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) The Manager of Case Management will effectively lead and supervise a virtual team of 12-15 Field Based Case Managers. If you are located in Miami Dade, Florida, you will have the flexibility to telecommute* as you take on some tough challenges. 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 guarantees Adapts departmental plans and priorities to address business and operational challengesThis will primarily be a field-based role with a home-based office where you will be spending approximately 50% of the time in the field completing trainings and supervisory visits with staff within an assigned coverage area. Candidates must reside in Miami Dade County with possible travel to Monroe County.
Required Qualifications: Current, unrestricted RN license in the state of Florida Bachelor's degree in Nursing 3+ years direct managerial experience including but not limited to directly managing the performance management, mentoring / coaching and staffing of employees reporting directly to you in a healthcare or managed care environment 3+ years clinical experience in a long term care environment 3+ years of home health experience or field case management experience in a managed care or healthcare environment Basic level of experience with Microsoft Word, with the ability to navigate a Windows environment Preferred Qualifications: Master's degree in Nursing Bilingual English / Spanish speaking A background in managed care Case Management experience Certified Case Manager (CCM) Knowledge in CMS and State regulations Experience / exposure with discharge planning Experience in utilization review, concurrent review and / or risk managementIf the hired individual resides in Florida (office based or telecommuting) this position requires the AHCA Level II background check (fingerprinting) by the State of Florida for all clinicians that have direct face to face contact with members OR employees who will have access to confidential patient data and will require renewal every five years. 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) *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. 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: Registered Nurse, RN, Nurse, BSN, License, Manager, Supervisor, Charge RN, Clinical Manager, Case Management, Case Manager, Long Term Care, DON, Director of Nurses, CCM, Managed Care, Medicaid, Telecommute, Telecommuting, Telecommuter, Remote, Work from Home, WFH, WAH, Work at Home, Miami Dade County, Miami, Monroe County, FL, Florida, UnitedHealthcare, UHC, Community and State, Public Sector, UHG, United Health Group
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.