Description

** $10,000 Sign On Bonus for External Candidates **

Optum NV is seeking a Senior RN Case Manager to join our team in Las Vegas, NV. 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. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. 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 Skilled Rehabilitation Facility (SNF) Senior Case Manager is responsible for leading clinical operations and medical management activities across the continuum of care. In close collaboration with Providers (MDs/APRNs), facility staff, and interdisciplinary teams, the role ensures high quality, coordinated, and patient centered care. This position oversees comprehensive case management activities including assessment, planning, implementation, coordination, monitoring, and evaluation of member care needs.

The Senior Case Manager also provides health education, coaching, and treatment decision support while serving as a key point of contact for transitions of care and inpatient coordination.

Primary Responsibilities

• Utilize approved clinical criteria to assess and determine appropriate levels of care for Skilled Rehab members
• Apply motivational interviewing techniques to enhance member engagement and support individualized goal setting
• Provide member education, conduct medication reconciliation, and support benefit management
• Ensure timely follow through with the Care Navigation Team, including appointments, referrals, and access to health plan and community resources
• Facilitate communication among patients, families, providers, and facility staff, advocating for members as needed
• Ensure coordinated delivery of services and appropriate utilization of available programs
• Communicate clinically relevant information with internal and external stakeholders to support seamless care coordination for inpatient members
• Serve as the identified point of contact for managing transitions of care, including discharge planning
• Support medical management consultation and continuity of care initiatives across care settings
• Ensure required Medicare compliance

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, unrestricted Nevada RN license
• 3+ years of direct patient care nursing experience
• Confidence learning and utilizing multiple software systems
• Unrestricted Driver's License. Reliable transportation for travel to patient and client sites within the assigned area
• Solid clinical judgment and commitment to continued professional development
• Demonstrated ability to organize, prioritize, and manage complex caseloads
• Solid verbal and written communication skills
• Ability to work independently, adapt readily to change, and maintain flexibility in a dynamic work environment

Preferred Qualifications:

• Experience using healthcare practice management systems
• Utilization Management/Case Management experience

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 to $130,000 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.