|
FoundCareer.com BETA
The leader in free to post job boards |
|
|
|
 (Print)
 (Save This Job)  (Tell a friend) |
| Posted Date : 2009-12-23 |
| Sr Case Manager |
| Company Name: Confidential |
Job description: UnitedHealthcare is part of the family of companies that make **MEMBERS ONLY**SIGN UP NOW***. one of the leaders across most major segments of the US health care system.
When you work with UnitedHealthcare, what you do matters. It's that simple…and it's that challenging.
In providing consumer-oriented health benefit plans to millions of people, our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system.
In addition to case management duties, the Sr RN will work in collaboration with management to provide leadership to the case management staff as they perform the functions of case management, discharge planning and utilization management for health plan members receiving inpatient care. Collaborates with physicians and assists in the facilitation of healthcare resources to ensure medically appropriate care is delivered in a timely manner. Advocates for patients/families and liaisons with key team member to ensure that patients' healthcare needs are being addressed.
1. Provide case management, discharge planning, utilization management functions for a designated set of health plan members who are inpatient.
2. Assist management team in the leadership and support to the clinical teams to ensure ongoing identification of opportunities for process improvement related to daily clinical operations and decision making needed for case management activities.
3. Facilitate patient / family and provider communications as indicated and advocate for patient / family with healthcare team as needed.
4. Resolve issues with physicians, specialists, family, patients and hospital staff to ensure the timeliness of healthcare delivery.
5. Communicate with stakeholders, appropriate health care related information to ensure timely coordination care and services for members currently receiving inpatient care.
6. Utilizes approved clinical criteria to asses and determine appropriate level of care for members currently receiving inpatient care.
Regardless of your role at UnitedHealthcare, the support you feel all around you will enable you to do what you do with energy, integrity, and confidence. So take the first step in what is sure to be a fast paced and highly diversified career.','!*!UnitedHealthcare is part of the family of companies that make **MEMBERS ONLY**SIGN UP NOW***. one of the leaders across most major segments of the US health care system.
When you work with UnitedHealthcare, what you do matters. It's that simple…and it's that challenging.
In providing consumer-oriented health benefit plans to millions of people, our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system.
In addition to case management duties, the Sr RN will work in collaboration with management to provide leadership to the case management staff as they perform the functions of case management, discharge planning and utilization management for health plan members receiving inpatient care. Collaborates with physicians and assists in the facilitation of healthcare resources to ensure medically appropriate care is delivered in a timely manner. Advocates for patients/families and liaisons with key team member to ensure that patients' healthcare needs are being addressed.
1. Provide case management, discharge planning, utilization management functions for a designated set of health plan members who are inpatient.
2. Assist management team in the leadership and support to the clinical teams to ensure ongoing identification of opportunities for process improvement related to daily clinical operations and decision making needed for case management activities.
3. Facilitate patient / family and provider communications as indicated and advocate for patient / family with healthcare team as needed.
4. Resolve issues with physicians, specialists, family, patients and hospital staff to ensure the timeliness of healthcare delivery.
5. Communicate with stakeholders, appropriate health care related information to ensure timely coordination care and services for members currently receiving inpatient care.
6. Utilizes approved clinical criteria to asses and determine appropriate level of care for members currently receiving inpatient care.
Regardless of your role at UnitedHealthcare, the support you feel all around you will enable you to do what you do with energy, integrity, and confidence. So take the first step in what is sure to be a fast paced and highly diversified career.','!*!Knowledge: Strong understanding of insurance products, benefits, coverage limitations, laws and regulations as it applies to the health plan. Thorough knowledge of UM, case management and discharge planning required.
Skills: Strong organizational and computer skills. Strong interpersonal, verbal and written communication skills required. Critical thinking skills and ability to oversee teams to meet expected goals. Demonstrated leadership skills required.
Experience: Minimum two to four years clinical experience in a hospital setting with an emphasis on case management or utilization management required.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
**MEMBERS ONLY**SIGN UP NOW***. is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
','!*!Knowledge: Strong understanding of insurance products, benefits, coverage limitations, laws and regulations as it applies to the health plan. Thorough knowledge of UM, case management and discharge planning required.
Skills: Strong organizational and computer skills. Strong interpersonal, verbal and written communication skills required. Critical thinking skills and ability to oversee teams to meet expected goals. Demonstrated leadership skills required.
Experience: Minimum two to four years clinical experience in a hospital setting with an emphasis on case management or utilization management required.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
**MEMBERS ONLY**SIGN UP NOW***. is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
','Case Management','Case Management','US-NV-Las Vegas','US-NV-Las Vegas','
Location USA-NV-Las Vegas
Job Url Sign up now!
>>>>>>FOR MORE INFORMATION ABOUT THIS JOB AND TO APPLY PLEASE GO TO http://www.EmploymentCrossing.com>>>>>.
|
|
Career Level: |
| Relevant work experience required: |
| Professional designations, degrees, certification required for the position: |
|
| Job type: Full time |
| Travel required: Never |
| Salary Range: Confidential |
| Variable Pay: |
| Benefits: |
| Languages required: |
| Location: Las Vegas,NV,United States |
| Contact details: |
|
Contact name: |
| Phone: |
| Email: jobs@employmentcrossing.com |
| Website: |
| |
|
|
| |
|
| (Print)
(Save This Job)
(Tell a friend) |
|
|
|
| |
|
|
|
| |
|
|
|
|
|
