RN Specialty Float

$7,500 Sign On Bonus For External Candidates 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. The RN's primary role is to provide personalized patient care; support the provider's practice by performing clinical duties and assisting in the coordination of patient care. The RN's communication, conduct and performance should support the clinics efforts. Primary Responsibilities: Assesses and evaluates patient care needs. Suggests solutions to patient care problems & complaints Identifies & recommends solutions to departmental problems Assists in assessing departmental function and productivity & recommends changes as necessary Assesses patient/family learning needs and coordinates and carries out teaching plan 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: Graduation from an accredited school of nursing Active Registered Nurse license through the Washington State Department of Health Basic Life Support for Healthcare providers (AHA) or CPR/AED for the Professional Rescuer (American Red Cross) Preferred Qualification: 2 years of experience working as a Registered Nurse 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 $28.94 to $51.63 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. OptumCare 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. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment

RN Specialty Float

$7,500 Sign On Bonus For External Candidates 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. The RN's primary role is to provide personalized patient care; support the provider's practice by performing clinical duties and assisting in the coordination of patient care. The RN's communication, conduct and performance should support the clinics efforts. Primary Responsibilities: Assesses and evaluates patient care needs. Suggests solutions to patient care problems & complaints Identifies & recommends solutions to departmental problems Assists in assessing departmental function and productivity & recommends changes as necessary Assesses patient/family learning needs and coordinates and carries out teaching plan 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: Graduation from an accredited school of nursing Active Registered Nurse license through the Washington State Department of Health Basic Life Support for Healthcare providers (AHA) or CPR/AED for the Professional Rescuer (American Red Cross) Preferred Qualification: 2 years of experience working as a Registered Nurse 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 $28.94 to $51.63 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. OptumCare 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. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment

RN Case Manager - Hospital Utilization and Transitions of Care

Optum NV is seeking a Case Manager RN to join our team in Las Vegas, NV. Optum is a clinician-led care organization that is changing the way clinicians work and live. We are currently offering a $10,000 sign on bonus for external candidates! At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together. Daily operational responsibilities include utilization management, discharge planning, referral facilitation and/or collaboration with hospital- based case managers/physicians to move patients to appropriate level of care. Provide Care interdisciplinary team communication about the hospital stays. This is an on-sight hospital- based function requiring the Case Manager RN to travel to 1-2 hospitals daily, work in collaboration with the hospitalist to improve outcomes with Observation stay, long discharge plans and prevention of readmission. Primary responsibility for case management includes discharge planning, improved transitions of care, and utilization management of long length hospitalized health plan members. Ensure members receive quality medical care in the most appropriate setting. Performs the following on a daily basis; 1) performs patient assessment of all major domains using evidence based criteria (physical, functional, financial and psychosocial); 2) develop individualized discharge plans that involve provider, patient and caregiver goals for successful transitions of care; 3) implement discharge plan involving health care resources across the continuum; and 4) monitor and report variances that may challenge timely quality care. Primary Responsibilities: Assess, plan and implement care strategies that are individualized by patients 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 Understand role and how it affects utilization management benchmarks and quality outcomes Coordinate hand-off of care to primary care provider 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: High School diploma and/or equivalent Active unrestricted Nevada RN license Ability to obtain CCM certification within two years of employment 2 years of varied clinical experience in a hospital or clinical setting with an emphasis on case management Experience in a managed care organization Knowledge of utilization management in a managed care environment Independent case management knowledge and skills to formulate plans of care without direct supervision Understanding of spectrum of alternative delivery systems Ability to use computer-based programs and applications Demonstrated initiative toward problem solving without direct supervision Proven solid organizational, written, oral computer skills Proven excellent problem-solving skills Proven ability to negotiate with professionals, patients, and caregivers Critical Thinking: Proven ability to integrate guidelines/tools to negotiate most effective plan of care. Formulate plans that incorporate the health plan benefits, community services and patient self-direction Valid Nevada driver's license and maintain personal auto insurance coverage Preferred Qualifications: Bachelor's degree Knowledge of Interqual or Milliman guidelines Recent Emergency Room hospital care or hospital discharge planning Working Conditions: Work completed in acute hospital and/or sub-acute and/or Inpatient Rehabilitation setting Driving up to one hour per day Competencies for High Performers: Participation in departmental projects assigned by Director or Manager Certification in Case Management (CCM) or equivalent Professional Certification (ACM) Metric measures of success: Observation rate discharge, Rate of engagement with patients high risk patients, improved readmission rate of high risk patients and engagement of PCP HFU rate, daily productivity 10-11 patients per day OBs note 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 $35 to $63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. OptumCare 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. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Manager of Case Management

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. We are currently offering a $10,000 sign on bonus for external candidates! This position has accountability and oversight the NV Medical Management Command Center RN case Manager functions. Medical Management includes observation level patients, acute long-term level patients and the development of plans of care to for transitions of care at discharge. This positions is responsible for the daily operations of medical management case managers in the assigned facilities. Collection and oversight of documentation and safety of RN decisions at discharge. Education and training is an integral part of this position to promote patient care. As a manager lead IDT meetings, participate in taskforces and ensures coverage at large volume hospitals and high risk patients. There is direct responsibility for the development and maintainence of metric performance for the assigned areas of the position. Primary responsibility for case management includes discharge planning, improved transitions of care, and utilization management of long length hospitalized health plan members. Ensure members receive quality medical care in the most appropriate setting. Performs the following on a daily basis; 1) assurance of staffing higher volume hospitals and focusing the case managers on the standard work of command center; 2) Productivity of case management teams; 3) Audit standard work 4) Produce daily, weekly and monthly operational metrics for the command center and 5) refocus team members on the tactics of the command center with report progress to the Sr. Medical Director Primary Responsibilities: Ensure the team provides appropriate education, training, support and resources to all staff so that all compliance and customer service standards are met including the appropriateness of decision making, timeliness and completeness of all requests Provide support to the team to allow for growth and development and encourage the team to think "out of the box" for solutions Identify barriers so that staff can maintain high productivity and high levels of morale Ensure coordination between other internal departments as well as external companies as appropriate Develop work plans and educational plans to best manage the day-to-day functions of multidisciplinary departments Independently manage work flows including orientation, standard work and report concerns to the director Collaborates on decisions to promote teamwork Collaboration with Sr. Medical Director and V.P. Promote LEAN work cycles for performance enhancement Provides input to leadership to enhance process flows and efficiencies while addressing initiatives, goals, and mission Other duties as assigned in medical management 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: High School diploma and/or equivalent Active unrestricted Nevada RN license Obtain CCM certification within 2 years of employment Valid Nevada driver's license and maintain personal auto insurance coverage 1 years of related professional experience in managed care environment 1 years related supervisory/management experience Solid knowledge of regulatory requirements, competent in case management business as well as clinical arenas Solid technology skills and excellent interpersonal skills Proven ability to negotiate and arbitrate without difficulty Proven ability to supervise multiple levels of people Critical Thinking: Proven ability to integrate guidelines/tools to negotiate most effective plan of care Preferred Qualification: Bachelor's degree Working Conditions: Work completed in acute hospital and/or sub-acute and/or Inpatient Rehabilitation setting or office to promote command center management Driving up to one hour per day. Competencies for High Performers: Participation in departmental projects assigned by Director or Manager. Certification in Case Management (CCM) or equivalent Professional Certification (ACM). Metric measures of success: Observation rate discharge, LOS Observation Rate; Observation rate of engagement with patient's high risk patients, improved readmission rate of high risk patients (10 days) and engagement of PCP HFU rate, daily productivity 10-11 patients per day OBs note; Affordability measures 6 O'clock X matrix cost of care on engaged members. Number of IDT completed within the week with Medical Director. 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 salary for this role will range from $91,700 - $163,700 annually 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. OptumCare 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. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

RN Specialty Float

$7,500 Sign On Bonus For External Candidates 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. The RN's primary role is to provide personalized patient care; support the provider's practice by performing clinical duties and assisting in the coordination of patient care. The RN's communication, conduct and performance should support the clinics efforts. Primary Responsibilities: Assesses and evaluates patient care needs. Suggests solutions to patient care problems & complaints Identifies & recommends solutions to departmental problems Assists in assessing departmental function and productivity & recommends changes as necessary Assesses patient/family learning needs and coordinates and carries out teaching plan 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: Graduation from an accredited school of nursing Active Registered Nurse license through the Washington State Department of Health Basic Life Support for Healthcare providers (AHA) or CPR/AED for the Professional Rescuer (American Red Cross) Preferred Qualification: 2 years of experience working as a Registered Nurse 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 $28.94 to $51.63 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. OptumCare 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. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment

Registered Nurse, Infusion Services- Reliant Medical Group

$2,500 Sign On Bonus For External Candidates 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. Position Details: Primary Location: 5 Neponset Street, Worcester, MA, 01606 Secondary Location: 24 Newton Street, Southborough, Massachusetts, 01772 (travel as needed for coverage) Department: Infusion/ Hematology/ Oncology Specialties Schedule: Full time, 32 hours/weekly, Monday through Friday, scheduling between 8:00AM - 5:00PM This position is responsible for the effective delivery and management of direct patient care utilizing the nursing process and adhering to the standards of nursing practice. Oversees and directs the care of patients with Hematologic and Oncologic malignancies and non-oncology diagnoses in the outpatient setting. Directs the care of the patient receiving chemotherapy/Biotherapy and supportive treatments in collaboration with the provider and other team members. Recognizes changes in the patient status, symptomatology and changes in diagnostic studies and respond appropriately. This position performs a full range of medical support services while ensuring the highest level of patient care and satisfaction. Primary Responsibilities: Clinical: Provides direct patient care, evaluates outcomes, consults with other specialists as required and adjusts nursing care processes as indicated to ensure optimal patient care Understanding of the care of the cancer patient, principles of chemotherapy/biotherapy, medication classifications, routes of administration and safe handling. Demonstrates critical thinking skills in nursing care across the disease trajectory Performs a complete assessment and reassessment on all patients as per policy, including psychosocial, spiritual, emotional and educational needs Adequately assess and reassess pain and institute appropriate pain management techniques. Provides ongoing patient and care-giver education regarding pain management Prioritize the plan of care as the patient assessment changes using evidence based clinical knowledge Demonstrates a thorough knowledge of antineoplastic therapies and immunotherapies including physical, psychological, and adverse effects Demonstrates knowledge of medication administration, rate and timing of delivery, treatment parameters and drug properties, i.e., irritant, vesicant or non-vesicant Demonstrates the ability to calculate drug dosage and volume according to patient's age, height, and weight and body surface area Demonstrate proficiency in IV therapy, venous access, and central line use and care Follows regulations, policies and guidelines for safe handling, administration and disposal of antineoplastic agents. Provides patient protection and post therapy education Demonstrates competency in the performance of simple and complex diagnostic and therapeutic procedures, such as venipuncture, IV insertion, care and maintenance of vascular access devices and declotting of lines Follows the six medication rights and reduces the potential for medication errors Identifies emergency situations and initiates appropriate nursing orders and interventions. Meets patient care needs promptly Assesses patient and family learning needs, physical and mental abilities and readiness to learn. Able to adapt teaching methods and addresses barriers as appropriate. Documents the education experience and needs to reinforce on subsequent visits Demonstrates competency in telephone triage, including the ability to evaluate and assess patient needs and plan for the appropriate intervention Coordinates a discharge plan of care for each patient including education on the treatment plan and schedule and any coordination with community agencies Quality and Safety: Adheres to safety and quality control measures, such as those relating to medication administration and infection control Complies with established departmental policies, procedures and objectives Complies with health and safety requirements and with regulatory agencies Utilizes patient care equipment appropriately and safely Consistently documents all the aspects of patient care and patient education in the Electronic Medical Record. This ensures appropriate reimbursement for services. Reports pertinent information to the Provider Expectations: Completes all organizational and department specific nursing education and competencies Enhances professional growth and development through education programs, seminars etc. Attends meetings and conferences, including staff meetings as required and directed Performs other similar or related duties as required or directed Regular, reliable and predictable attendance will be required 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: Graduate of an accredited School of Nursing Currently licensed as a RN in the State of Massachusetts Current CPR/BLS Certification Preferred Qualifications: National Oncology Certification or attained in an agreed timeframe Chemotherapy/Biotherapy Certification 1 years of infusion/IV experience Phone triage experience Experience with EMR systems (EPIC) Excellent IV and phlebotomy skills 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 $35.00 to $63.00 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.

Manager of Case Management

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. We are currently offering a $10,000 sign on bonus for external candidates! This position has accountability and oversight the NV Medical Management Command Center RN case Manager functions. Medical Management includes observation level patients, acute long-term level patients and the development of plans of care to for transitions of care at discharge. This positions is responsible for the daily operations of medical management case managers in the assigned facilities. Collection and oversight of documentation and safety of RN decisions at discharge. Education and training is an integral part of this position to promote patient care. As a manager lead IDT meetings, participate in taskforces and ensures coverage at large volume hospitals and high risk patients. There is direct responsibility for the development and maintainence of metric performance for the assigned areas of the position. Primary responsibility for case management includes discharge planning, improved transitions of care, and utilization management of long length hospitalized health plan members. Ensure members receive quality medical care in the most appropriate setting. Performs the following on a daily basis; 1) assurance of staffing higher volume hospitals and focusing the case managers on the standard work of command center; 2) Productivity of case management teams; 3) Audit standard work 4) Produce daily, weekly and monthly operational metrics for the command center and 5) refocus team members on the tactics of the command center with report progress to the Sr. Medical Director Primary Responsibilities: Ensure the team provides appropriate education, training, support and resources to all staff so that all compliance and customer service standards are met including the appropriateness of decision making, timeliness and completeness of all requests Provide support to the team to allow for growth and development and encourage the team to think "out of the box" for solutions Identify barriers so that staff can maintain high productivity and high levels of morale Ensure coordination between other internal departments as well as external companies as appropriate Develop work plans and educational plans to best manage the day-to-day functions of multidisciplinary departments Independently manage work flows including orientation, standard work and report concerns to the director Collaborates on decisions to promote teamwork Collaboration with Sr. Medical Director and V.P. Promote LEAN work cycles for performance enhancement Provides input to leadership to enhance process flows and efficiencies while addressing initiatives, goals, and mission Other duties as assigned in medical management 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: High School diploma and/or equivalent Active unrestricted Nevada RN license Obtain CCM certification within 2 years of employment Valid Nevada driver's license and maintain personal auto insurance coverage 1 years of related professional experience in managed care environment 1 years related supervisory/management experience Solid knowledge of regulatory requirements, competent in case management business as well as clinical arenas Solid technology skills and excellent interpersonal skills Proven ability to negotiate and arbitrate without difficulty Proven ability to supervise multiple levels of people Critical Thinking: Proven ability to integrate guidelines/tools to negotiate most effective plan of care Preferred Qualification: Bachelor's degree Working Conditions: Work completed in acute hospital and/or sub-acute and/or Inpatient Rehabilitation setting or office to promote command center management Driving up to one hour per day. Competencies for High Performers: Participation in departmental projects assigned by Director or Manager. Certification in Case Management (CCM) or equivalent Professional Certification (ACM). Metric measures of success: Observation rate discharge, LOS Observation Rate; Observation rate of engagement with patient's high risk patients, improved readmission rate of high risk patients (10 days) and engagement of PCP HFU rate, daily productivity 10-11 patients per day OBs note; Affordability measures 6 O'clock X matrix cost of care on engaged members. Number of IDT completed within the week with Medical Director. 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 salary for this role will range from $91,700 - $163,700 annually 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. OptumCare 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. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

RN Case Manager - Hospital Utilization and Transitions of Care

Optum NV is seeking a Case Manager RN to join our team in Las Vegas, NV. Optum is a clinician-led care organization that is changing the way clinicians work and live. We are currently offering a $10,000 sign on bonus for external candidates! At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together. Daily operational responsibilities include utilization management, discharge planning, referral facilitation and/or collaboration with hospital- based case managers/physicians to move patients to appropriate level of care. Provide Care interdisciplinary team communication about the hospital stays. This is an on-sight hospital- based function requiring the Case Manager RN to travel to 1-2 hospitals daily, work in collaboration with the hospitalist to improve outcomes with Observation stay, long discharge plans and prevention of readmission. Primary responsibility for case management includes discharge planning, improved transitions of care, and utilization management of long length hospitalized health plan members. Ensure members receive quality medical care in the most appropriate setting. Performs the following on a daily basis; 1) performs patient assessment of all major domains using evidence based criteria (physical, functional, financial and psychosocial); 2) develop individualized discharge plans that involve provider, patient and caregiver goals for successful transitions of care; 3) implement discharge plan involving health care resources across the continuum; and 4) monitor and report variances that may challenge timely quality care. Primary Responsibilities: Assess, plan and implement care strategies that are individualized by patients 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 Understand role and how it affects utilization management benchmarks and quality outcomes Coordinate hand-off of care to primary care provider 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: High School diploma and/or equivalent Active unrestricted Nevada RN license Ability to obtain CCM certification within two years of employment 2 years of varied clinical experience in a hospital or clinical setting with an emphasis on case management Experience in a managed care organization Knowledge of utilization management in a managed care environment Independent case management knowledge and skills to formulate plans of care without direct supervision Understanding of spectrum of alternative delivery systems Ability to use computer-based programs and applications Demonstrated initiative toward problem solving without direct supervision Proven solid organizational, written, oral computer skills Proven excellent problem-solving skills Proven ability to negotiate with professionals, patients, and caregivers Critical Thinking: Proven ability to integrate guidelines/tools to negotiate most effective plan of care. Formulate plans that incorporate the health plan benefits, community services and patient self-direction Valid Nevada driver's license and maintain personal auto insurance coverage Preferred Qualifications: Bachelor's degree Knowledge of Interqual or Milliman guidelines Recent Emergency Room hospital care or hospital discharge planning Working Conditions: Work completed in acute hospital and/or sub-acute and/or Inpatient Rehabilitation setting Driving up to one hour per day Competencies for High Performers: Participation in departmental projects assigned by Director or Manager Certification in Case Management (CCM) or equivalent Professional Certification (ACM) Metric measures of success: Observation rate discharge, Rate of engagement with patients high risk patients, improved readmission rate of high risk patients and engagement of PCP HFU rate, daily productivity 10-11 patients per day OBs note 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 $35 to $63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. OptumCare 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. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

RN Case Manager - Hospital Utilization and Transitions of Care

Optum NV is seeking a Case Manager RN to join our team in Las Vegas, NV. Optum is a clinician-led care organization that is changing the way clinicians work and live. We are currently offering a $10,000 sign on bonus for external candidates! At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together. Daily operational responsibilities include utilization management, discharge planning, referral facilitation and/or collaboration with hospital- based case managers/physicians to move patients to appropriate level of care. Provide Care interdisciplinary team communication about the hospital stays. This is an on-sight hospital- based function requiring the Case Manager RN to travel to 1-2 hospitals daily, work in collaboration with the hospitalist to improve outcomes with Observation stay, long discharge plans and prevention of readmission. Primary responsibility for case management includes discharge planning, improved transitions of care, and utilization management of long length hospitalized health plan members. Ensure members receive quality medical care in the most appropriate setting. Performs the following on a daily basis; 1) performs patient assessment of all major domains using evidence based criteria (physical, functional, financial and psychosocial); 2) develop individualized discharge plans that involve provider, patient and caregiver goals for successful transitions of care; 3) implement discharge plan involving health care resources across the continuum; and 4) monitor and report variances that may challenge timely quality care. Primary Responsibilities: Assess, plan and implement care strategies that are individualized by patients 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 Understand role and how it affects utilization management benchmarks and quality outcomes Coordinate hand-off of care to primary care provider 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: High School diploma and/or equivalent Active unrestricted Nevada RN license Ability to obtain CCM certification within two years of employment 2 years of varied clinical experience in a hospital or clinical setting with an emphasis on case management Experience in a managed care organization Knowledge of utilization management in a managed care environment Independent case management knowledge and skills to formulate plans of care without direct supervision Understanding of spectrum of alternative delivery systems Ability to use computer-based programs and applications Demonstrated initiative toward problem solving without direct supervision Proven solid organizational, written, oral computer skills Proven excellent problem-solving skills Proven ability to negotiate with professionals, patients, and caregivers Critical Thinking: Proven ability to integrate guidelines/tools to negotiate most effective plan of care. Formulate plans that incorporate the health plan benefits, community services and patient self-direction Valid Nevada driver's license and maintain personal auto insurance coverage Preferred Qualifications: Bachelor's degree Knowledge of Interqual or Milliman guidelines Recent Emergency Room hospital care or hospital discharge planning Working Conditions: Work completed in acute hospital and/or sub-acute and/or Inpatient Rehabilitation setting Driving up to one hour per day Competencies for High Performers: Participation in departmental projects assigned by Director or Manager Certification in Case Management (CCM) or equivalent Professional Certification (ACM) Metric measures of success: Observation rate discharge, Rate of engagement with patients high risk patients, improved readmission rate of high risk patients and engagement of PCP HFU rate, daily productivity 10-11 patients per day OBs note 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 $35 to $63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. OptumCare 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. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

RN Case Manager - Hospital Utilization and Transitions of Care

Optum NV is seeking a Case Manager RN to join our team in Las Vegas, NV. Optum is a clinician-led care organization that is changing the way clinicians work and live. We are currently offering a $10,000 sign on bonus for external candidates! At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together. Daily operational responsibilities include utilization management, discharge planning, referral facilitation and/or collaboration with hospital- based case managers/physicians to move patients to appropriate level of care. Provide Care interdisciplinary team communication about the hospital stays. This is an on-sight hospital- based function requiring the Case Manager RN to travel to 1-2 hospitals daily, work in collaboration with the hospitalist to improve outcomes with Observation stay, long discharge plans and prevention of readmission. Primary responsibility for case management includes discharge planning, improved transitions of care, and utilization management of long length hospitalized health plan members. Ensure members receive quality medical care in the most appropriate setting. Performs the following on a daily basis; 1) performs patient assessment of all major domains using evidence based criteria (physical, functional, financial and psychosocial); 2) develop individualized discharge plans that involve provider, patient and caregiver goals for successful transitions of care; 3) implement discharge plan involving health care resources across the continuum; and 4) monitor and report variances that may challenge timely quality care. Primary Responsibilities: Assess, plan and implement care strategies that are individualized by patients 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 Understand role and how it affects utilization management benchmarks and quality outcomes Coordinate hand-off of care to primary care provider 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: High School diploma and/or equivalent Active unrestricted Nevada RN license Ability to obtain CCM certification within two years of employment 2 years of varied clinical experience in a hospital or clinical setting with an emphasis on case management Experience in a managed care organization Knowledge of utilization management in a managed care environment Independent case management knowledge and skills to formulate plans of care without direct supervision Understanding of spectrum of alternative delivery systems Ability to use computer-based programs and applications Demonstrated initiative toward problem solving without direct supervision Proven solid organizational, written, oral computer skills Proven excellent problem-solving skills Proven ability to negotiate with professionals, patients, and caregivers Critical Thinking: Proven ability to integrate guidelines/tools to negotiate most effective plan of care. Formulate plans that incorporate the health plan benefits, community services and patient self-direction Valid Nevada driver's license and maintain personal auto insurance coverage Preferred Qualifications: Bachelor's degree Knowledge of Interqual or Milliman guidelines Recent Emergency Room hospital care or hospital discharge planning Working Conditions: Work completed in acute hospital and/or sub-acute and/or Inpatient Rehabilitation setting Driving up to one hour per day Competencies for High Performers: Participation in departmental projects assigned by Director or Manager Certification in Case Management (CCM) or equivalent Professional Certification (ACM) Metric measures of success: Observation rate discharge, Rate of engagement with patients high risk patients, improved readmission rate of high risk patients and engagement of PCP HFU rate, daily productivity 10-11 patients per day OBs note 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 $35 to $63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. OptumCare 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. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

RN Specialty Float

$7,500 Sign On Bonus For External Candidates 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. The RN's primary role is to provide personalized patient care; support the provider's practice by performing clinical duties and assisting in the coordination of patient care. The RN's communication, conduct and performance should support the clinics efforts. Primary Responsibilities: Assesses and evaluates patient care needs. Suggests solutions to patient care problems & complaints Identifies & recommends solutions to departmental problems Assists in assessing departmental function and productivity & recommends changes as necessary Assesses patient/family learning needs and coordinates and carries out teaching plan 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: Graduation from an accredited school of nursing Active Registered Nurse license through the Washington State Department of Health Basic Life Support for Healthcare providers (AHA) or CPR/AED for the Professional Rescuer (American Red Cross) Preferred Qualification: 2 years of experience working as a Registered Nurse 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 $28.94 to $51.63 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. OptumCare 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. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment

Manager of Case Management

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. We are currently offering a $10,000 sign on bonus for external candidates! This position has accountability and oversight the NV Medical Management Command Center RN case Manager functions. Medical Management includes observation level patients, acute long-term level patients and the development of plans of care to for transitions of care at discharge. This positions is responsible for the daily operations of medical management case managers in the assigned facilities. Collection and oversight of documentation and safety of RN decisions at discharge. Education and training is an integral part of this position to promote patient care. As a manager lead IDT meetings, participate in taskforces and ensures coverage at large volume hospitals and high risk patients. There is direct responsibility for the development and maintainence of metric performance for the assigned areas of the position. Primary responsibility for case management includes discharge planning, improved transitions of care, and utilization management of long length hospitalized health plan members. Ensure members receive quality medical care in the most appropriate setting. Performs the following on a daily basis; 1) assurance of staffing higher volume hospitals and focusing the case managers on the standard work of command center; 2) Productivity of case management teams; 3) Audit standard work 4) Produce daily, weekly and monthly operational metrics for the command center and 5) refocus team members on the tactics of the command center with report progress to the Sr. Medical Director Primary Responsibilities: Ensure the team provides appropriate education, training, support and resources to all staff so that all compliance and customer service standards are met including the appropriateness of decision making, timeliness and completeness of all requests Provide support to the team to allow for growth and development and encourage the team to think "out of the box" for solutions Identify barriers so that staff can maintain high productivity and high levels of morale Ensure coordination between other internal departments as well as external companies as appropriate Develop work plans and educational plans to best manage the day-to-day functions of multidisciplinary departments Independently manage work flows including orientation, standard work and report concerns to the director Collaborates on decisions to promote teamwork Collaboration with Sr. Medical Director and V.P. Promote LEAN work cycles for performance enhancement Provides input to leadership to enhance process flows and efficiencies while addressing initiatives, goals, and mission Other duties as assigned in medical management 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: High School diploma and/or equivalent Active unrestricted Nevada RN license Obtain CCM certification within 2 years of employment Valid Nevada driver's license and maintain personal auto insurance coverage 1 years of related professional experience in managed care environment 1 years related supervisory/management experience Solid knowledge of regulatory requirements, competent in case management business as well as clinical arenas Solid technology skills and excellent interpersonal skills Proven ability to negotiate and arbitrate without difficulty Proven ability to supervise multiple levels of people Critical Thinking: Proven ability to integrate guidelines/tools to negotiate most effective plan of care Preferred Qualification: Bachelor's degree Working Conditions: Work completed in acute hospital and/or sub-acute and/or Inpatient Rehabilitation setting or office to promote command center management Driving up to one hour per day. Competencies for High Performers: Participation in departmental projects assigned by Director or Manager. Certification in Case Management (CCM) or equivalent Professional Certification (ACM). Metric measures of success: Observation rate discharge, LOS Observation Rate; Observation rate of engagement with patient's high risk patients, improved readmission rate of high risk patients (10 days) and engagement of PCP HFU rate, daily productivity 10-11 patients per day OBs note; Affordability measures 6 O'clock X matrix cost of care on engaged members. Number of IDT completed within the week with Medical Director. 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 salary for this role will range from $91,700 - $163,700 annually 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. OptumCare 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. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.