Case Manager, Sr. jobs in Las Vegas, NV

Case Manager, Sr. coordinates the overall interdisciplinary plan of care for patients, from admission to discharge. Monitors care and acts as a liaison between patient/family, healthcare personnel, and insurers. Being a Case Manager, Sr. evaluates the needs of the patient, the resources available, and recommends and facilitates the plan for the best outcome. Develops a discharge plan that provides the best available resources to meet ongoing patient needs and that encourages compliance with medical advice. Additionally, Case Manager, Sr. identifies patient care issues and suggests revisions to or new clinical pathways to improve quality of care. May also be responsible for conducting utilization reviews. Typically requires a bachelor's degree of Nursing. Typically reports to a head of a department/unit. Requires Registered Nurse (RN). The Case Manager, Sr. contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. To be a Case Manager, Sr. typically requires 4 to 7 years of related experience. (Copyright 2024 Salary.com)

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Sr Case Manager in Clinic
  • UnitedHealth Group
  • Henderson, NV FULL_TIME
  • 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 Clinic Case Manager is responsible for fostering collaboration and a team approach for successfully supporting patients with high-risk health conditions to navigate the healthcare system. Promotes empowerment by facilitating the role of an educator, resource, and advocate for patients and their families to ensure a maximum quality of life. Interacts and collaborates with multidisciplinary care teams, to include physicians, nurses, pharmacists, case managers, social workers, and other educators. Acts as a clinic resource for the value-based population. Works in a less structured, self-directed environment and performs all delegated nursing duties within the scope of a RN license of the applicable state board of nursing.


    Ensures compliance to contractual and service standards as identified by relevant health insurance plans.  Adheres to policies, procedures, and regulations to ensure compliance and patient safety. Participation in Compliance and required training is a condition of employment.

      

    Primary Responsibilities: 

    • Role embedded within the primary care clinic, working directly with patients, clinical and non-clinical teams
    • Participates in the identification of a focused clinic patient panel, as defined by the manager of Medical Management
    • Supports longitudinal care of the patient with chronic care conditions:
    • Communicates with patients, responding to patient questions via patient portal and other modalities.
    • Performs assessment of health conditions and implements care plan in collaboration with the member, caregiver(s), clinician(s), and/or other appropriate healthcare professionals to address need and goals
    • Pursues appropriate interventions to reduce risk of condition exacerbation, ER and hospitalization utilization
    • Performs medication reconciliation and collaborates with clinician partner as needed
    • Conducts Motivational Interviewing and Self-Management Goal setting
    • Provides patient education
    • Creates referrals to appropriate agencies and resources
    • Supports transition of care from Emergency Department or inpatient stay to outpatient setting:
    • Performs assessment of transitional needs
    • Performs medication reconciliation
    • Establishes and reviews contingency plan
    • Provides patient education
    • Assists with post discharge needs such as home health care, prescriptions, transportation, Durable Medical Equipment (DME), appointments
    • Coordinates with providers to establish or update individualized plan of care
    • Creates referrals to appropriate internal and external resources
    • Achieves Quality Measures outcomes via reduction in HEDIS Gaps in Care
    • Performs accurate and timely documentation in the electronic medical record
    • Performs triage and clinical tasks within their scope of practice
    • Participates in daily huddles and monthly clinic meetings, as required
    • Prepares accurate and timely reports, as required
    • Maintains continued competence in nursing practice and knowledge of current evidence-based practices
    • Performs ongoing updates of the care plan to evaluate effectiveness, and to document interventions and goal achievement
    • Maintains a working knowledge of community resources
    • Serves as facilitator and resource for other members of the Medical Group clinical team
    • Attends departmental meetings and provides constructive recommendations for process improvement
    • Performs other duties as assigned

      

    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: 

    • Valid NV RN License 
    • Current BLS Certification
    • valid NV State Driver’s license and reliable transportation
    • 3  years of previous job-related experience in a healthcare environment
    • Knowledge of medical terminology
    • Proven skilled with MS Office software applications
    • Proven excellent communication, interpersonal, organization and customer service skills
    • Proven self-motivated, strong computer skills
    • Proven attention to detail
    • Proven ability to multi-task and work under pressure

     

    Preferred Qualifications: 

    • Bachelor’s degree or higher in healthcare related field
    • 2 years of experience providing prior authorization or case management within health plan or integrated system

    Nevada Residents Only: The salary range for Nevada residents is $70,200 to $137,800 annually. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives. 

      

      

    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.    

     

      

    Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and 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.   

       

    OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. 

  • 6 Days Ago

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Marketing Manager (FT)
  • SR Construction, Inc.
  • Las Vegas, NV FULL_TIME
  • ** ALL APPLICANTS MUST COMPLETE A BRIEF 5-MIN ASSESSMENT AT THE LINK BELOW & ATTACH RESUME TO BE CONSIDERED**https://surveys.cultureindex.com/s/32601F0000/66020Are you a proactive analytical thinker w...
  • Just Posted

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Project Manager - Construction
  • SR Construction, Inc.
  • Las Vegas, NV FULL_TIME
  • Are you an analytical thinker who loves to solve tangible problems?Are you great at seeing big picture objectives and instinctually knowing the fastest route to get there?Do people who talk too much a...
  • 19 Days Ago

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Case Manager
  • WESTCARE ARIZONA I INC
  • Bullhead, AZ FULL_TIME
  • Position Summary: Person in this position will work in collaboration with a mental health/substance abuse counselor to provide mental health & substance abuse services to patients/clients of WestCare ...
  • 9 Days Ago

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Case Manager
  • Southwest Behavioral & Health Services
  • BULLHEAD CITY, AZ FULL_TIME
  • Southwest Behavioral and Health Services is seeking a dedicated and empathetic Case Manager who can help us fulfill our mission. “Delivering compassionate care to enhance lives and improve communities...
  • 11 Days Ago

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Case Manager
  • Southwest Behavioral Health Services
  • Bullhead, AZ FULL_TIME
  • Southwest Behavioral and Health Services is seeking a dedicated and empathetic Case Manager who can help us fulfill our mission. “Delivering compassionate care to enhance lives and improve communities...
  • 11 Days Ago

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0 Case Manager, Sr. jobs found in Las Vegas, NV area

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RN Case Manager
  • Amore Hospice Care
  • Las Vegas, NV
  • Job Description Job Description We are seeking an RN Case Manager to join our hospice team! You will be responsible for ...
  • 3/18/2024 12:00:00 AM

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Case Manager
  • Culinary Academy of Las Vegas
  • North Las Vegas, NV
  • Job Description Job Description Reporting to the Executive Director of Student Services and collaborating with the Licen...
  • 3/18/2024 12:00:00 AM

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RN Case Manager
  • MountainView Hospital
  • Las Vegas, NV
  • Description Hourly Wage Estimate: $43.45 - $65.16 / hour Learn more about the benefits offered for this job. The estimat...
  • 3/17/2024 12:00:00 AM

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Pre-Litigation Case Manager
  • Richard Harris Law Firm
  • Las Vegas, NV
  • Job Description Job Description Pre-Litigation Case Manager, Las Vegas, NV Richard Harris Law Firm is seeking an experie...
  • 3/17/2024 12:00:00 AM

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SENIOR CASE MANAGER
  • Hale Injury Law
  • Henderson, NV
  • Job Description Job Description Personal Injury Law Firm located in Henderson, Nevada. We are in search of an experience...
  • 3/16/2024 12:00:00 AM

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Legal Case Manager
  • Bighorn Law
  • Las Vegas, NV
  • Description Case Manager is to work directly with our Personal Injury Attorneys in a high-volume, fast-paced office envi...
  • 3/15/2024 12:00:00 AM

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Case Manager - Law Firm
  • Clear Counsel Law Group
  • Henderson, NV
  • Job Description Job Description About us Clear Counsel Law Group, established in 2013, is a multi-service law firm with ...
  • 3/15/2024 12:00:00 AM

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Pre-Litigation Case Manager
  • Law Office
  • Las Vegas, NV
  • Job Description Job Description Pre-Litigation Case Manager – Personal Injury We are hiring a Pre-Litigation Case Manage...
  • 3/14/2024 12:00:00 AM

Las Vegas is situated within Clark County in a basin on the floor of the Mojave Desert and is surrounded by mountain ranges on all sides. Much of the landscape is rocky and arid with desert vegetation and wildlife. It can be subjected to torrential flash floods, although much has been done to mitigate the effects of flash floods through improved drainage systems. The peaks surrounding Las Vegas reach elevations of over 10,000 feet (3,000 m), and act as barriers to the strong flow of moisture from the surrounding area. The elevation is approximately 2,030 ft (620 m) above sea level. According t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Case Manager, Sr. jobs
$82,595 to $97,505
Las Vegas, Nevada area prices
were up 2.5% from a year ago

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