14 days old

Supervisor of Case Management

Ontario, CA 91764
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  • Job Code
    868845

North American Medical Management, California, Inc. (NAMM California) partnered with OptumHealth in 2012. NAMM California and OptumHealth share a common goal of bringing patients, physicians, hospitals and payers closer together in the mission to increase the quality, efficiency and affordability of care. NAMM California is a part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. NAMM California develops and manages provider networks, offering a full range of services to assist physicians and other providers in supporting patient care coordination and their managed care business operations. For over 18 years, NAMM California has been an innovator in health care with a track record for quality, financial stability, extraordinary services and integrated medical management programs. NAMM California is well positioned to continually invest in its infrastructure and systems for the benefit of its provider clients and to accommodate the impending changes that will come forth from healthcare reform.

 

The NAMM California provider clients represent a network of almost 600 primary care physicians and over 3,000 specialists and work with the premier hospitals in their respective markets.

 

North American Medical Management, California, Inc. (NAMM) develops and manages clinician networks, offering a full range of services to assist physicians and other clinicians in their managed care and business operations. For over 17 years, NAMM has been an innovator in health care with a track record for quality, financial stability, extraordinary services and superior electronic capabilities. Prime Care Medical Network is a key affiliate.

 

Primary Responsibilities:

  • Provide day-to-day oversight of case management staff and coordination of care for high risk Senior Medicare Advantage and D-SNP population
  • Actively evaluates caseloads and appropriate distribution of work
  • Monitor employee performance to maximize efficiency and performance
  • Supervise staffing needs as indicated by Director and Clinical Manager
  • Assist the Director and Clinical Manager in developing, implementing and monitoring the quality assurance process
  • Identify compliance and quality improvement opportunities and initiate corrective actions
  • Assist in implementing procedures to provide excellent customer service to members through communication, staffing, phone availability and service execution
  • Identify issues, training needs, and develop processes within the Case Management department
  • Conduct performance reviews and evaluations of staff

 

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: 2020-03-21 Expires: 2020-05-02

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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Supervisor of Case Management

UnitedHealth Group
Ontario, CA 91764

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