Senior Clinic Case Manager

Are you ready to help shape the future of health care? Join us to transcend traditional care and promote health programs that integrate across the entire continuum of care. Together, we can start Caring. Connecting. Growing together.

Role Overview:

The Senior Clinic Case Manager plays a key role in fostering collaboration and a team-oriented approach to support patients facing high-risk health conditions. As an educator, resource, and advocate for patients and their families, you will enable them to navigate the healthcare system effectively, enhancing their quality of life. You'll interact with a multidisciplinary team, including physicians, nurses, pharmacists, social workers, and other professionals, all while operating in a self-directed environment.

Key Responsibilities:

• Work collaboratively within the primary care clinic to support patients and interdisciplinary teams.
• Identify a focused patient panel as defined by the Medical Management team.
• Support the ongoing care of patients with chronic conditions.
• Communicate effectively with patients, addressing their questions through various modalities.
• Assess health conditions and implement care plans alongside patients and healthcare professionals.
• Implement strategies to minimize the risk of exacerbations, emergency room visits, and hospital admissions.
• Conduct medication reconciliation and collaborate with healthcare providers.
• Utilize motivational interviewing techniques and self-management goal setting in patient interactions.
• Provide essential patient education and create referrals to appropriate resources and agencies.
• Facilitate smooth transitions from emergency or inpatient care to outpatient settings.
• Perform ongoing assessments of transitional needs and medication reconciliation.
• Assist with post-discharge requirements, including home healthcare, prescriptions, and transportation.
• Coordinate with providers to establish or update individualized care plans.
• Document accurately and timely within the electronic medical record.
• Participate in daily meetings and contribute to process improvement discussions.
• Stay informed on community resources to enhance patient support.

Qualifications:

Required:

• Valid RN license in Nevada.
• Current BLS certification.
• Minimum 3 years of relevant healthcare experience.
• Strong knowledge of medical terminology.
• Proficiency in MS Office applications.
• Excellent communication, organizational, and customer service skills.
• Self-motivated with solid computer skills and attention to detail.
• Ability to multitask and work effectively under pressure.
• Valid Nevada driver's license with reliable transportation.

Preferred:

• Bachelor's degree or higher in a healthcare-related field.
• 2+ years of experience in prior authorization or case management within a health plan or integrated system.

We offer competitive compensation alongside a comprehensive benefits package, recognizing and rewarding your performance while supporting your professional development. Salary ranges from $71,200 to $127,200 annually based on qualifications and experience.

Join UnitedHealth Group in our commitment to help people live healthier lives and address disparities in health outcomes. We strive for an inclusive workplace that welcomes applicants from all backgrounds.

Note: This position requires passing a drug test prior to beginning employment.