ArcadiaRecruiter Since 2001
the smart solution for Arcadia jobs

Manager, Case Management - Registered Nurse

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

Job Description:

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.

ESSENTIAL FUNCTIONS:


  • 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.

      EDUCATION:

      • 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

        EXPERIENCE:

        Minimum:

        • 2 years experience in a position of Manager or higher

          Preferred:

          • 2 to 3 years management experience in Case Management

            KNOWLEDGE, SKILLS, ABILITIES:

            • 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

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Executive Jobs


Regional Sales Manager - Southern CA
Description: Flow Kana is the first sustainable, sungrown cannabis company to embrace the small, independent farm ecosystem. We partner with, and give scale to, craft farmers in Northern California and values-aligned (more...)
Company: Flow Kana
Location: Culver City
Posted on: 04/1/2020

Medical Coding Manager - Physian Services
Description: PHYSICIAN CODING MANAGERThe Coding Manager is responsible for planning, organizing and supervising the coding department to provide optimum coding in accordance with procedures, goals and standards oversees (more...)
Company: Nexus Staffing Group
Location: Los Angeles
Posted on: 04/1/2020

Interim Financial Project Manager (Project)
Description: Our client in the healthcare industry is looking for an Interim Financial Project Manager to join their team in Los Angeles County br br Job Description: br br ul br li Responsible for more (more...)
Company: Century Group (CA)
Location: Los Angeles
Posted on: 04/1/2020


Application Lifecycle Management (ALM) Engineer
Description: As a member of the Application Services unit, the Application Lifecycle Management ALM Engineer develops and supports IT Services' application development lifecycle management processes and tools. The (more...)
Company: UCLA Information Technology Services
Location: Los Angeles
Posted on: 04/1/2020

Interim Payroll Manager (Project)
Description: Our client in the service company industry is looking for an Interim Payroll Manager to join their team in Los Angeles. br br Job Description: br br ul
Company: Century Group (CA)
Location: Los Angeles
Posted on: 04/1/2020

Marine Program Project Manager
Description: br br Your Career Begins at Timken br If you're ready for a challenging career that provides you with the ability to advance personally and professionally, look to Timken. Our associates make the (more...)
Company: The Timken Company
Location: Santa Fe Springs
Posted on: 04/1/2020

Finance Manager
Description: Our client in the service company industry is looking for a Finance Manager to join their team in San Fernando Valley br br Job Description: br br ul br li Assist with the annual budget (more...)
Company: Century Group (CA)
Location: San Fernando
Posted on: 04/1/2020

Health & Safety Manager
Description: HELP US BRING THE GIFT OF HEALTH TO LIFE.Working at Pharmavite is an experience like no other. With a focus on complete nutrition for all, each endeavor is urgent and every day counts. You'll have the (more...)
Company: Pharmavite
Location: San Fernando
Posted on: 04/1/2020

Vice President, Clinical Health Care Consulting & Operations
Description: The Vice President will work closely with firm leadership to lead clinical efforts of client engagements and further develop our client pipeline for future clinical engagements. In this role, you'll lead (more...)
Company: COPE Health Solutions
Location: Los Angeles
Posted on: 04/1/2020

UX Design Manager
Description: iZotope is looking for an experienced User Experience Manager to join our growing Design team. The successful candidate will drive the user experience of iZotope's award-winning music production desktop (more...)
Company: iZotope
Location: Los Angeles
Posted on: 04/1/2020

Log In or Create An Account

Get the latest California jobs by following @recnetCA on Twitter!

Arcadia RSS job feeds