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RN Case Manager Inpatient Various Shifts SMA Las Vegas

UnitedHealth Group Inc.

This is a Full-time position in Las Vegas, NV posted March 10, 2021.

* $3000 Sign On Bonus for External Candidates* *Shift is 4/10’s with Fri/Sat/Sun off*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. Whether in-person or over-the-phone, we’re working to help others live healthier lives while providing an opportunity for you to do your life’s best work.(sm)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.Primary Responsibilities:* Responsible for 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 teamOther responsibilities as assignedYou’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* Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained* You will be provisioned with appropriate Personal Protective Equipment (PPE) and are required to perform this role with patients and members on site, as this is an essential function of this rolePreferred Qualifications:* CCM* Case management experience* Utilization review experience* Managed care experience* Knowledge of Milliman or Interqual guidelinesCareers 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)PLEASE NOTE The sign on bonus is only available to external candidates. Candidates who are currently working for a UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time, or per diem basis (“Internal Candidates”) are not eligible to receive a sign on bonus.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: RN, case manager, case management, nurse, hospital, CCM, utilization review, utilization management, MCG, Milliman, Interqual, managed care, health insurance, Las Vegas, Nevada, NV