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Registered Nurse Manager of Field Case Managers - Hybrid in South Carolina

Optum
United States, South Carolina, Columbia
March 28, 2024

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere. As a team member of our Optum At Home product, together with an interdisciplinary care team we help patients navigate the health care system, and connect them to key support services. This preventive care can help patients stay well at home. We're connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together.

The Optum at Home (OAH) program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of members in their place of residence. The OAH program combines Optum trained clinicians providing intensive interventions customized to the needs of everyone, in collaboration with the Interdisciplinary Care Team, which includes the Optum clinician, the member's Primary Care Provider and other providers, and other professionals. Optum providers serve people in their own homes through annual evaluations, ongoing visits for higher risk members, care coordination during transitions from the hospital or nursing home and ongoing care management. This position is responsible for clinical outcomes, business operation targets and overseeing the work activities of the team of Registered Nurses and Behavioral Health Case Managers.

Schedule: Monday - Friday, 8:00 a.m. - 5:00 p.m.

Travel: You will be working remotely with the expectation to travel within the market on a monthly basis

Primary Responsibilities:



  • Set team direction, resolve problems, and provide guidance to members of own team
  • Lead, supervise, and develop members of the OAH clinical team
  • Oversee work activities of other supervisors and staff
  • Adapt departmental plans and priorities to address business and operational challenges
  • Influence and/or provide input to forecasting and planning activities
  • Ensures team meets established performance metrics and performance guarantees
  • Ensure effective orientation and development for Clinical Staff
  • Utilize Complex Population Management performance tools that hold the clinical team accountable for market metrics and performance standards
  • Promote individual development by providing learning and growth opportunities to clinical staff
  • Communicate needs and issues addressed by clinical staff to local market and corporate leadership as appropriate
  • Participate in site specific strategic planning activities
  • Develop solutions to problems or barriers by partnering with key stakeholders
  • Provide clinical operations across the continuum of care (assessing, planning, implementing, coordinating, monitoring, and evaluating)
  • Serve as a role model to internal and external partners
  • Oversee implementation and adoption of clinical and quality initiatives
  • Ensure team is proficient in the delivery of quality care
  • Use knowledge of the business and financial goals to determine and communicate clinical priorities
  • Partner with staff to achieve business goals
  • Monitor and hold clinical team accountable for Model of Care documentation
  • Actively engage, coach, and drive clinical staff in implementing activities to grow new membership


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:



  • Current unrestricted RN (Registered Nurse) license in South Carolina
  • 3+ years of related management experience with focus on managing and developing a clinical team, preferably in a home care and/or geriatric care setting
  • Proven experience in developing and sustaining internal and external client relationships with healthcare professionals
  • Proficient computer skills including the ability to document medical information with written and electronic medical records
  • Access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area


Preferred Qualifications:



  • Knowledge of Medicare Dual (DSNP (Dual special needs plan), Chronic Plans (CSNP), and Medicaid environment
  • Proven solid business acumen including analysis and business planning experience
  • Proven excellent communication skills and demonstrated ability to foster a culture of clinical excellence and build collaborative relationships
  • Proven solid organizational skills and multitasking abilities will be keys to success
  • Proven solid clinical critical thinking skills



At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

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.

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