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Manager, Case Management - Registered Nurse

Company: Optum
Location: Arcadia
Posted on: March 23, 2020

Job Description:


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 communication skills:

    • Develops and maintains strong and lasting teammate and partner relationships
    • Meets productivity targets and serves as an example to teammates
    • Demonstrates strong communication skills, both written and verbal
    • Exhibits behavior and communication skills that demonstrate commitment to superior patient care, patient experience and patient outcomes
    • Consistently ensures that the regional Care Management Programs meet and exceed compliance adherence; CMS, health plan delegation and quality
    • 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 processes
    • 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 Bachelors degree
      • Graduate from an accredited school of Nursing.
      • Current California RN license.
      • Bachelors 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


            • Computer literate.
            • Ability to work with multiple computer platforms simultaneously
            • 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 youll 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: Optum, Arcadia , Manager, Case Management - Registered Nurse, Executive , Arcadia, California

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