Manager of Case Management (RN) - LTC CHOICES - Davidson, Sumner and Wilson Coun

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Company:
 
UnitedHealth Group
Company Profile | Current Opportunities (39)
Job Location(s): Nashville
Employment Term: Regular
Employment TypeFull Time
Start Date:As soon as possible
Starting Salary Range:Not Provided
Required Experience: Open
Related Categories:Healthcare - Nursing, Insurance - Management

Position Description

Manager of Case Management (RN) - LTC CHOICES - Davidson, Sumner and Wilson Counties Area-331635
Description
Purpose of Job: The Manager of Case Management will manage the TN Long Term Care Choices care management team, including Registered Nurses and Social Workers, with responsibility for clinical operations and medical management activities across the continuum of care. Also, in collaboration with the Health Services Director, the Manager will work to ensure compliance with contract requirements as it relates to care coordination and related activities.
We are searching for a Manager to work with our teams in the following counties in the Middle Tennessee area: Davidson, Sumner and Wilson.
Major Responsibilities:
  • Manages workload and balance of members assigned to each Care Coordinator to ensure they are within Tennessee-required ratios, and makes adjustments as needed
  • Sets team direction, resolves problems and provides guidance to members of own team
  • Develops, implements and monitors developmental plans for Care Coordinators in collaboration with other Case Management managers to implement Care Coordination model
  • Reviews all relevant operational reports ; i.e. assessment completions to identify areas of deficiency and implement strategies to address gaps in collaboration with Health Services Director
  • May oversee work activities of other supervisors
  • Adapts departmental plans and priorities to address business and operational challenges
  • Influences or provides input to forecasting and planning activities
AmeriChoice is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
If you're ready to help make health care work better for more people, you can make a historic impact on the future of health care at AmeriChoice.
We contract with states and other government agencies to provide care for over two million individuals. Working with physicians and other care providers, we ensure that our members obtain the care they need with a coordinated approach.
This enables us to break down barriers, which makes health care easier for our customers to manage. That takes a lot of time. It takes a lot of good ideas. Most of all - it takes an entire team of talent - individuals with the tenacity and the dedication to make things work better for millions of people all over our country.
You can be a part of this team. You can put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered.
Qualifications
Required Qualifications:
  • Current, unrestricted RN in the state of TN (or ability to obtain through reciprocity)
  • Minimum of 1 year of management experience
  • Excellent organization, communication, and time management skills
  • Strong team player and participant in team building
  • Excellent conflict management, care influencing, and collaboration skills
  • Ability to proactively partner with care team, including physician engagement
  • Strong interpersonal skills
  • Strong problem solving and decision making abilities
  • Proficient computer skills including the ability to type and talk at the same time and toggle between multiple screens
Desired Qualifications:
  • Multilingual (English, Spanish)
  • Working knowledge of Medicaid/Medicare regulations
  • Working knowledge of medical terminology
  • Experience in chronic disease management
  • Long term care experience
  • Experience in case management to include assessment, planning, and service coordination
  • Highly desirable to have competency in Microsoft Word and Excel
  • Undergraduate or higher level degree
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
Job Med & Clin Ops-General Mgmt
Primary LocationUS-TN-Nashville
Other LocationsUS-TN-Hendersonville
Organization AMC Evercare Mcaid Tennessee
Schedule Full-time
Number of Openings 1

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