Requisition Number: 2234802
Job Category: Nursing
Primary Location: Warwick, RI
(Remote considered)
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
The Nurse Manager Discharge Care Management reports to the Nurse Director Discharge Care Management and is responsible for the leadership of a virtual team of Nurses. We strive to provide our members with the most appropriate care, at the most appropriate time and in the most appropriate setting.
If you are located in EST or CST time zone, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
- Oversees the Discharge care management area
- Manage and oversight of a team size of approximately 20 nurses
- Responsible for metrics of team and productivity reporting
- Auditing of nurses to monitor that clinical criteria guidelines are being followed
- Daily/weekly multidisciplinary case rounds
- Required to create innovative approaches and solutions to meeting metrics
- Participate in client facing meetings specific to performance guarantees required by the individual accounts
- Participating in workgroups and initiatives
- Support and drives change management for all initiative
- Auditing and staff development, training, performance management and all hiring/ onboarding processes
- Act as subject matter expert on projects
- Participation in Regional/national committee meetings
- Occasional local/national travel
- Work queues management
- Daily census management
- Self-directed
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:
- Bachelor of Science degree in Nursing
- Registered Nurse (RN), current and unrestricted license in State of Residence
- 5+ years of clinical experience as a Registered Nurse
- 5+ years of care management experience
- 3+ years of Supervisory/leadership or Team Lead experience
- 3+ years of clinical nursing experience practicing clinically (Acute Inpatient, SNF/AIR/LTAC, Emergency Department, Urgent Care, Doctor’s Office, School Nurse)
- Experience in managed care
- Discharge planning experience
- Proven understanding utilization review process including census management
- Proficient computer skills to include Microsoft Office (EXCEL. WORD, POWERPOINT), email, Internet and clinical programs
- Proven excellent communication skills both verbal and written
- Proven ability to manage client relationships in support of performance guarantees
- Dedicated work space in the home and access to high speed internet
Preferred Qualifications:
- Experience working in a matrix organization
- Knowledge of compliance and quality measures
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
Connecticut, New Jersey, New York, or Rhode Island Residents Only: The salary range for this role is $88,000 to $173,200 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
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.