Inpatient RN Case Manager - Las Vegas, NV

Inpatient RN Case Manager - Las Vegas, NV

$10,000 Sign‑On Bonus for External Candidates

At United Healthcare, we are simplifying the healthcare experience and making it more affordable and equitable. As an Inpatient RN Case Manager
, you will lead discharge planning, improve transitions of care, and manage utilization for hospitalized health plan members in the Las Vegas and Henderson area.

• Perform patient assessment of all major domains using evidence‑based criteria (physical, functional, financial, psychosocial).
• Develop individualized discharge plans with providers, patients, and caregivers for successful transitions.
• Implement discharge plans involving resources across the continuum.
• Monitor and report variances that may challenge timely quality care.
• Flexible to work onsite at a hospital in the Las Vegas and Henderson area.

• Assess, plan and implement care strategies individualized by patient.
• Use company and community resources to establish a safe case‑management plan.
• Collaborate with patient, family, and providers on care plan.
• Communicate health‑related information to ensure coordinated care.
• Advocate for patients and families as needed.
• Determine appropriate level of care using approved criteria.
• Understand insurance products, benefits, coverage limitations, and regulations.
• Accountable for utilization management benchmarks and quality outcomes.
• Provide health education and coach consumers on treatment alternatives.
• Support consumers in selecting physicians and facilities.
• Coordinate services and referrals.
• Assist with physician visits preparation.
• Assess and triage immediate health concerns.
• Manage utilization through education.
• Identify care gaps to intervene.
• Help members sort benefits and make choices.
• Handle inbound/outbound calls per needs.
• Perform special projects and other duties as assigned.
• Work in Sub‑Acute or Acute Hospital settings.
• Occasional driving up to one hour daily for regular employees.

• Registered Nurse with active, unrestricted license in Nevada.
• 2+ years of adult clinical, managed care, or case‑management experience.
• Intermediate PC proficiency in Windows (MS Word, Excel).
• Valid driver’s license and reliable transportation.

• CCM certification or ability to obtain within 2+ years of employment.
• 2+ years of ER, ICU, IMC/step‑down, or med‑surg experience.
• Case‑management or utilization review experience.
• Experience in a managed care organization.
  
  Knowledge of Inter Qual or MCG.

Hourly pay ranges from $28.27 to $50.48 based on experience and qualifications. Additional benefits include a comprehensive package, incentive and recognition programs, equity stock purchase, and 401(k) contribution.

United Health Group is an Equal Employment Opportunity employer under applicable law. 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.

United Health Group is a drug‑free workplace. Candidates are required to pass a drug test before beginning employment.