24 days old

OptumCare Case Management (CM) RN Supervisor - Phoenix, AZ

Phoenix, AZ 85003
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  • Job Code
    862332

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)


OptumCare Network of Arizona is a network of health care providers in the Southwest, whose mission is to connect and support providers by working together to deliver the most effective and compassionate care to each and every patient they serve. OptumCare Network of Arizona is focused doing the right things for patients, physicians, and the community. OptumCare Network of Arizona's Core Business is contracting directly with health insurers to deliver a highly personal care management and service model to their patients. The current focus of OptumCare Network of Arizona is on seniors, and those with complex care needs, who most benefit from a high touch model of care.

 

The Case Management (CM) RN Supervisor supports the CM team by providing leadership, overseeing the day-to-day operations, and assisting with program development to ensure the objectives of the program are met.

 

Primary Responsibilities:

  • Provides clinical guidance and support to assigned CMs and other staff
  • Assists in the hiring, orientation, training, and retention of CMs and other staff
  • Performs oversight of CM caseloads and makes adjustments as needed for effective case management
  • Assists in process improvement efforts for OptumCare AZ
  • Regularly audits or oversees the audits of the CM team's documentation on patient assessments
  • Accountable for defined outcomes and metrics associated with the case management processes
  • Serves as the clinical liaison and collaborates with OptumCare AZ vendors and community partners
  • Maintains audit tools of CM programs
  • Facilitate the use of community resources to mitigate return to acute of our members / beneficiaries
  •  Facilitate monthly team meetings
  • Manage the patient survey response process and contact members as requested
  • Coordinating Interdisciplinary team rounds and other projects
  • Prepare productivity and performance reports for department and leadership meetings
  • Ensures standardized execution of workflow processes, policy and procedure, auditing, etc.
  • Manages case managers' assigned case load
  • Act as a resource for direct reports to include inquiries and assistance as needed
  • Advocating and facilitating members / beneficiaries with coordination of care issues, as needed
  • Other assigned duties


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: 2020-03-13 Expires: 2020-04-12

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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OptumCare Case Management (CM) RN Supervisor - Phoenix, AZ

UnitedHealth Group
Phoenix, AZ 85003

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