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RN Case Manager - $1,500 sign-on bonus - On-site at Various Locations in Las Vegas, NV

UnitedHealth Group


Location:
Las Vegas, NV
Date:
06/23/2017
2017-06-232017-07-22
Job Code:
1762309
Apply on the Company Site
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Job Details


RN Case Manager - $1,500 sign-on bonus - On-site at Various Locations in Las Vegas, NV(Job Number:720769)
Description

Are you ready for your next challenge? Discover it here at UnitedHealth Group and help us reinvent the health system. We're going beyond basic care, providing integrated health programs with a member-centric focus. The challenge is ensuring we deliver the right care at the right time. When you join us as an On - Site RN Case Manager, you'll be making a difference in peoples' lives and will be responsible for discharge planning, improved transitions of care, and utilization management of hospitalized health plan members. You will ensure patients receive quality medical care in the most appropriate setting.

What makes your clinical career greater with UnitedHealth Group? You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere. Here, we're working to help others live healthier lives while providing an opportunity for you to do
your life's best work.(sm) 
 
Performs the following case management skills on a daily basis:
  • Perform patient assessment of all major domains using evidence based criteria (physical, functional, financial and psychosocial)
  • Develop individualized discharge plans that involve provider, patient, and caregiver goals for successful transitions of care
  • Implement discharge plan involving health care resources across the continuum
  • Monitor and report variances that may challenge timely quality care 
**RN Case Manager will be on - site at various locations and RN Case Manager must be flexible to float and work in various locations around Las Vegas and Henderson area.**
 
 
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
  • Provides health education and coaches consumers on treatment alternatives to assist them in best decision making
  • Supports consumers in selection of best physician and facility to maximize access, quality, and to manage heath care cost
  • Coordinates services and referrals to health programs
  • Prepares individuals for physician visits
  • Assesses and triages immediate health concerns
  • Manages utilization through education
  • Identifies problems or gaps in care offering opportunity for intervention
  • Assists members in sorting through their benefits and making choices
  • Takes in - bound calls and places out-bound calls as dictated by consumer and business needs
  • Special projects, initiatives, and other job duties as assigned
  • Work completed in Sub - Acute facilities or Acute Hospital settings
  • Occasional driving up to one (1) hour daily for regular employees per diem employees will drive less than one hour daily and are not subject to the driving requirements

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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