Clinical Manager, Case Management

Employer
UnitedHealth Group
Location
Washington, DC
Posted
Nov 23, 2021
Closes
Nov 26, 2021
Ref
222259704
Industry
Insurance
Hours
Full Time
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)We are looking for a creative, experienced Manager to be a mentor and knowledgeable resource to their team. Someone who is innovative and a self-starter is a must! This position will oversee Care Coordinators working with members who receive Home Care based services. The Manager will ensure compliance with the contract requirements for the assessment and care of the population, as well as provide strong, encouraging leadership to the team.$5000.00 SIGN ON BONUS FOR EXTERNAL CANDIDATESPrimary Responsibilities:Demonstrates UHG cultural values, including modeling ethical behavior, delivering value to customers, leading and developing people, leading change and innovation, driving sound disciplined decisions and driving high quality executionEnsures compliance of Case management and coordination of care per policies, procedures and contractual requirementsEnsures consistent leadership and direction for teamSets team direction, resolves problems and provides guidance to members of the teamTakes lead role in setting direction and participating in or developing new programsClinical operations across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating)Interprets complex information, simplify, clarify and communicate effectively to othersEnsures team meets established performance metrics and performance guaranteesAdapts departmental plans and priorities to address business and operational challengesYou'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:BSNCurrent, unrestricted RN license in DC3+ years of experience in a hospital setting, acute care, direct care experience or preferably in field-based care coordination2+ years of Supervisory/Management experienceProficient with Microsoft Office, with the ability to navigate a Windows environmentResident of DCPreferred Qualifications:Case Management experienceExperience in utilization review, concurrent review and/or risk managementHome Health experienceDC Medicaid knowledgeBackground in managed careExcellent verbal and written communication skillsSolid organizational skills and multitasking abilitiesFull COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance.Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)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.Job Keywords: Clinical Manager, Case Management, Case Manager, RN, Registered Nurse, In Home Care, DC, Washington, District of Columbia