Description

Optum NV is seeking a RN Supervisor Case Management 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. 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.

Primary Responsibilities:

• Assists Medical Management leadership and works together to support Medical Management teams
• Works together with leadership to implement processes that ensure staff are participating and adhering to procedures designed to avoid acute readmissions, divert ED visits and provide the highest quality of service for our patients
• Directly Supervises as well as assists with the daily activities of multiple Medical Management Teams
• Collaborates with Manager to perform RN Quarterly Curo Audits
• Identify areas within the department's daily operations that require additional organization. Collaborate with stakeholders to design and implement processes. Create metrics to measure outcomes
• Acts as a project coordinator for new medical management processes
• Maintain solid knowledge of Case management, and plan benefits to ensure optimal experience for the patient and best practice outcomes
• Works collaboratively with ancillary staff, within the department as well as other departments for coordination of care for patients resulting in achievement of optimal outcome for member as well as achieving department financial goals
• Supervise & assist with MM Team Huddles
• Serve as a Resource for Policies and Procedures. Disseminate pertinent changes to required stakeholders as needed.
• Keep the Department Resource file up to date
• Assists with Plan Annual Surveys

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:

• Highschool diploma
• Unrestricted and unencumbered RN license in the state of Nevada
• 3+ years of experience in a Hospital or Managed Care setting
• 2+ years of Case Management experience
• Driver's License and access to a reliable transportation

Preferred Qualifications:

• Bachelor's Degree or higher in Healthcare or other related field
• CCM

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 $71,200 to $127,200 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.