Clinical RN Manager for Field Case Management - Telecommute - Full-time / Part-time

What makes your clinical career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You can work with in an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.

The Provider Services Onsite Case Management Clinical Manager is responsible for the overall performance of the clinical program he/she supports. The Clinical Manager develops and leads professional clinical and nonclinical staff in required activities which facilitate and support quality, cost efficient outcomes and minimizes fragmentation of health care delivery.

The Clinical Manager has experience and expertise in the Case Management process and coaches the staff on the collaborative process of assessment, planning, implementation, coordination, monitoring, and evaluation to address patients holistically. The Clinical Manager supports and coordinates the operations effectiveness across the continuum of onsite and telephonic case management.

The Clinical Manager helps his/her staff to understand and demonstrate the ability to integrate the needs of consumers, customers and the business. Overall, the Clinical Manager is held accountable for the team's ability to meet the business goals and will continually motivate the staff to develop the skills needed to succeed in their roles.

The Clinical Manager will meet with hospital representatives, physician practices and other members of the care system to develop relationships which facilitate communication and coordination amongst the health care team to minimize fragmentation of services.

• Staff development and training


• Serves as a coach, mentor and advocate for staff


• Adheres to ethical, legal/regulatory and accreditation standards


• Leads by coaching staff to higher levels of performance


• Accountable for hiring high functioning and effective staff


• Creates an environment that is able to attract and retain staff


• Leads change


• Models accountability and expects the same from staff


• Identifies opportunities for continuous improvement


• Participates in continuous improvement as SME


• Networks/communicates with peers to facilitate operational standards and improvements


• Understands and uses data to manage the team as well as individual performance


• Communicates with staff in a clear and comprehensive manner


• Accountable for operational discipline


• Meets business goals and objectives


• Meets and/or exceeds customer expectations


• Collaborates with the provider services OH team, physicians, facilities and community resources


• Collaborates with sales, account management, product organization, and other stakeholders as applicable


• Responsible for performance management of staff


• Articulates team performance and impact of services delivered during client meetings

• Current, unrestricted RN license in the State


• Minimum of 3+ years' experience as a manager and/or supervisory


• 3+ years' experience in a hospital setting, acute care, direct care experience or experience as a telephonic Case Manager for an insurance company


• Basic level of experience with Microsoft Word, with the ability to navigate a Windows environment

• BSN


• A background in managed care


• Case Management experience


• Certified Case Manager (CCM)


• Experience/exposure with discharge planning


• Experience in utilization review, concurrent review and/or risk management


• Strong organizational skills and multitasking abilities will be keys to success

• Coaching experience


• Strong written and verbal communication skills


• Strong critical thinking skills


• Strong ability to influence and motivate


• Understanding of principles of change and ability to drive and motivate staff along the continuum of change


• Excellent conflict management skills


• Able to work under pressure


• Strong ability to prioritize

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system 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: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.