5 days old

Manager of Case Management

La Palma, CA 90623
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  • Job Code
    853187

AppleCare Medical Group, part of OptumCare, is a group of leading, independent physicians that provide excellent care and quality service. Our doctors work with a team of AppleCare nurses, social workers and pharmacists to provide expert, personalized care. AppleCare Medical Group is comprised of hundreds of board-certified private-practice, independent physicians. Collectively, our physicians have been serving the Southeast area of Los Angeles and Northern Orange County for decades, providing their medical expertise and passion to improving the health of our communities.

   

The Manager of Case Management - La Palma, CA will be responsible for the oversight and facilitation of the Case Management and Quality Management processes and assisting the Director and Vice President of Clinical Services with CM functions as necessary and Clinical operations across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating), Case management and coordination of care. The manager will set team direction, resolves problems and provides guidance to members of the team to ensure the team meets established performance metrics and performance guarantees.

We are offering a $5,000.00 Sign on Bonus for external candidates!

 *This is an office - based management position, located in La Palma, CA and requires local travel of up to 20%, traveling to hospital and skilled facilities*

  
Primary Responsibilities: 
  • Case Management including, but not limited to, the management and coordination of care for high risk, transplant, CCS and CPSP populations

  • Referral Management (authorizations, denials, modifications)

  • Discharge Planning

  • ESRD & Institutional tracking

  • Provider education & corrective action letters 

  • Participation in PCP & Provider Office Meetings

  • Identify and prioritize gaps to develop plan of care to empower consumers to meet identified goals for staff

  • Participation in the IPA Quality Improvement Committee & Peer Review and Credentialing Committee  

  • Other duties as assigned

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.
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Posted: 2020-05-21 Expires: 2020-06-20

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Manager of Case Management

UnitedHealth Group
La Palma, CA 90623

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