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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:

US

Approximate Salary:

Not Specified

Position Type:

Full Time

Outpatient RN Case Manager - Las Vegas, NV

UHG - Las Vegas, Nevada

Posted: 11/12/2018

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)

 

The Outpatient RN Case Manager will be responsible for the management and coordination of Case Management services for members with complex needs and requiring complex service. The Outpatient Case Manager works directly with the member, provider(s), facilities and other entities to ensure the most appropriate care is provided. The Case Manager manages members from all contracted product lines.

 

The Case Manager assesses, plans, implements, coordinates, monitors, crates an individualized care plan meeting NCQA guidelines and evaluates the outcomes, ensuring options and services required to meet the member’s health needs are best utilized. The Case Manager provides advocacy, communication and resource management and promotes quality and cost-effective interventions and outcomes.

 

 Candidates must be available to work Monday - Friday 8:00 am - 5:00 pm from our office located at 2716 N Tenaya in Las Vegas, NV. 

 

Primary Responsibilities:

 

  • Coordination of member’s care through the health care continuum

  • Collaborate with member, provider, facility and health plan care team (to include PCP, COC, Medical Directors and Community Services) to develop and implement and ongoing plan of care to obtain best outcome

  • Act as resource to SMA and Network providers

  • Provide health education, coaching and treatment decision support for members

  • Ensure NCQA survey ready at all times for all lines of business


Required Qualifications:

  • Current, unrestricted license RN license in the State of Nevada
  • 2+ years of experience in a hospital setting; direct patient care experience
  • Intermediate level of proficiency using a PC in a Windows environment, including Microsoft Word  and Excel
  • Ability to obtain nursing licenses in CA, UT, LA and AZ within 6 months of employment

Preferred Qualifications:

  • Bachelor’s degree

  • Certification in Case Management (CCM)

  • 1+ years of case management experience

  • Experience with NCQA, CMS and other regulatory agencies

  • Knowledge of high risk adult disease state management

  • Knowledge of high risk pregnancy disease state management

  • Knowledge of high risk pediatrics disease state management

  • Managed care experience

  • RN licensure in CA, UT, LA and/or AZ

Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is 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:  Registered Nurse, RN, Nurse, Case Manager, Adult CCM, High Risk, Pediatric, OB, Obstetrics,  CCM, Medicaid , Public Health,  Care Coordination, Case Management, Disease Management, NCQA, CMS, Utilization Review, Prior Authorization, Discharge Planning, Managed Care, Las Vegas, NV, Nevada, UHG, UnitedHealth Group, UHC, UnitedHealthcare

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