For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. RN or LPN/LVP responsible for overseeing and participating in day-to-day supervision of UM nurses. General Job Profile
- Coordinates, supervises and is accountable for the daily activities of business support, technical or production team or unit
- Impact of work is most often at the team level
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities:
- Directly manages & accountable for performance of a small team
- Tactical and operational
- Executes decisions from higher leadership
- Limited to immediate team or peers
- First-line leader; focuses on team members
- Tracks individual performance metrics
- Resolves immediate team issues
- Minimal, implements others' strategies
- Rarely involved in budgeting
- Ensuring team meets daily quotas Reviews the work of others, monitors documentation for adequacy and consistency of application of UM criteria by UM staff (audits and audit reviews) (MCG IRR)
- Participates in staff training
- Develops innovative approaches (Process Improvement / Job Aides)
- Sought out as expert (SME) avail by phone
- Serves as a leader/ mentor (oversee orientation of new teammates)
- Handles PTO Schedule Requests and coordinates coverage
- Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
- Sets priorities for the team to ensure task completion
- Coordinates work activities with other supervisors
- Develops plans to meet short term objectives
- Decisions are guided by policies, procedures and business plan
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:
- Undergraduate degree or equivalent experience
- Current unrestricted nurse licensure in applicable state
- Has worked in the current role and has become a SME in that role. Proven ability to lead and guide others
- Proven great communication and organization skills
Preferred Qualifications:
- Proven ability to leverage technology including online resources through external and internal systems to research, communicate, manage knowledge, mitigate error, and support decision making (e.g. identify health plan coverage, navigate websites) and document information
- Proven ability to apply knowledge of computer functionality and software applications (e.g., navigating systems, troubleshooting, accessing intranet and record management databases)
- Proven ability to document clinical activity and enter data in appropriate systems within required standards
- Proven ability to utilize understanding of interrelationships among the care team, the work unit, and organizational goals to promote patient outcomes
- Proven ability to use quality improvement processes and tools to make processes of care interdependent and explicit, to assess performance and to identify gaps in care to improve pt outcomes
- Proven ability to identify and use quality indicators and core outcome measures to evaluate the effect of changes in the delivery of care
- Proven ability to utilize National Patient Safety Goals (e.g., communication practices to minimize risks associated with transfers between providers during transitions in care delivery)
- Proven ability to utilize evidence-based guidelines (e.g., medical necessity guidelines, practice standards, industry standards, best practices, and contractual requirements) to make clinical decisions, improve clinical outcomes and achieve business results
- Proven ability to identify and implement innovative approaches to the team's process, in order to achieve or enhance quality outcomes and financial performance
- Proven ability to use appropriate business metrics (e.g. member/FTE, length of stay, readmission rates, STAR ratings, member engagement rates) and applicable processes/tools (e.g. cost benefit analysis, return on investment, proforma, staffing calculator) to optimize decisions and clinical outcomes
- Proven ability to prioritize work based on business algorithms and established work processes, or in their absence, identifies business priorities and builds consensus to triage and deliver work (e.g. assessments, case/claim loads, previous hospitalizations, acuity, morbidity rates, quality of care follow up.)
- Proven ability to understand and operate effectively/efficiently within legal/regulatory requirements (e.g., HIPAA, ARRA, SOX, CHAP, accreditation, state, CMS)
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy The salary range for this role is $71,600 to $140,600 annually based on full-time employment. 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. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. 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: OptumCare 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. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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