Clinical Manager, Case Management - Washington, DC

Careers at UnitedHealth Group

We're creating opportunities in every corner of the health care marketplace to improve lives while we're building careers. At UnitedHealth Group, we support you with the latest tools, advanced training and the combined strength of high caliber co-workers who share your passion, your energy and your commitment to quality. Join us and start doing your life's best work. SM

Clinical

Compassion. It's the starting point for health care providers like you and it's what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you're also providing leadership and contributing in ways that can affect millions for years to come. Ready for a new path? Learn more, and start doing your life's best work. SM

Our teams are helping people from around the world. We can bring out your best as you put your listening, analytical and problem solving skills to work in a setting that is geared to helping improve lives and enhance health care for millions. Here, you'll discover a wealth of pathways for professional growth within Customer Service, Billing, Claims, Enrollment & Eligibility and across our global economy. Join us and find out why this is the place to do your life's best work. SM

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)

We are looking for a creative, experienced Manager to be a mentor and knowledgeable resource to their team. Someone who is innovative and a self-starter is a must! This position will oversee Care Coordinators working with members who receive Home Care based services. The Manager will ensure compliance with the contract requirements for the assessment and care of the population, as well as provide strong, encouraging leadership to the team.

Primary Responsibilities:
  • Demonstrates UHG cultural values, including modeling ethical behavior, delivering value to customers, leading and developing people, leading change and innovation, driving sound disciplined decisions and driving high quality execution
  • Ensures compliance of Case management and coordination of care per policies, procedures and contractual requirements
  • Ensures consistent leadership and direction for team
  • Sets team direction, resolves problems and provides guidance to members of the team
  • Takes lead role in setting direction and participating in or developing new programs
  • Clinical operations across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating)
  • Interprets complex information, simplify, clarify and communicate effectively to others
  • Ensures team meets established performance metrics and performance guarantees
  • Adapts departmental plans and priorities to address business and operational challenges

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.

Required Qualifications:
  • BSN
  • Current, unrestricted RN license in DC
  • 3+ years of experience in a hospital setting, acute care, direct care experience or preferably in field-based care coordination
  • 2+ years of Supervisory/Management experience
  • Proficient with Microsoft Office, with the ability to navigate a Windows environment
  • Resident of DC

Preferred Qualifications:
  • Case Management experience
  • Experience in utilization review, concurrent review and/or risk management
  • Home Health experience
  • DC Medicaid knowledge
  • Background in managed care
  • Excellent verbal and written communication skills
  • Solid organizational skills and multitasking abilities


Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular 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: Clinical Manager, Case Management, Case Manager, RN, Registered Nurse, In Home Care, DC, Washington, District of Columbia

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