For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

Position in this function is responsible for providing expert clinical and administrative leadership to teammates within a given department or multiple departments to ensure efficiency of operations and functions. Under the supervision of a clinician, this teammate is responsible for ensuring that all policies and procedures are followed related to patient clinical care and safety. Responsible for performing operational duties as required under the supervision of the Lead clinician, site administrator or designee.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Team Oversight
  
  • Directly supervises RNs, LVNs, and Health Advocates, focusing on daily operational responsibilities
  • Works closely with the director to support the Optum CA ACO Commercial and Medicare programs
• Project and Task Management
  
  • Ensures successful execution of projects by monitoring progress consistently
  • Identifies and mitigates risks or challenges early in the process
  • Ensures timely completion of tasks across the team
• Collaborative Environment and Team Support
  
  • Fosters a collaborative environment, providing guidance and support to team members
  • Acts as a working supervisor, participating in daily tasks alongside the team
• Focus on Quality and Compliance
  
  • Proactively identifies and addresses gaps to meet health plan and CMS KPIs
  • Conducts regular documentation audits to ensure accuracy, quality, and compliance
• Resource and Workflow Management
  
  • Manages resources, schedules, and workflow in collaboration with the director to promote efficiency
  • Optimizes team workflows to support high-quality patient care
• Patient Education and Oversight
  
  • Leads patient education initiatives and ensures that patients are supported in understanding their care
  • Provides oversight on the team’s patient interactions, ensuring quality and satisfaction
• Team Meetings and Communication
  
  • Regularly conducts team meetings to align on goals, share updates, and address any issues
  • Communicates effectively with the team, providing clear direction and fostering a supportive environment
• Functions as a resource and serves as a liaison between administration, clinicians, teammates, other departments, patients and vendors
• Participates in Nursing Leadership, Nurse Peer review and other committees as needed
• Participates in educational programs to enhance nursing and management knowledge
• Trains teammates in collaboration with the director

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:

• Graduate from an accredited school of Nursing
• Current California RN Lic
• Care management experience
• ACO Commercial and Medicare program experience
• Intermediate level of experience with Microsoft Suite

Preferred Qualifications:

• Prior supervisory experience
• Prior ambulatory care experience

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

California, Colorado, Connecticut, Hawaii, Maryland, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $70,200 to $137,800 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

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

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https://jobs.healthcareercenter.com/jobs/20833009/spvsr-rn-case-mgmt-remote