Remote RN Case Manager, WA

Optum

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Requisition Number: 2218087
Job Category: Nursing
Primary Location: Seattle, WA
(Remote considered)

$10,000 Sign-On Bonus for External Candidates only 

 

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 to start Caring. Connecting. Growing together. 

 

Southwest Medical Associates (SMA) is a multi-specialty group of physicians, Nurse Practitioners, and Physician Assistants consisting of over 300 providers, 21 medical health centers including six urgent care clinics, four convenient care centers, two lifestyle centers catering to older adults, an outpatient surgery center, plus E-visits and online options via Now Clinic telemedicine technology.  SMA offers patients compassion, innovation, and quality care throughout southern Nevada. SMA is headquartered in the greater Las Vegas, NV area.

 

If you are located in Las Vegas, Nevada, you will have the flexibility to work remotely* as you take on some tough challenges

 

Primary Responsibilities:

  • Utilization management of hospitalized health plan members, discharge planning and collaboration with discharge planning
  • Work collaboratively with community partners, plan members and Managed Care interdisciplinary team
  • Develop individualized discharge plans that involve provider, patient and caregiver goals for successful transitions of care
  • Perform patient assessment of all major domains using evidence based criteria
  • Assess, plan and implement care strategies that are individualized by patient and directed toward most appropriate, lease restrictive level of care
  • Utilize both company and community based resources to establish safe and effective case management plan for hospitalized members
  • Collaborate with patient, family and health care providers to develop individualized plans of care that encompasses both acute care episode and post hospital discharge plan
  • Advocate for patients and families as needed to ensure patients’ needs and choices are fully represented and supported by health care team

 

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Active, unrestricted RN license in state of Nevada
  • 2+ years nursing experience in a hospital or clinic setting
  • Microsoft Office proficiency
  • Proficiency working in various EMRs

 

 Preferred Qualifications:

  • CCM
  • Case management experience
  • Utilization review experience
  • Managed care experience
  • Knowledge of Milliman or Interqual guidelines

 

Nevada Residents Only: The hourly range for this role is $28.03 to $54.95 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives. 

 

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

 

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.