5 days old

RN Manager of Case Management - Irvine, CA

Irvine, CA 92606
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  • Job Code
    869393
Monarch Health is one of the largest associations of physicians and health care professionals in Orange County and Long Beach. Our network gives you lots of access to specialists, hospitals, skilled nursing, urgent care and more so you have the perfect fit for good health. Monarch is part of OptumCare, a care delivery organization that improves patient health and helps make health care work better. 
 
The RN Manager of Case Management coordinates, supervises and is accountable for the daily activities of business support, technical or production team or unit.  This position may supervise any LOB, including Senior, Commercial, ACO or Government programs.  The supervision includes case management, coordination or care and monitoring of the requirements for MOC and NCQA.
 
 *This is an office based position, supervising a team of office based telephonic Nurses. 

 
Primary Responsibilities: 
  • Sets priorities for the team to ensure task completion and/or meeting MOC or NCQA guidelines
  • Coordinates work activities with other supervisors and representatives from health plans
  • Develops plans to meet short - term objectives
  • Identifies and resolves operational problems using defined processes, expertise and judgment
  • Decisions are guided by policies, procedures and business plan and health plan requirements
  • Guide and assure that staff are meeting health plan / NCQA guidelines in documentation. Participate in Health Plan audits.
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: 2020-03-25 Expires: 2020-04-25

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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RN Manager of Case Management - Irvine, CA

UnitedHealth Group
Irvine, CA 92606

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