UnitedHealth Group Hiring for RN Supervisor Ambulatory Case Management – Irvine, CA at Irvine, California Full Time

We’re Monarch HealthCare, Orange County’s largest association of independent physicians, and a part of Optum and the growing family of UnitedHealth Group companies. We are changing health care for the better by improving access to affordable, high quality care, and working together to improve the patient experience. With the talent, resources and can-do culture of a Fortune 17 company behind us, there’s no telling how far we can go. Join us in creating a better future and you’ll soon find you’re doing your life’s best work.(sm)

As a part of our continued growth, we are searching for a RN Supervisor, Ambulatory Case Manager to join our team…

Office based in Irvine, CA, role can be teleworking, responsible for supervising a team of RN Case Managers. The Supervisor directs a team responsible for medical management; assessing, planning, implementing, coaching, coordinating, and monitoring member needs along with meeting Health Plan Model of Care expectations and other compliance expectations. Supervisor will also orient and train case management staff on case management processes and provide oversight regarding performance and quality.

*This position offers a flex telecommute capacity, allowing for a partial remote capacity. Candidates must reside in Southern California

Primary Responsibilities:

• Develops and implements new policies and procedures as needed

• Provides input and feedback on employee performance and conducts counseling and disciplinary actions as necessary

• Provides senior management with analysis of case management reports and productivity

• Oversight of compliance with HealthPlan expectations of care management

• Performs case management duties as necessary

Required Qualifications:

• High School Diploma or GED

• Current unrestricted CA RN license

• 3+ years’ experience in a clinical setting (hospital, disease management program, SNF, hospice) of which 2 are in leadership mentoring staff

• Recent supervisory experience or lead role in managing case management team.

• Computer proficiency; can type, toggle between multiple screens, use MS Outlook, Word and navigate in a Windows environment and learn new software applications easily.

• You can perform this role in an office setting, however, may work from home.

• Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained and provide positive vaccine status or have an accepted exemption.

Preferred Qualifications:

• BSN

• Managed care experience

• Familiarity with Dual Eligible population and government mandated programs

• CCM

• Experience using MS Excel to analyze and extract data for reporting purposes

What’s the first thing that happens when one of the most successful physician groups in Orange County comes together with a global leader in health care? Opportunity. With Monarch HealthCare joining Optum and the UnitedHealth Group family of companies, people like you will find increasing levels of challenge, impact and professional success. With a vibrant network of hospitals and urgent care centers, we’re changing health care for the better by improving access to affordable, high quality care, and working together to improve the patient experience. That takes passion, commitment, intense focus and the ability to contribute effectively in a highly collaborative team environment. Are you with us? Learn more about this exciting opportunity to do your life’s best work.(sm)

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job Keywords: OneCare, OneCare Connect, Supervisor, Case Manager, behavioral health, managed care, RN, BSN, Medicare, IPA, duals, disease management, SNF, hospice, Irvine, CA