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At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm)

As the Transplant RN Case Manager you will be responsible for the management and coordination of case management services for members having complex needs and requiring complex services in the  Transplant Department.  You will work directly with the member, providers, facilities and other entities to ensure that the patient is assisted through all phases of the transplant process.  The Case Manager will manage members from all lines of business and maximize outpatient management of transplant members by ensuring the member is connected with the appropriate medical and social resources and is educated on managing their disease process.  In addition, you will also minimize the time between transplant referral and listing.

*** Candidates will be able to telecommute after orientation. ***

If you are located in Las Vegas, NV, you will have the flexibility to work remotely* as you take on some tough challenges

Primary Responsibilities:

• Coordination of member's care through the health care continuum
• Collaborate with member, provider, facility to obtain best outcome
• Collaborate with internal members of the health care team, to include PCP, FHS, COC and Medical Director
• Communicate/Develop/Implement ongoing plan of care in conjunction with member and providers
• Act as resource to SMA and Network providers, contracted transplant facilities
• Evaluate, measure and report on outcomes
• Utilize written criteria to approve, pend, and/or send case to medical director for review

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 and unrestricted RN license in the state of Nevada
• 4+ years case management experience 
• Proficient in Microsoft Word, Excel and Outlook

Preferred Qualifications:

• Bachelor’s degree
• CCM
• Managed care experience
• Authorization experience
• Transplant experience
• UNOS experience
• Knowledge NCQA, CMS and other regulatory agencies

Soft Skills:

• Excellent oral and written communication skills
• Demonstrates initiative toward problem solving skills
• Demonstrated critical thinking skills and ability to formulate innovative plan of care for complex cases
• Recognizes others deficits and assists to train/motivate improvement in their skill sets

Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work.(sm)

Nevada Residents Only: The salary range for Nevada residents is $67,800 to $133,100. 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.

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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.

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