Join Optum as a Senior RN Case Manager in Las Vegas, NV, where you'll play a vital role in transforming healthcare. Collaborate with talented peers to deliver exceptional patient care and enhance community health through innovative practice ideas.
Key Responsibilities
Applies motivational interviewing in identifying impact on member engagement and setting goals
Member education, medication reconciliation and benefit management
Ensures follow through with the Care Navigation Team; timely appointments and referrals to programs
Facilitate patient/family and provider communications as needed
Ensures coordinated services delivered and available programs are accessed
Communicate with stakeholders to ensure timely coordination of care
Utilizes approved clinical criteria to assess and determine appropriate level of care
Identified point of contact for managing transitions of care
Required Qualifications
Current, unrestricted NV RN license
3+ years of direct patient care nursing with a focus on discharge planning or case management
Knowledge of UM and plan benefit designs
Knowledge of Utilization review and MCG
Competent with MS Office and other practice management systems
Access to reliable transportation
Preferred Qualifications
CCM certification
Solid clinical knowledge and capacity for continued learning
Proficient in critical thinking skills of RN Case manager
Proven ability to organize and prioritize tasks for self and patients
Proven solid verbal and written communication skills
Demonstrated ability to perform case management activities
Benefits & Perks
Comprehensive benefits packageIncentive and recognition programsEquity stock purchase401k contribution