22 days old

Manager of Utilization Management - Phoenix, AZ

Phoenix, AZ 85003
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  • Job Code
    873939

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)

 

Primary Responsibilities:

  • Responsible for managing a team of utilization review RNs which includes Concurrent Review and assistance with discharge planning and care coordination (telephonic)
  • Manages and is accountable for professional employees and / or supervisors
  • Performs reviews of current inpatient services. Determines medical appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination
  • Acts as a liaison between OptumCare and hospital facility leadership, owns Joint Operating Committee meetings
  • Takes major role in setting direction and participating in or developing new programs
  • Sets team direction, resolves problems and provides mentoring and guidance to team supervisors and team members and other staff
  • Ensures team meets established performance metrics, outcomes and defined customer performance guarantees
  • Adapts departmental plans and priorities to address business and operational challenges as documented within reports and data
  • Responsible for tracking and trending data, reporting team key performance metrics, measuring outcomes and implementing process improvement initiatives
  • Influences or provides input to forecasting and planning activities
  • Product, service or process decisions are most likely to impact multiple groups of employees and / or customers (internal or external)

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: 2020-05-05 Expires: 2020-06-04

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 Utilization Management - Phoenix, AZ

UnitedHealth Group
Phoenix, AZ 85003

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