Care Management Manager – Multiple Counties, Idaho

Número de la requisición: 2270971
Categoría de la vacante: Medical & Clinical Operations
Localização da vaga: Boise, ID
(Remote considered)

Doctor consulting nurse at nurse station.

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. 

In this Care Management Manager role, you will lead a team of Care Coordinators, while overseeing day-to-day clinical operations, including team and performance management, process improvement, and standardized execution of clinical decision processes, and implementation of new program initiatives. Complying with contractual requirements and ensuring member needs are met.

This is a fast-paced working environment that requires the ability to multitask with attention to detail and excellent organizational skills.

This position is a hybrid- based position up to 25% of time in field when business requires with a home – based office. You will work from home when not in the field.

If you reside within the state of Idaho, you will enjoy the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

  • Selects, manages, develops, mentors and supports staff in designated department and region
  • Develops clear goals and objectives for performance management and effectively communicates expectations, and holds the team accountable for results
  • To meet the unique needs of our members, have an intimate understanding of the relevant contractual requirements
  • Identify, select, structure, and prioritize process improvement projects, ultimately implementing changes to meet program requirements
  • Ensures standardized execution of workflow processes, including conducting performance audits, quality reviews, and compliance adherence
  • Works collaboratively with other Health Services Department team members to ensure consistency, support and member outcomes
  • Acts as a regional interface with other departments to coordinate workflow processes and implementation plans
  •  Participates in training and coaching of direct reports
  • Conducts a minimum of bi-annual field visits with direct reports to observe, provide areas of teaching, address issues and concerns and foster a good working relationship
  • Collaborates across Optum and UHG and interacts with Medical Directors, Site Directors, Senior Leaders, Network, Marketing, Account Management, Quality, Product, and other stakeholders
  •  Review and disseminate report inpatient census report for NF case

What are the reasons to consider working for UnitedHealth Group?   Put it all together – competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

  • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
  • Medical Plan options along with participation in a Health Spending Account or a Health Saving account
  • Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
  • 401(k) Savings Plan, Employee Stock Purchase Plan
  • Education Reimbursement
  • Employee Discounts
  • Employee Assistance Program
  • Employee Referral Bonus Program
  • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
  • More information can be downloaded at: http://uhg.hr/uhgbenefits

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Current and unrestricted Idaho license as one of the following:
    •  RN/LPN
    •  LCSW, LMSW, LSW
    •  PA
  • 3+ years of experience in case management within the healthcare industry
  • 2+ years of demonstrated management experience with responsibility for team performance management
  • 1+ years of experience analyzing and making recommendations for process improvement
  • Intermediate level of proficiency with MS office including Word, Excel, PowerPoint and Outlook with proficient ability to navigate in a Windows environment
  • Intermediate level of experience presenting to leadership and management
  • Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
  • Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Preferred Qualifications:

  • Certified Case Manager (CCM)
  • Demonstrated experience / additional training or certifications in care in rural settings homelessness, food insecurity, behavioral health, co-occurring conditions, IDD, Person Centered Care, Motivational Interviewing, Stages of Change, Trauma-Informed Care
  • Background in managed care
  • Bilingual – Spanish/English or other language specific to market and region
  • Lives in Idaho

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy. 

    

The salary range for this role is $89,800 to $176,700 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives. 

    

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

    

     

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.

    

   

#RPO #YELLOW

Información adicional sobre la vacante

Número de la requisición 2270971

Segmento de negocio UnitedHealthcare

Nivel del cargo Manager

Disponibilidad para viajar Yes, 25 % of the Time

Ubicaciónes adicionales de la vacante

Lewiston, ID, US

Idaho Falls, ID, US

Pocatello, ID, US

Twin Falls, ID, US

Coeur D Alene, ID, US

Estado de horas extras Exempt

Vacante de teletrabajo Yes