2397 Management jobs in Spring Valley
Travel Nurse RN - Case Management - $3,608 per week
Posted 1 day ago
Job Viewed
Job Description
Host Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Las Vegas, Nevada.
Job Description & Requirements- Specialty: Case Management
- Discipline: RN
- Start Date: ASAP
- Duration: 13 weeks
- 40 hours per week
- Shift: 8 hours, days
- Employment Type: Travel
Host Healthcare Job ID #a1fVJ0006jr1WYAQ. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN - Case Management
About Host HealthcareAt Host Healthcare, we provide a truly comfortable experience as you explore your travel nursing, therapy, or allied career. We make your travel healthcare journey easy by taking care of all the details, so you don’t have to.
We are on a mission to help others live better and we do this by helping the healers of the world be as comfortable as possible. With access to tens of thousands of travel nursing, therapy, and allied jobs in all 50 states, our responsive and friendly recruiters find your dream position based on what’s important to you.
During your assignment, get access to premium benefits, including Day 1 medical that continues up to 30 days between assignments, 401K matching, travel reimbursements, dedicated housing support, and more. We also offer 24/7 support from our team and access to our on-staff clinicians so you can feel comfortable and confident throughout your entire assignment.
Travel comfortably with Host Healthcare.
Benefits- Referral bonus
- School loan reimbursement
- Vision benefits
- Wellness and fitness programs
- Company provided housing options
- License and certification reimbursement
- Life insurance
- Medical benefits
- Mileage reimbursement
- Pet insurance
- Discount program
- Employee assistance programs
- Guaranteed Hours
- Health savings account
- Holiday Pay
- 401k retirement plan
- Continuing Education
- Dental benefits
RN - Case Management in Las Vegas, Nevada - $3,248/week
Posted today
Job Viewed
Job Description
You must live 60 miles away from the facility in order to get the travel rate.
The contract pays $3,248 per week gross, with $,273 in wages and 974 in stipend.
You'll need 2 years of experience, BLS and national and state certification and/or as required.
Benefits include
1. Quick Payments
Weekly pay through direct deposit
2. Health
Generous medical and dental plans
3. Housing
Stipend and per diem available
4. 401K Matching
Sliding scale matched up to 4%
Additional benefits include:
- Licensure reimbursement
- Best in the industry medical, dental, and vision
- Weekly pay through direct deposit
- Generous referral bonus program
- 24/7 support
- 401k with employer match
- Guaranteed hours
- Assistance with travel and planning
- Employee discount program
- Competitive bonuses
Sr Case Manager in Clinic S Eastern
Posted today
Job Viewed
Job Description
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. Promotes 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. Acts as a clinic resource for the value-based population. 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
- Participates in the identification of a focused clinic patient panel, as defined by the manager of Medical Management
- Supports longitudinal care of the patient with chronic care conditions
- Communicates with patients, responding to patient questions via patient portal and other modalities
- Performs assessment of health conditions and implements care plan in collaboration with the member, caregiver(s), clinician(s), and/or other appropriate healthcare professionals to address need and goals
- Pursues appropriate interventions to reduce risk of condition exacerbation, ER and hospitalization utilization
- Performs medication reconciliation and collaborates with clinician partner as needed
- Conducts Motivational Interviewing and Self-Management Goal setting
- Provides patient education
- Creates referrals to appropriate agencies and resources
- Supports transition of care from Emergency Department or inpatient stay to outpatient setting
- Performs assessment of transitional needs
- Performs medication reconciliation
- Establishes and reviews contingency plan
- Provides patient education
- Assists with post discharge needs such as home health care, prescriptions, transportation, Durable Medical Equipment (DME), appointments
- Coordinates with providers to establish or update individualized plan of care
- Creates referrals to appropriate internal and external resources
- Achieves Quality Measures outcomes via reduction in HEDIS Gaps in Care
- Performs accurate and timely documentation in the electronic medical record
- Performs triage and clinical tasks within their scope of practice
- Participates in daily huddles and monthly clinic meetings, as required
- Prepares accurate and timely reports, as required
- Maintains continued competence in nursing practice and knowledge of current evidence-based practices
- Performs ongoing updates of the care plan to evaluate effectiveness, and to document interventions and goal achievement
- Maintains a working knowledge of community resources
- Serves as facilitator and resource for other members of the Medical Group clinical team
- Attends departmental meetings and provides constructive recommendations for process improvement
- Performs other duties 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.
Required Qualifications:
- Valid NV RN License
- Current BLS Certification
- 3+ years of job-related experience in a healthcare environment
- Knowledge of medical terminology
- Proven skilled with MS Office software applications
- Proven excellent communication, interpersonal, organization and customer service skills
- Proven self-motivated, solid computer skills
- Proven attention to detail
- Proven ability to multi-task and work under pressure
- Valid NV State Driver’s license and access to reliable transportation
Preferred Qualifications:
- Bachelor’s degree or higher in healthcare related field
- 2+ years of experience providing prior authorization or case management within health plan or integrated system
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 $71,200 to $127,200 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.
Sr Case Manager in Clinic S Eastern
Posted today
Job Viewed
Job Description
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. Promotes 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. Acts as a clinic resource for the value-based population. 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
- Participates in the identification of a focused clinic patient panel, as defined by the manager of Medical Management
- Supports longitudinal care of the patient with chronic care conditions
- Communicates with patients, responding to patient questions via patient portal and other modalities
- Performs assessment of health conditions and implements care plan in collaboration with the member, caregiver(s), clinician(s), and/or other appropriate healthcare professionals to address need and goals
- Pursues appropriate interventions to reduce risk of condition exacerbation, ER and hospitalization utilization
- Performs medication reconciliation and collaborates with clinician partner as needed
- Conducts Motivational Interviewing and Self-Management Goal setting
- Provides patient education
- Creates referrals to appropriate agencies and resources
- Supports transition of care from Emergency Department or inpatient stay to outpatient setting
- Performs assessment of transitional needs
- Performs medication reconciliation
- Establishes and reviews contingency plan
- Provides patient education
- Assists with post discharge needs such as home health care, prescriptions, transportation, Durable Medical Equipment (DME), appointments
- Coordinates with providers to establish or update individualized plan of care
- Creates referrals to appropriate internal and external resources
- Achieves Quality Measures outcomes via reduction in HEDIS Gaps in Care
- Performs accurate and timely documentation in the electronic medical record
- Performs triage and clinical tasks within their scope of practice
- Participates in daily huddles and monthly clinic meetings, as required
- Prepares accurate and timely reports, as required
- Maintains continued competence in nursing practice and knowledge of current evidence-based practices
- Performs ongoing updates of the care plan to evaluate effectiveness, and to document interventions and goal achievement
- Maintains a working knowledge of community resources
- Serves as facilitator and resource for other members of the Medical Group clinical team
- Attends departmental meetings and provides constructive recommendations for process improvement
- Performs other duties 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.
Required Qualifications:
- Valid NV RN License
- Current BLS Certification
- 3+ years of job-related experience in a healthcare environment
- Knowledge of medical terminology
- Proven skilled with MS Office software applications
- Proven excellent communication, interpersonal, organization and customer service skills
- Proven self-motivated, solid computer skills
- Proven attention to detail
- Proven ability to multi-task and work under pressure
- Valid NV State Driver’s license and access to reliable transportation
Preferred Qualifications:
- Bachelor’s degree or higher in healthcare related field
- 2+ years of experience providing prior authorization or case management within health plan or integrated system
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 $71,200 to $127,200 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.
Sr Case Manager in Clinic S Eastern
Posted today
Job Viewed
Job Description
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. Promotes 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. Acts as a clinic resource for the value-based population. 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
- Participates in the identification of a focused clinic patient panel, as defined by the manager of Medical Management
- Supports longitudinal care of the patient with chronic care conditions
- Communicates with patients, responding to patient questions via patient portal and other modalities
- Performs assessment of health conditions and implements care plan in collaboration with the member, caregiver(s), clinician(s), and/or other appropriate healthcare professionals to address need and goals
- Pursues appropriate interventions to reduce risk of condition exacerbation, ER and hospitalization utilization
- Performs medication reconciliation and collaborates with clinician partner as needed
- Conducts Motivational Interviewing and Self-Management Goal setting
- Provides patient education
- Creates referrals to appropriate agencies and resources
- Supports transition of care from Emergency Department or inpatient stay to outpatient setting
- Performs assessment of transitional needs
- Performs medication reconciliation
- Establishes and reviews contingency plan
- Provides patient education
- Assists with post discharge needs such as home health care, prescriptions, transportation, Durable Medical Equipment (DME), appointments
- Coordinates with providers to establish or update individualized plan of care
- Creates referrals to appropriate internal and external resources
- Achieves Quality Measures outcomes via reduction in HEDIS Gaps in Care
- Performs accurate and timely documentation in the electronic medical record
- Performs triage and clinical tasks within their scope of practice
- Participates in daily huddles and monthly clinic meetings, as required
- Prepares accurate and timely reports, as required
- Maintains continued competence in nursing practice and knowledge of current evidence-based practices
- Performs ongoing updates of the care plan to evaluate effectiveness, and to document interventions and goal achievement
- Maintains a working knowledge of community resources
- Serves as facilitator and resource for other members of the Medical Group clinical team
- Attends departmental meetings and provides constructive recommendations for process improvement
- Performs other duties 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.
Required Qualifications:
- Valid NV RN License
- Current BLS Certification
- 3+ years of job-related experience in a healthcare environment
- Knowledge of medical terminology
- Proven skilled with MS Office software applications
- Proven excellent communication, interpersonal, organization and customer service skills
- Proven self-motivated, solid computer skills
- Proven attention to detail
- Proven ability to multi-task and work under pressure
- Valid NV State Driver’s license and access to reliable transportation
Preferred Qualifications:
- Bachelor’s degree or higher in healthcare related field
- 2+ years of experience providing prior authorization or case management within health plan or integrated system
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 $71,200 to $127,200 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.
Travel RN - Case Management - Las Vegas, Nevada - $3248/week
Posted today
Job Viewed
Job Description
Position Details
Specialty: RN - Case Management
Location: Las Vegas, Nevada
Facility: OneStaff
Employment Type: Temporary
Contract Length: 13 weeks
Job Description
Coordinates total nursing care for patients.
Participates in patient and family teaching.
Provides leadership by working cooperatively with ancillary nursing and other patient team personnel.
Maintains standards for professional nursing practice in the clinical setting.
Patient Population: Adult-Geriatric
Requirements
Experience:
2+ years of RN - Case Management experience required.
Travel healthcare experience preferred.
Strong clinical skills and patient care abilities.
Licensing:
Nevada state license required.
Current BLS certification required.
Additional certifications may be required based on specialty.
Transportation:
Candidate must have reliable transportation for travel assignments.
Additional Information
Scheduling:
Work 40 hours per week with 8-hour shifts.
Contract start date: September 23, 2025.
Competitive weekly compensation: $3248.
Benefits:
Travel and housing provided.
Health insurance and 401(k) matching.
Professional development opportunities.
Flexible scheduling options.
Compliance:
All medical/occupational health compliance items must be completed within 5 days of offer acceptance.
Background check and drug screening required.
Apply now to join our team of travel healthcare professionals!
Travel RN - Case Management - Las Vegas, Nevada - $3380/week
Posted today
Job Viewed
Job Description
Position Details
Specialty: RN - Case Management
Location: Las Vegas, Nevada
Facility: Core Medical Group
Employment Type: Temporary
Contract Length: 2 weeks
Job Description
Coordinates total nursing care for patients.
Participates in patient and family teaching.
Provides leadership by working cooperatively with ancillary nursing and other patient team personnel.
Maintains standards for professional nursing practice in the clinical setting.
Patient Population: Adult-Geriatric
Requirements
Experience:
2+ years of RN - Case Management experience required.
Travel healthcare experience preferred.
Strong clinical skills and patient care abilities.
Licensing:
Nevada state license required.
Current BLS certification required.
Additional certifications may be required based on specialty.
Transportation:
Candidate must have reliable transportation for travel assignments.
Additional Information
Scheduling:
Work 40 hours per week with 8-hour shifts.
Contract start date: August 18, 2025.
Competitive weekly compensation: $3440.
Benefits:
Travel and housing provided.
Health insurance and 401(k) matching.
Professional development opportunities.
Flexible scheduling options.
Compliance:
All medical/occupational health compliance items must be completed within 5 days of offer acceptance.
Background check and drug screening required.
Apply now to join our team of travel healthcare professionals!
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Sr Case Manager in Clinic S Eastern
Posted today
Job Viewed
Job Description
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. Promotes 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. Acts as a clinic resource for the value-based population. 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
- Participates in the identification of a focused clinic patient panel, as defined by the manager of Medical Management
- Supports longitudinal care of the patient with chronic care conditions
- Communicates with patients, responding to patient questions via patient portal and other modalities
- Performs assessment of health conditions and implements care plan in collaboration with the member, caregiver(s), clinician(s), and/or other appropriate healthcare professionals to address need and goals
- Pursues appropriate interventions to reduce risk of condition exacerbation, ER and hospitalization utilization
- Performs medication reconciliation and collaborates with clinician partner as needed
- Conducts Motivational Interviewing and Self-Management Goal setting
- Provides patient education
- Creates referrals to appropriate agencies and resources
- Supports transition of care from Emergency Department or inpatient stay to outpatient setting
- Performs assessment of transitional needs
- Performs medication reconciliation
- Establishes and reviews contingency plan
- Provides patient education
- Assists with post discharge needs such as home health care, prescriptions, transportation, Durable Medical Equipment (DME), appointments
- Coordinates with providers to establish or update individualized plan of care
- Creates referrals to appropriate internal and external resources
- Achieves Quality Measures outcomes via reduction in HEDIS Gaps in Care
- Performs accurate and timely documentation in the electronic medical record
- Performs triage and clinical tasks within their scope of practice
- Participates in daily huddles and monthly clinic meetings, as required
- Prepares accurate and timely reports, as required
- Maintains continued competence in nursing practice and knowledge of current evidence-based practices
- Performs ongoing updates of the care plan to evaluate effectiveness, and to document interventions and goal achievement
- Maintains a working knowledge of community resources
- Serves as facilitator and resource for other members of the Medical Group clinical team
- Attends departmental meetings and provides constructive recommendations for process improvement
- Performs other duties 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.
Required Qualifications:
- Valid NV RN License
- Current BLS Certification
- 3+ years of job-related experience in a healthcare environment
- Knowledge of medical terminology
- Proven skilled with MS Office software applications
- Proven excellent communication, interpersonal, organization and customer service skills
- Proven self-motivated, solid computer skills
- Proven attention to detail
- Proven ability to multi-task and work under pressure
- Valid NV State Driver’s license and access to reliable transportation
Preferred Qualifications:
- Bachelor’s degree or higher in healthcare related field
- 2+ years of experience providing prior authorization or case management within health plan or integrated system
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 $71,200 to $127,200 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.
Sr Case Manager in Clinic S Eastern
Posted today
Job Viewed
Job Description
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. Promotes 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. Acts as a clinic resource for the value-based population. 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
- Participates in the identification of a focused clinic patient panel, as defined by the manager of Medical Management
- Supports longitudinal care of the patient with chronic care conditions
- Communicates with patients, responding to patient questions via patient portal and other modalities
- Performs assessment of health conditions and implements care plan in collaboration with the member, caregiver(s), clinician(s), and/or other appropriate healthcare professionals to address need and goals
- Pursues appropriate interventions to reduce risk of condition exacerbation, ER and hospitalization utilization
- Performs medication reconciliation and collaborates with clinician partner as needed
- Conducts Motivational Interviewing and Self-Management Goal setting
- Provides patient education
- Creates referrals to appropriate agencies and resources
- Supports transition of care from Emergency Department or inpatient stay to outpatient setting
- Performs assessment of transitional needs
- Performs medication reconciliation
- Establishes and reviews contingency plan
- Provides patient education
- Assists with post discharge needs such as home health care, prescriptions, transportation, Durable Medical Equipment (DME), appointments
- Coordinates with providers to establish or update individualized plan of care
- Creates referrals to appropriate internal and external resources
- Achieves Quality Measures outcomes via reduction in HEDIS Gaps in Care
- Performs accurate and timely documentation in the electronic medical record
- Performs triage and clinical tasks within their scope of practice
- Participates in daily huddles and monthly clinic meetings, as required
- Prepares accurate and timely reports, as required
- Maintains continued competence in nursing practice and knowledge of current evidence-based practices
- Performs ongoing updates of the care plan to evaluate effectiveness, and to document interventions and goal achievement
- Maintains a working knowledge of community resources
- Serves as facilitator and resource for other members of the Medical Group clinical team
- Attends departmental meetings and provides constructive recommendations for process improvement
- Performs other duties 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.
Required Qualifications:
- Valid NV RN License
- Current BLS Certification
- 3+ years of job-related experience in a healthcare environment
- Knowledge of medical terminology
- Proven skilled with MS Office software applications
- Proven excellent communication, interpersonal, organization and customer service skills
- Proven self-motivated, solid computer skills
- Proven attention to detail
- Proven ability to multi-task and work under pressure
- Valid NV State Driver’s license and access to reliable transportation
Preferred Qualifications:
- Bachelor’s degree or higher in healthcare related field
- 2+ years of experience providing prior authorization or case management within health plan or integrated system
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 $71,200 to $127,200 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.
Senior RN Case Manager Neighborhood Program
Posted today
Job Viewed
Job Description
$10,000 Sign-on Bonus for External Candidates
Optum NV is seeking a Senior RN Case Manager Neighborhood Program 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. Here, you’ll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. 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.
**This role requires floating to three different facilities & supports the OptumCare
Primary Care Neighborhood Program**
Primary Responsibilities:
- Demonstrated ability to perform Case Management activities; strong clinical knowledge and capacity for continued learning
- Knowledge of UM and plan benefit design
- Proficient in Critical Thinking nursing skills of RN Case Manager. Ability to organize and prioritize tasks for self and patients
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:
- Undergraduate degree or equivalent experience
- 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 direct patient nursing care with a focus on discharge planning or case management
- Proven solid verbal and written skills. Competent with MS office and other practice management systems or possess the ability to continue learning new applications
Preferred Qualifications:
- Bachelor's Degree in healthcare or related field or working towards a Bachelor's Degree
- CCM
- Case management
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 $1,200 to 127,200 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.