Manager, RN Community Care - Telecommute

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) Here is an opportunity to lead a new team of highly skilled clinicians across the entire continuum of care. This is where you can utilize your leadership, organizational skills and most importantly compassion to have an impact on the care we deliver to our members.  Primary Responsibilities:

Expert knowledge of industry accepted criteria e.g. Star Hospital Measures, CMS and Health Plan guidelines and guideline application
Clinical operations across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating)
Supervises a team of Community RN Care Managers providing transition of care coordination for Medicare members coming home from an acute care or sub-acute inpatient stay.
Provide support to staff with focus on three HEDIS measures:  Hospitalization for Potentially Preventable Complications (HPC), Plan All Cause Readmissions (PCR) and Medication Reconciliation Post Discharge (MRP).
 Extensive coordination and collaboration across regional M&R operations; national UCS and OPTUM Clinical Programs to provide a seamless service to members during their transition home and beyond.
Adjust workflow and responsibilities according to business and operational needs
Oversee day - to - day operations of the Community RN Care Managers
Conducts values and performance coaching which includes: annual reviews, corrective action plans, and recognition of employees
Efficiently navigates and utilizes computer data entry programs including but, not limited to: Microsoft Office (Outlook, Word, and Excel)

Required Qualifications:

Active Unrestricted RN License for your state of residence
3+ years' of experience as Case Manager
1+ years' of clinical management experience of 10 or more
Efficiently navigate Microsoft Office (Word, Excel, Outlook)
Preferred Qualifications:

BSN or MSN
Complex Case Management experience
2+ years' of clinical management experience of 10 or more
CCM – Professional Certification or Licensure
Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can 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: CCM, Case Management, Management, Manager, Managed Care, RN, BSN, MSN, CMS, Health Plan, Quality, STAR Measure, HPC, PCR, MRP, UCS, Optum, M&R, RN Care Manager, Telecommute, Telecommuting, Telecommuter, Remote