Manager, Field Case Management - Washington, DC

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.

The schedule for this position is Monday - Frida normal daytime business hours. The majority of your time will be working from home.

You will be required to be in the field with your staff in the Washington DC area as needed for training, etc.

We’re connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together.

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 :

• Current, unrestricted RN license in Washington 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
• Ability to be in the field in Washington DC as needed

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
• Reside in Washington DC

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.