Case Manager Anticoagulation Clinic- Las Vegas, NV

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 a RN Nurseline Case Manager, you'll be making a difference in peoples' lives by offering telephonic support and assistance to members seeking health education, program referrals or general health services. You will work with patients to manage their health conditions for ultimate outcomes by taking in-bound calls and placing out-bound calls as dictated by consumer and business needs. 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.
 
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 This is a Telephonic Case Management position - Monday - Friday and rotational Saturday every 6 months.
Primary Responsibilities:


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

Required Qualifications:


Current, unrestricted RN licensure

3+ years of Clinical RN experience, resulting in excellent clinical skills and judgment

Strong inbound and outbound telephonic skills

Intermediate computer skills (Microsoft Word, Outlook and Internet) with the ability to navigate a Windows environment and the ability to create, edit, save and send documents utilizing Microsoft Word

Understanding of change and ability to move members along the continuum of change

Intermediate or expert level of proficiency with being able to assess and identify needs and being able to influence and motivate

Conflict management skills

Able to work under pressure and appropriately prioritize responsibilities

CPR Certification or will get upon hiring
Preferred Qualifications:

Bachelor's degree in Nursing

Coaching and/or decision support experience

Managed care experience

Previous home health, cardiology or anticoagulation management
Careers 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)
 
 
Diversity creates a healthier atmosphere: 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: Home health, Cardiology or anticoagulation management, case management, Las Vegas, NV, Nevada, CPR, RN, Clinical RN