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) Work from home anywhere in the State of Iowa. Primary Responsibilities: Clinical operations across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating) Case management and coordination of care Takes lead role in setting direction and participating in or developing new programs Sets team direction, resolves problems and provides guidance to members of the team Ensures team meets established performance metrics and performance guaranteesAdapts departmental plans and priorities to address business and operational challenges
Required Qualifications:Current, unrestricted RN license OR a Bachelor's degree in a health or human services related fieldAt least 1 year working with Medicaid Waiver programs3 years of healthcare experience 3+ years experience as a managerExperience in utilization management, utilization review, concurrent review and / or risk managementBasic level of experience with Microsoft Word, with the ability to navigate a Windows environment Preferred Qualifications:Clinical data analysis and reportingLeading clinical quality initiativesExperience / exposure with discharge planningA background in managed careCase Management experienceCertified Case Manager (CCM)Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to 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: RN, Registered Nurse, Nurse, human services, social work, social worker, BSW, LSW, case management, case manager, Care coordination, utilization management, utilization review, concurrent review, risk management, program management, data analysis, reporting, quality, management, manager, managed care, CCM, acute care, Des Moines, Davenport, Sioux City, Iowa City, Waterloo, IA, Iowa
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.