Care Management Manager, Remote in Ada or Canyon County

UnitedHealth Group•Boise, ID

8h•Remote

About The Position

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. This is a fast-paced working environment that requires the ability to multitask with attention to detail and excellent organizational skills. If you live in Ada or Canyon County, Idado, you’ll enjoy the flexibility to work remotely as you take on some tough challenges.

Requirements

Current and unrestricted Idaho license as one of the following: RN/LPN, PA, LCSW, LMSW, LSW
3+ years of experience in case management within the healthcare industry
Intermediate skills with MS office including Word, Excel, PowerPoint and Outlook with proficient ability to navigate in a Windows environment
Intermediate experience presenting to leadership and management
1+ year’s experience analyzing and making recommendations for process improvement
Live in Ada or Canyon County, ID

Nice To Haves

2+ years Demonstrated Management experience with responsibility for team performance management
Certified Case Manager (CCM)
3+ years of case management leadership experience within a healthcare industry
Demonstrated experience / additional training or certifications in care in rural settings homelessness, food insecurity, behavioral health, co-occurring conditions, IDD, Person Centered Care, Motivational Interviewing, Stages of Change, Trauma-Informed Care
Background in managed care
Bilingual - Spanish/English or other language specific to market and region

Responsibilities

Selects, manages, develops, mentors and supports staff in designated department and region
Develops clear goals and objectives for performance management and effectively communicates expectations, and holds the team accountable for results
In order to meet the unique needs of our members, have an intimate understanding of the relevant contractual requirements
Identify, select, structure, and prioritize process improvement projects, ultimately implementing changes to meet program requirements
Ensures standardized execution of workflow processes, including conducting performance audits, quality reviews, and compliance adherence
Works collaboratively with other Health Services Department team members to ensure consistency, support and member outcomes
Acts as a regional interface with other departments to coordinate workflow processes and implementation plans
Participates in training and coaching of direct reports
Conducts a minimum of bi-annual field visits with direct reports to observe, provide areas of teaching, address issues and concerns and foster a good working relationship
Collaborates across Optum and UHG and interacts with Medical Directors, Site Directors, Senior Leaders, Network, Marketing, Account Management, Quality, Product, and other stakeholders
Review and disseminate report inpatient census report for NF case