27 days old

Outpatient RN Case Manager - Las Vegas, NV

Las Vegas, NV 89101
  • Job Code

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)


The Outpatient RN Case Manager will be responsible for the management and coordination of Case Management services for members with complex needs and requiring complex service. The Outpatient Case Manager works directly with the member, provider(s), facilities and other entities to ensure the most appropriate care is provided. The Case Manager manages members from all contracted product lines.


The Case Manager assesses, plans, implements, coordinates, monitors, crates an individualized care plan meeting NCQA guidelines and evaluates the outcomes, ensuring options and services required to meet the member's health needs are best utilized. The Case Manager provides advocacy, communication and resource management and promotes quality and cost-effective interventions and outcomes.


** Candidates must be available to work Monday -Friday 8:00 am - 5:00 pm from our office located at 2716 N Tenaya in Las Vegas, NV.  Ability to telecommute after 6 months upon manager approval**


Primary Responsibilities:

  • Coordination of member's care through the health care continuum
  • Collaborate with member, provider, facility and health plan care team (to include PCP, COC, Medical Directors and Community Services) to develop and implement and ongoing plan of care to obtain best outcome
  • Act as resource to SMA and Network providers
  • Provide health education, coaching and treatment decision support for members
  • Ensure NCQA survey ready at all times for all lines of business

     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. 



Posted: 2019-11-16 Expires: 2019-12-16

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Outpatient RN Case Manager - Las Vegas, NV

UnitedHealth Group
Las Vegas, NV 89101

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