Manager, Case Management - Registered Nurse
Posted on: March 15, 2020
OVERVIEW OF POSITION:
The Manager, Regional Care Manager, is responsible for all
activities associated with Regional Care Management Programs,
Inpatient and Ambulatory. Ensures all Care Management activities
are efficient, effective and meet regulatory requirements. Monitors
staff performance, provides mentorship and recognizes and manages
departmental opportunities that impact outcomes.
--- Consistently exhibits the following behavioral and
- Develops and maintains strong and lasting teammate and partner
- Meets productivity targets and serves as an example to
- Demonstrates strong communication skills, both written and
- Exhibits behavior and communication skills that demonstrate
commitment to superior patient care, patient experience and patient
--- Consistently ensures that the regional Care Management Programs
meet and exceed compliance adherence; CMS, health plan delegation
--- Develops, implements and analyzes data to support best practice
outcomes for Care Management Programs. Meets auditing time frames
and proactively manages gaps and interventions.
--- Identifies need for and participates in the development and
implementation of care management operating procedures
--- Identifies and proactively manages staffing efficiencies and
productivity, ensuring efficient management of resources
--- Works collaboratively with staff, stakeholders and Clinicians
to provide a patient centric approach to Care Management.
--- Subject Matter Expert in Care Management Programs and
--- Supports and guides staff to be accountable in decision making.
Develops tools and ensures resources are available to support
accountable decision making.
--- Uses, protects, and discloses HCP patients' protected health
information (PHI) only in accordance with Health Insurance
Portability and Accountability Act (HIPAA) standards.
--- Preferred Bachelor's degree
--- Graduate from an accredited school of Nursing.
--- Current California RN license.
--- Bachelor's degree in Nursing or related field preferred.
--- Preferred Certification Case Management
--- 2 years experience in a position of Manager or higher
--- 2 to 3 years management experience in Case Management
KNOWLEDGE, SKILLS, ABILITIES:
--- Computer literate.
--- Ability to work with multiple computer platforms
--- Knowledge of current standards of patient care.
--- Thorough understanding of RN scope of practice.
--- Manual dexterity to use/handle equipment and instruments.
--- Ability to effectively communicate and collaborate with
physicians, patients, families and ancillary staff.
--- Ability to make sound, independent judgments and act
professionally under pressure
What's the first thing that happens when one of the leading
independent medical groups in the country comes together with a
global leader in health care? Opportunity. With DaVita Medical
Group, HealthCare Partners, The Everett Clinic, Northwest
Physicians Network, MountainView Medical Group and Magan Medical
Clinic joining OptumCare and the UnitedHealth Group family of
companies, people like you will find increasing levels of
challenge, impact and professional success. 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)
Careers with OptumCare. 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. OptumCare, 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. Here you'll find incredible ideas in one incredible company
and a singular opportunity to do your life's best work.(SM)
Diversity creates a healthier atmosphere: OptumCare and its
affiliated medical practices are Equal Employment
Opportunity/Affirmative Action employers 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. OptumCare and its affiliated
medical practices is a drug-free workplace. Candidates are required
to pass a drug test before beginning employment.
Keywords: OptumCare, Arcadia , Manager, Case Management - Registered Nurse, Executive , Arcadia, California
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