Automobile

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

  • Everett, WA

  • no content

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.

  • Spring Valley, NV

  • no content

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.

  • Blue Diamond, NV

  • no content

RN Supervisor

Optum NY/NJ, is seeking a Clinical Administration Supervisor - Cardiology and Internal Medicine to join our team in Lake Success, NY. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. 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. Work schedule: Monday-Friday 8am-5pm. Primary Responsibilities: Clinical Activities Participates in patient care activities and adheres to requirement of a Registered Nurse when providing direct patient care. This is demonstrated by: Makes sound nursing judgment based on nursing theory Develops and maintains collaborative relationships with all members of the healthcare delivery system assisting physicians with their in baskets and making patient calls when needed Considers needs of the department, preplanning, and proactive, adjusting as needed Medical Record documentation is legible, concise and accurate, timely Communicates all-important facts to Administrator and Manager Ensures specific appropriate patient education. Completion of required forms Maintains active professional relationships with doctors/co-workers and patients by assessing needs and levels of satisfaction with the Cardiology clinic and its diagnostic departments Demonstrates a positive, friendly, and courteous manner. Identifies opportunities to enhance the services provided by the Cardiology Department as shown by: Positive patient & physician satisfaction Flexible and able to assist when other employees are absent Serves as a role model to other staff Employee Management Supervise and motivate a work team while maintaining highest company standards Administration of clinical staff work schedule Management of all aspects of clinical policies and protocols Provide feedback to address processing issues Respond to provider inquiries Responsible for the flow of patient care in the office The big challenge is motivating people and leading by example with a positive attitude that's professional, courteous and cheerful Customer Service Regulatory Compliance Complies with local, State and Federal rules and regulations and accreditation guidelines as evidenced by: 100% of regulatory concerns or unusual occurrences are reported to supervisor nurse within 24 hours of occurrences When patient injury or disaster occurs, administrator is notified immediately RN license and ACLS and CPR certification kept current and kept on file at the Center 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 from an approved RN nursing program Valid and current New York RN license Current BLS through American Heart Association Cardiovascular care experience Proven ability to use equipment and related supplies for selected patient population and for CPR, oxygen administration and intravenous therapy Preferred Qualifications: Bachelors Degree in nursing ACLS Outpatient clinic experience Windows based computer skills and EMR experience Good knowledge of cardiovascular diagnostic tests and medicines used in the treatment of cardiovascular disease 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 $72,800 - $130,000 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. 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.

  • Lake Success, NY

  • no content

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.

  • Paradise, NV

  • no content

RN Hospice Full-time

Explore opportunities with Christus VNA Hospice, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Registered Nurse Case Manager, you will assume full nursing responsibility for the delivery of the Plan of Care for each hospice patient. Continuously evaluating personal and professional performance and making necessary changes to increase productivity and quality of care delivered. You'll also develop the patient's Plan of care in collaboration with other professionals and implement treatment strategies based on scientific nursing theory that promotes physical, psychosocial, emotional, and spiritual well-being. Familiar with the concepts and needs of patients/families who are facing death and dying. Primary Responsibilities: Makes the initial nursing evaluation in determining eligibility for hospice services during visit within forty-eight (48) hours of referral Identifies the patient's/family's physical, psychosocial, and environmental needs and re-assesses as needed, no less than every fifteen (15) days Initiates and coordinates the plan of care Documents problems, appropriate goals, interventions, and patient/family response to hospice care Collaborates with the patient/family, attending physician and other members of the IDG in providing patient and family care daily Instructs and supervises the patient/family in self-care techniques when appropriate Maintains accurate and relevant clinical notes regarding the patient's condition Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client 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: Current and unrestricted RN licensure in the state of practice Current driver's license, valid vehicle insurance, and access to a dependable vehicle, or public transportation Preferred Qualifications: 1 years of clinical experience Current CPR certification or ability to complete within 90 days of hire 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 $75,620 to $113,430 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. 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.

  • San Antonio, TX

  • no content

Registered Nurse, Quality Manager Gastroenterology

$10,000 Sign-on Bonus for External Candidates Full benefits within 30 days including annual bonus potential, annual merit reviews, generous PTO, paid holidays, 401K, tuition reimbursement and many more! Optum NY, is seeking a Registered Nurse Manager Gastroenterology to join our team in Lake Success, NY. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. 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. The Nurse Manager will be primarily responsible for overseeing the operational efficiency and quality of GI services, including direct supervision of Registered Nurses and indirect supervision and training of clinical staff (RN, LPN, & Endotechs). The manager will lead efforts to improve quality outcomes and clinic operations in a way that contributes to an enhanced experience for staff and patients; these quality improvements include (but are not limited to) Practice, Health & Safety Assessments, and accreditation surveys. Collaborative responsibilities include building and maintaining safe policies and patient protocol to ensure efficient operations of endoscopy services. Position details: Locations: Syosset, Lake Success, Massapequa, and Hewlett The successful candidate can be located out of our Lake Sucess, Syosset or Hewlett locations! Specialty: Gastroenterology endoscopy procedural suite Primary responsibilities: Coordinates staff competency plan in collaboration with nursing education. Identifies and meets learning needs to maintain competency and respond to new clinical and management expectations Supervises and directs all Registered Nurses employed in the endoscopy units Analyzes quality data and information to identify areas for improving services and patient outcomes Prepares RN schedules Plans for unit staffing needs on a long term and short-term basis, adjusts these appropriately to maintain safe, efficient care in an effective manner Acts as a resource to staff for regulatory and policy matters Ensure strict adherence to Optum Practice, Health & Safety and third-party accreditor (TJC/AAAASF) policies, procedures, and standards Responsible for ongoing accreditation of the GI endoscopy practices; including all quality improvement, risk management, infection control, facility, and fire safety Oversees and participates on Performance Improvement Committee to facilitate improvement of nursing care and achievement of mission of the facility Recognizes legal and policy limits of individual practice Completes annual evaluations of assigned staff Optum NY/NJ was formed in 2022 by bringing together Riverside Medical Group, CareMount Medical, Crystal Run Healthcare and ProHealth Care. The regional alignment combines resources and services across the care continuum - from preventative medicine to diagnostics to treatment and beyond across New York, New Jersey, and Southern Connecticut. As a Patient Centered Medical Home, Optum NY/NJ can provide patient-focused medical care to the entire family. You will find our team working in local clinics, surgery centers and urgent care centers, within care models focused on managing risk, higher quality outcomes and driving change through collaboration and innovation. Together, we're making health care work better for everyone. 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: BSN Nursing Leadership experience BLS/ACLS certification - Required within the first 6 months of employment Driver's License and access to reliable transportation Preferred Qualifications: PACU/OR and/or ambulatory care nursing experience Knowledge of and experienced with accreditation preferred (examples include but are not limited to Joint Commission accreditation, AAAHC accreditation, Quad A accreditation) 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 to $163,700 annually 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.

  • Massapequa Park, NY

  • no content

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.

  • North Las Vegas, NV

  • no content

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.

  • Mesquite, NV

  • no content

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.

  • Spring Valley, NV

  • no content

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.

  • Nellis Air Force Base, NV

  • no content

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.

  • Calico Ridge, NV

  • no content