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Careers at UnitedHealth Group

 

We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM

 

Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com

 

Job Category:

Nurse

Country:

United States

Postal Code:

89044

Approximate Salary:

Not Specified

Position Type:

Full Time

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Sr. RN Complex Case Manager- N. Tenaya Las Vegas, NV

UHG - Las Vegas, Nevada

Posted: 10/12/2018

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 and help people live healthier lives while 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 Case Manager will assess, plan, implement, coordinate, monitor, and evaluate the options and services required to meet the member's health needs. It is characterized by advocacy, communication, and resource management and promotes quality and cost-effective interventions and outcomes.
 
Primary Responsibilities:
  • Making outbound calls to assess members' current health status
  • Coordination of member's care through the health care continuum
  • Collaborate with member, provider, facility to obtain best outcome
  • 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 daily on challenging cases as needed
  • Making referrals to outside sources
  • Documenting and tracking findings

Required Qualifications: 
  • 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
  • Experience in a managed care organization as well as case management experience
  • 1+ years using Electronic Medical Records (EMR)
Preferred Qualifications:  
  • Bachelor’s degree
  • CCM
  • 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)


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

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