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Supervisor, RN Case Management - Telecommute
| Hours | Full-time, Part-time |
|---|---|
| Location | Moline, IL Moline, Illinois |
About this job
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 and help people live healthier lives while doing your life's best work.(sm)
*** This is a telecommute position that is located in Moline, IL, Davenport, IA or Iowa City, IA.
Travel may be required both within the state and out of state. ***
This position will be responsible for supervising a team of field based RN case managers. RNs are based in physician offices overseeing the care of Medicare and Retirement members ensuring that recommended preventative health screenings are completed and gaps in care are addressed. Travel may be required both within the state and out of state.
Job Responsibilities:
- Supervise nursing staff and review their performance metrics
- Provide coaching and mentoring to staff members who are not meeting production standards
- Conduct training sessions to educate staff on new processes and procedures
- Conduct 1-on-1 meetings with staff and perform quality audits
- Serve as a subject matter expert on system and processes
- Handle escalated issues
- Travel both in state and out of state to visit physician practices and staff as needed
- Leverage clinical acumen to provide guidance to staff (e.g., disease state, health conditions)
- Assist staff in navigating the medical management system (e.g., find resources, answers questions)
- Provide oversight and review of coordination of care (e.g., chronic condition
- management, utilization management, case management)
- May be assigned to a physician practice and manage a patient case load
- May assist with new physician practice implementations and relationship management
- Ensure employees are current with clinical licensure and certifications
- Develop and communicate performance metrics and expectations
- Direct data collection and measurement of outcomes (e.g., customer surveys)
- Apply metrics to evaluate services, employee performance, and program outcomes
- Read and interpret reports (e.g., performance, service)
- Identify causes of performance deficiencies and determine appropriate follow up actions
- Drive implementation of best practices and standards
- Complete other duties as assigned
Requirements
Required Qualifications:
- Current, unrestricted RN license in the State
- Minimum of 3 years clinical experience in a hospital, acute care, home health, direct care or case management
- Computer/typing proficiency to enter/retrieve data in electronic clinical records; experience with email, Internet research, use of online calendars and other software applications
- Reliable transportation, valid and unrestricted driver's license, proof of insurance and ability to travel to provider offices, member homes or other locations within service delivery area and travel within service area – may require up to 1 hour radius for travel
- Problem solving skills; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action
- Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others
Preferred Qualifications:
- Bachelors of Science in Nursing
- Leadership experience
- Case Management experience including Certification in Case Management
- Experience in intensive care (ICU) or emergency department (ER) nursing
- Prior Physician Office experience
- Home care/field based case management
- Medicaid, Medicare, Managed Care experience
- Experience working with the needs of vulnerable populations who have chronic or complex bio-psychosocial needs
- Call Center experience
- Experience in working with patients in Home and/or Community based setting
- Experience with EMR (electronic medical records)
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, 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: Management, Supervisor, Manager, Supervision, RN, Registered Nurse, Case Management, BSN, CCM, Call Center, Chicago, IL, Illinois, Indianapolis, IN, Indiana, Davenport, IA, Iowa, Iowa City, IA