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in Ontario, CA

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Hours Full-time, Part-time
Location Ontario, CA
Ontario, California

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)
 
At OptumHealth, you will perform within an innovative culture that's focused on transformational change in the health care system. You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact that's greater than you've ever imagined!
 
North American Medical Management, California, Inc. (NAMM California) partnered with OptumHealth in 2012.  NAMM California and OptumHealth share a common goal of bringing patients, physicians, hospitals and payers closer together in the mission to increase the quality, efficiency and affordability of care. 
 
For over 18 years, NAMM California has been an innovator in health care with a track record for quality, financial stability, extraordinary services and integrated medical management programs. NAMM California is well positioned to continually invest in its infrastructure and systems for the benefit of its provider clients and to accommodate the impending changes that will come forth from healthcare reform.
 
As a part of our continued growth, we are searching for a new Supervisor of Case Management to join our team…
 
The Supervisor of Case Management functions as first line management for the Case Management Department and provides oversight for the clinical Case Management staff. Responsibilities entail Case Management activities within the department that may include: staffing issues, Case Management audits, project management, staff development, quality management, as well as training.
 
Primary Responsibilities:

Actively evaluates caseloads and appropriate distribution of work
Achieve workflow modifications to maximize efficiency
Supervise staffing needs as indicated by Clinical Manager
Assist the Manager in developing and implementing and monitoring the quality assurance process
Identify compliance and quality improvement opportunities and initiate corrective actions
Assist in implementing procedures to provide excellent customer service to our clients through but not limited to communication, staffing, phone availability and service execution
Identify issues, training needs, and develop processes within the Case Management departments
Conduct performance reviews and evaluations of staff
Willingness to assist with case management duties when needed

Requirements

Required Qualifications:


Current RN license in the state of California
3+ years of Case Management experience
1 or more years of Managed Care/IPA/Health plan experience
1 or more years of Supervisory/Management experience
Computer proficiency in MS Office: Outlook, Word, Excel, PowerPoint
Ability to travel to IPA sites when needed
Preferred Qualifications:

Certified Case Manager (CCM)
Bachelor Degree in Nursing  
Clinical experience with inpatient, hospital, ambulatory care, SNF, or home health
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)
 
NAMM California is a part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.  NAMM California develops and manages provider networks, offering a full range of services to assist physicians and other Providers in supporting patient care coordination and their managed care business operations.
 
The NAMM California provider clients represent a network of almost 600 primary care physicians and over 3,000 specialists and work with the premier hospitals in their respective markets.
 
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: Supervisor, Case Manager, Managed Care, Health plan, IPA, CCM, RN, inpatient, ambulatory, SNF, Home Health, Ontario, CA