Manager, Care Management

Opportunities at Northern Light Health, in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits and discover the meaning behind: Caring. Connecting. Growing together.  

 

The Manager, Care Management is responsible for the day-to-day functioning, future planning and fiscal oversight of Inpatient Care Coordination in a manner that supports the mission and vision of Mercy in Portland, Maine.

 

Primary Responsibilities:

• Clinical operations across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating)
• Care 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 the team meets established performance metrics and performance guarantees
• Adapts departmental plans and priorities to address business and operational challenges

 

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:

• BSN degree
• Current, unrestricted RN license in the State
• 3+ years of experience in nursing leadership
• 3+ years of experience in a hospital setting, acute care, direct care experience or experience as a telephonic Case Manager for an insurance company
• Care management experience
• Demonstrated basic level of experience with Microsoft Word, with the ability to navigate a Windows environment
• Ability to be onsite 5 days a week at the hospital
• Driver’s License and access to reliable transportation

 

Preferred Qualifications:

• Certified Case Manager (CCM)
• Experience/exposure with discharge planning
• Experience in utilization review, concurrent review and/or risk management
• Background in managed care
• Proven solid organizational skills and multitasking abilities will be keys to success

 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.

 

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.  

 

 

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

 

UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.