Optum NM is seeking a Clinic Case Manager to join our team in Albuquerque, NM.
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.
Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim.
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.
The Clinic Case Manager is responsible for fostering collaboration and a team approach for successfully supporting patients with high-risk health conditions to navigate the healthcare system.
Promotes empowerment by facilitating the role of an educator, resource, and advocate for patients and their families to ensure a maximum quality of life.
Interacts and collaborates with multidisciplinary care teams, to include physicians, nurses, pharmacists, case managers, social workers, and other educators.
Acts as a clinic resource for the value-based population.
Works in a less structured, self-directed environment and performs all delegated nursing duties within the scope of a RN license of the applicable state board of nursing.
Position in this function ensures compliance to contractual and service standards as identified by relevant health insurance plans.
Adheres to policies, procedures, and regulations to ensure compliance and patient safety.
Participation in Compliance and required training is a condition of employment.
Primary Responsibilities:
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