Talent.com
Inpatient RN Case Manager
Inpatient RN Case ManagerUnitedHealthcare • LAS VEGAS, Nevada, United States
Inpatient RN Case Manager

Inpatient RN Case Manager

UnitedHealthcare • LAS VEGAS, Nevada, United States
18 hours ago
Job type
  • Full-time
Job description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

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 Inpatient 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.

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
  • Candidates must be flexible to work onsite at a hospital in the Las Vegas and Henderson area.

Primary Responsibilities :

  • Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, least 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
  • 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 :

  • Registered Nurse with active, unrestricted license in the State of Nevada
  • 2+ years of adult clinical, managed care, or case management experience
  • Intermediate level of proficiency using a PC in a Windows environment, including MS Word and Excel
  • Driver's license and access to reliable transportation
  • Preferred Qualifications :

  • CCM certification or ability to obtain within 2+ years of employment
  • 2+ years of ER, ICU, IMC / stepdown or med-surg experience
  • Case management / utilization review experience
  • Experience in a managed care organization
  • Knowledge of Interqual or MCG
  • Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

    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.

    UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

    UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

    Create a job alert for this search

    Rn Case Manager • LAS VEGAS, Nevada, United States

    Related jobs
    Sr Case Manager in Clinic S Eastern

    Sr Case Manager in Clinic S Eastern

    Optum • LAS VEGAS, Nevada, United States
    Full-time
    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.The Clinic Case Manag...Show more
    Last updated: 30+ days ago • Promoted
    Travel Nurse RN - Telemetry - $1,689 to $1,861 per week in Reno, NV

    Travel Nurse RN - Telemetry - $1,689 to $1,861 per week in Reno, NV

    TravelNurseSource • Las Vegas, Nevada, US
    Full-time
    TravelNurseSource is working with AMN Healthcare to find a qualified Telemetry RN in RENO, Nevada, 89502!.Job Description & Requirements. Registered Nurse – Telemetry - Travel - (Tele RN) .Star...Show more
    Last updated: 30+ days ago • Promoted
    Travel Nurse RN - Intermediate Care - $1,872 per week in Reno, NV

    Travel Nurse RN - Intermediate Care - $1,872 per week in Reno, NV

    TravelNurseSource • Henderson, Nevada, US
    Full-time
    TravelNurseSource is working with GetMed Staffing to find a qualified IMC RN in Reno, Nevada, 89513!.GetMed Staffing is searching for a strong Intermediate Care RN to assist our traveler-friendly c...Show more
    Last updated: 6 days ago • Promoted
    Travel Nurse RN - Telemetry - $1,793 per week in Reno, NV

    Travel Nurse RN - Telemetry - $1,793 per week in Reno, NV

    TravelNurseSource • Henderson, Nevada, US
    Full-time
    TravelNurseSource is working with FlexCare to find a qualified Telemetry RN in Reno, Nevada, 89501!.FlexCare is a nationwide leader in the staffing of travel nurses and clinicians.With access to th...Show more
    Last updated: 30+ days ago • Promoted
    Sr RN Case Manager Care for Me Program Float

    Sr RN Case Manager Care for Me Program Float

    Optum • The Lakes, Nevada, us
    Full-time
    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.The Clinic Case Manag...Show more
    Last updated: 9 hours ago • Promoted • New!
    Case Manager

    Case Manager

    Rite of Passage • Las Vegas, NV, USA
    Full-time
    Join a group of passionate advocates on our mission to improve the lives of youth! Rite of Passage Team is hiring for a.Bilingual (Spanish) Case Manager. The Embracing Project (TEP) is a Rite of Pas...Show more
    Last updated: 30+ days ago
    RN

    RN

    Henderson Hospital • Henderson, NV, United States
    Full-time
    Henderson Hospital is a member of The Valley Health System, a network of acute care and specialty hospitals that provide care for patients throughout Southern Nevada and nearby communities.Located ...Show more
    Last updated: 30+ days ago • Promoted
    Travel Nurse RN - Case Manager - $1,783 to $1,932 per week in Las Vegas, NV

    Travel Nurse RN - Case Manager - $1,783 to $1,932 per week in Las Vegas, NV

    TravelNurseSource • Las Vegas, NV, US
    Full-time
    TravelNurseSource is working with Host Healthcare to find a qualified Case Manager RN in Las Vegas, Nevada, 89119!.Host Healthcare is an award-winning travel healthcare company with an immediate op...Show more
    Last updated: 30+ days ago • Promoted
    Travel Nurse RN - Oncology - $1,793 per week in Reno, NV

    Travel Nurse RN - Oncology - $1,793 per week in Reno, NV

    TravelNurseSource • Henderson, Nevada, US
    Full-time
    TravelNurseSource is working with FlexCare to find a qualified Oncology RN in Reno, Nevada, 89501!.FlexCare is a nationwide leader in the staffing of travel nurses and clinicians.With access to tho...Show more
    Last updated: 6 days ago • Promoted
    RN

    RN

    Summerlin Hospital Medical Center • Las Vegas, NV, United States
    Part-time +1
    Children’s Medical Center with a NICU, a pediatric ICU and separate pediatric ER; advanced cardiovascular care, surgical services, women’s health, and oncology care. Summerlin Hospital is an accredi...Show more
    Last updated: 30+ days ago • Promoted
    RN

    RN

    Valley Hospital Medical Center • Las Vegas, NV, United States
    Full-time
    Valley Hospital Medical Center.Located in the heart of Las Vegas, Valley Hospital Medical Center is an acute care and teaching hospital that has provided high quality healthcare to residents of Sou...Show more
    Last updated: 30+ days ago • Promoted
    Travel Nurse RN - Oncology - $1,844 per week in Reno, NV

    Travel Nurse RN - Oncology - $1,844 per week in Reno, NV

    TravelNurseSource • Henderson, Nevada, US
    Full-time
    TravelNurseSource is working with Magnet Medical to find a qualified Oncology RN in Reno, Nevada, 89501!.Purpose of the Position : Responsible for the delivery of direct patient care using the nursi...Show more
    Last updated: 6 days ago • Promoted
    RN

    RN

    The Valley Health System • Las Vegas, NV, United States
    Full-time +1
    Southern Nevada and nearby communities.Located in southwest Las Vegas, the.III neonatal intensive care unit.Spring Valley Hospital is accredited by The Joint Commission ("TJC") and has achieved TJC...Show more
    Last updated: 30+ days ago • Promoted
    RN CASE MANAGER - SUMMERLIN HOSPITAL (PER DIEM)

    RN CASE MANAGER - SUMMERLIN HOSPITAL (PER DIEM)

    Valley Health System Consolidated Services • Las Vegas, NV, United States
    Full-time
    Valley Hospital Medical Center.Valley Health System has grown to include.Centennial Hills Hospital Medical Center.Spring Valley Hospital Medical Center. Summerlin Hospital Medical Center,.Valley Hea...Show more
    Last updated: 17 days ago • Promoted
    Case Manager

    Case Manager

    Dimopoulos Injury Law • Las Vegas, NV, USA
    Full-time
    Quick Apply
    Full-Time Case Manager and experience the thrill of working in a fast-paced, customer-focused environment right in the heart of Las Vegas, NV. This is your chance to thrive in a energetic culture wh...Show more
    Last updated: 30+ days ago
    Travel Nurse RN - Intermediate Care - $2,275 per week in Reno, NV

    Travel Nurse RN - Intermediate Care - $2,275 per week in Reno, NV

    TravelNurseSource • Henderson, Nevada, US
    Full-time
    TravelNurseSource is working with Advantis Medical Staffing to find a qualified IMC RN in Reno, Nevada, 89501!.Advantis Medical, the #1 rated travel nurse agency, is currently seeking an experience...Show more
    Last updated: 6 days ago • Promoted
    RN

    RN

    Spring Valley Hospital Medical Center • Las Vegas, NV, United States
    Full-time +1
    Southern Nevada and nearby communities.Located in southwest Las Vegas, the.III neonatal intensive care unit.Spring Valley Hospital is accredited by The Joint Commission (“TJC”) and has achieved TJC...Show more
    Last updated: 30+ days ago • Promoted
    RN

    RN

    Valley Health System Consolidated Services • Las Vegas, NV, United States
    Full-time
    Valley Hospital Medical Center.Valley Health System has grown to include .Centennial Hills Hospital Medical Center.Spring Valley Hospital Medical Center. Summerlin Hospital Medical Center,.Valley He...Show more
    Last updated: 30+ days ago • Promoted