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in Las Vegas, NV

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Hours Full-time, Part-time
Location Las Vegas, NV
Las Vegas, Nevada

About this job

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 and help people live healthier lives while doing 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.
 
The Senior Case Manager will identify, coordinate, or provide appropriate levels of care under the direct supervision of an RN or MD. Function is responsible for clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating). This includes case management, coordination of care, and medical management consulting. Function may also be responsible for providing health education, coaching and treatment decision support for members.
  
Primary Responsibilities:

Applies motivational interviewing in identifying impact on member engagement and setting goals
Member education, medication reconciliation and benefit management
Ensures follow through with the Care Navigation Team; timely appointments and referrals to programs, health plan and community
Facilitate patient / family and provider communications as indicated and advocate for patient / family with healthcare team as needed
Ensures coordinated services delivered and available programs are accessed
Communicate with stakeholders, appropriate health care related information to ensure timely coordination care and services for members currently receiving inpatient care
Utilizes approved clinical criteria to asses and determine appropriate level of care for members currently receiving inpatient care
Identified point of contact for managing transitions of care

Requirements

Required Qualifications:

Undergraduate degree or equivalent experience
3+ years of direct patient care nursing with a focus on discharge planning or case management
Demonstrated ability to perform case management activities
Strong clinical knowledge and capacity for continued learning
Knowledge of UM and plan benefit designs
Strong verbal and written communication skills
Competent with MS Office and other practice management systems or possess the ability to continue to learn new things
Proficient in critical thinking skills of RN Case manager
Ability to organize and prioritize tasks for self and patients
Preferred Qualifications:

CCM certification
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: NR, Nursing, CCM, UM, Case, Manager, Case Management, Las Vegas, NV, Southwest Medical, Nevada