice for those seeking a fulfilling career. Comprising a network of 11 skilled nursing and post-acute care centers across California and Wa ...

  • Southern Hills Hospital and Medical Center

    Case Manager RN

    3 days ago

    Southern Hills Hospital and Medical Center Las Vegas, United States HOS

    Description · Hourly Wage Estimate: $ $68.20 / hour · Learn more about the benefits offered for this job. · The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, ho ...

  • MountainView Hospital

    RN Case Manager

    3 weeks ago

    MountainView Hospital Spring Valley, United States

    Description · Hourly Wage Estimate: $ $68.20 / hour · Learn more about the benefits offered for this job. · The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, ho ...