15 days old

Supervisor of Case Management

Tampa, FL 33602
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  • Job Code
    882063

No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. And you'll do your life's best work. (sm)

 

The Supervisor of Case Management Services is responsible for the supervision, evaluation and direction of the Utilization Compliance and Quality Management process. The position will ensure compliance with the case management program for prospective, concurrent, retrospective and transition to out-patient care coordinating with physicians, hospitals and ancillary care and empowers team members through active problem solving and resource direction.   The position is a resource for difficult or complex case management or discharge planning. The supervisor successfully impacts assigned team and organization by mentoring those who wish advancement and engages in departmental process improvement teams and activities.  In addition, the Case Management Supervisor is responsible for timely completion of documentation audits, and reviewing and mentoring team members to meet and exceed all documentation compliance standards. This position mentors and trains case managers in the completion of timely, accurate monthly reconciliation reports and statistics and functions as an advisor to Physicians and lower level utilization management staff.

 

Office Location: 500 N. Westshore Monday-Friday:8am-5pm. Some local travel to support team required

 

Primary Responsibilities:

  • Displays decision making based on prior practices or policy, with some interpretation
  • Solves problems and/or reviews facts, and selects the best solution from identifying alternatives with the ability to apply individual reasoning to the solution of a problem and identifies and reports processes or procedures that require modification
  • Provides assistance with orientation and mentoring of new case managers
  • Reviews difficult and/or exceptional preauthorization requests
  • Ensures the identification or potential early-discharge to reduce LOS or prevent hospital admissions
  • Regular attendance at PCC in assigned region, mentoring lower level case managers; reviews referrals prior to PCC, assists with complicated referral requests and assists with concerns and benefit application
  • Manages difficult, complex and catastrophic patients
  • Offers resourceful planning of alternative services when a specific setting or service is not available in the admission facility when approached by assigned team members
  • Attends and contributes to strategic planning meetings at assigned team clinics as well as to departmental processing improvement meetings
  • Oversees telephonic case management staff and UM out patient care coordination staff and ensures compliance with approved standardized guidelines, regulations and contractual agreements

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: 2020-10-09 Expires: 2020-11-08

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
Tampa, FL 33602

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