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LVN Case Manager - Palm Desert, CA

UnitedHealth Group


Location:
PALM DESERT, CA
Date:
11/17/2017
2017-11-172017-12-16
Job Code:
731929
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Job Details

731929 LVN Case Manager Palm Desert CA

LVN Case Manager - Palm Desert, CA (731929)

Position Description

Attention RNs, LVNs and Medical Assistants in the Inland Empire area!- we are having an event for you! Come visit with us on 10/26 to learn more about clinical careers at OptumCare-NAMM Clinical leaders from OptumCare will be available to talk with you at this casual Meet and Greet event, which will be held at the Double Tree Ontario Airport Hotel in Ontario, CA on Thursday, 10/26 from 4-6pm. Click the following link for more information and to register: http://uhg.hr/zyj96

 

North American Medical Management, California, Inc. (NAMM California) partnered with OptumHealth in 2012. NAMM California and OptumHealth share a common goal of bringing patients, physicians, hospitals and payers closer together in the mission to increase the quality, efficiency and affordability of care. NAMM California is a part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. NAMM California develops and manages provider networks, offering a full range of services to assist physicians and other providers in supporting patient care coordination and their managed care business operations. For over 18 years, NAMM California has been an innovator in health care with a track record for quality, financial stability, extraordinary services and integrated medical management programs. NAMM California is well positioned to continually invest in its infrastructure and systems for the benefit of its provider clients and to accommodate the impending changes that will come forth from healthcare reform.

 

The NAMM California provider clients represent a network of almost 600 primary care physicians and over 3,000 specialists and work with the premier hospitals in their respective markets.

 

 

 

There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work.(sm)

LVN Case Manager Schedule: Monday - Friday: 8:00am - 5:00pm
 
Primary Responsibilities:
  • Performs concurrent and retrospective telephonic clinical reviews at the designated network facilities
  • Documenting medical necessity and appropriate level of care utilizing clinical guidelines (Milliman)
  • Complies with CMS regulations and Health Plan requirements
  • Interacts and effectively communicates with members, their families and or designated member representative to assess discharge needs and formulate a discharge plan
  • Interacts daily with treating physicians and interdisciplinary team
  • Effectively communicates plan of care to facility staff, health plan partners, and ambulatory case management
  • Must be open to on-call duties if needed
  • May perform ambulatory and / or UM case management duties as requested
Required Qualifications:
  • Current and unrestricted California LVN
  • 2 years of clinical hospital experience
  • Microsoft Office - Word / Excel
Preferred Qualifications:
  • Managed care experience
  • Previous experience working in home health / case management
  • Experience working with MCG
  • Experience working with geriatric population

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)

 

North American Medical Management, California, Inc (NAMM California) partnered with OptumHealth in 2012. NAMM California and OptumHealth share a common goal of bringing patients, physicians, hospitals and payers closer together in the mission to increase the quality, efficiency and affordability of care. NAMM California is a part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. NAMM California develops and managers provider networks, offering a full range of services to assist physicians and other providers in supporting patient care coordination and their managed care business operations. For over 18 years, NAMM California has been an innovator in health care with a track record for quality, financial stability, extraordinary services and integrated medical management programs. NAMM California is well positioned to continually invest in its infrastructure and systems for the benefit of its provider clients and to accommodate the impending changes that will come forth from healthcare reform.

The NAMM California provider clients represent a network of almost 600 primary care physicians and over 3,000 specialists.

 

 

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: LVN, ambulatory, utilization management, UM, MCG, managed care, hospital, home health, case manager, geriatric, Palm Desert, Rancho Mirage, Palm Springs, CA, California

Job Details

  • Contest Number731929
  • Job TitleLVN Case Manager - Palm Desert, CA
  • Job FamilyNursing
  • Business SegmentOptumCare

Job Location Information

  • PALM DESERT, CA
    United States
    North America
  • Other LocationsPalm Springs, CA

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusNon-exempt

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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