Manager, RN Inpatient Utilization Management - Irvine, CA

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)
 
Primary Responsibilities:

Provides daily operational direction to the Inpatient Services Department including oversight and supervision of Inpatient Supervisors and Operations Managers, Supervisors, and Clinical Services nurses

Responsible for the Clinical Services Management Team in the areas of: Inpatient Clinical Services program development, implementation, and monitoring; Regulatory and Health Plan compliance

Provide ongoing educational opportunities to staff, ensuring an understanding of the business processes, technology used within the organization, regulatory compliance, program standards and outcomes

Responsible for reviewing and participating in the analysis of inpatient data to determine trends where interventions are indicated and implements interventions that are identified

Primary liaison between the Health Plans, contracted providers, and hospitals to ensure collaborative relationships

Performs On-Call duties as scheduled on a rotating basis

Required Qualifications:

Graduate of an accredited School of Nursing (RN) with a BSN

Current unrestricted RN license in CA

2+ years of experience coaching, mentoring, developing clinical teams

2+ years of inpatient utilization / case management experience

2+ years of inpatient care experience in an acute care setting

Current / valid California Driver’s License with current insurance

Travel 50% to hospitals

Proficient in use of Microsoft Office applications and possess a working knowledge of Excel and excellent knowledge of Word
What's the first thing that happens when one of the most successful physician groups in Orange County comes together with a global leader in health care? Opportunity. With Monarch HealthCare joining Optum and the UnitedHealth Group family of companies, people like you will find increasing levels of challenge, impact and professional success. With a vibrant network of hospitals and urgent care centers, we're changing health care for the better by improving access to affordable, high quality care, and working together to improve the patient experience. That takes passion, commitment, intense focus and the ability to contribute effectively in a highly collaborative team environment. Are you with us? Learn more about this exciting 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: Acute, inpatient, utilization management, case management, BSN, clinical, RN, case manager, inpatient case manager, Irvine, CA, California