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High Risk OB RN Case Manager - $1500 sign on - Las Vegas, NV

UnitedHealth Group

Las Vegas, NV
Job Code:
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Job Details

High Risk OB RN Case Manager - $1500 sign on - Las Vegas, NV(Job Number:718815)

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 RN Case Manager you will be responsible for discharge planning, improved transitions of care, and utilization management of hospitalized high risk OB patients and pediatric members. The RN Case Manage will ensure they receive quality medical care in the most appropriate setting. You will perform the following case management skills on a daily basis: 1) perform patient assessment of all major domains using evidence based criteria (physical, functional, financial and psychosocial); 2) develop individualized discharge plans that involve provider, patient, and caregiver goals for successful transitions of care; 3) implement discharge plan involving health care resources across the continuum; and 4) monitor and report variances that may challenge timely quality care.
***Office Based role at 2716 N Tenaya***
Primary Responsibilities:
  • Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care
  • Utilize both company and community based resources to establish a safe and effective case management plan for hospitalized members
  • Collaborate with patient, family, and health care providers to develop an individualized plan of care that encompasses both acute care episode and post hospital discharge plan
  • Communicate with all stakeholders the required health related information to ensure quality coordinated care and services are provided expeditiously to all hospitalized members
  • Advocate for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team
  • Utilize approved clinical criteria to assess and determine appropriate level of care for hospitalized members
  • Understand insurance products, benefits, coverage limitations, insurance and governmental regulations as it applies to the health plan
  • Accountable to understand role and how it affects utilization management benchmarks and quality outcomes

Job Case Management
Primary Location US-NV-Las Vegas
Other Location 
Organization E&I Nevada-Utah-Idaho
Schedule Full-time
Number of Openings 1
Apply on the Company Site

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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