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Nurse Manager Inpatient Care Management Tennessee - Telecommute in TN

Company: UnitedHealth Group
Location: Los Angeles
Posted on: June 26, 2022

Job Description:

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do -your life's best work.(sm) - The Nurse Manager Inpatient Care Management reports to the Nurse Director Inpatient 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 witihin the state of TN, you will have the flexibility to telecommute* as you take on some tough challenges. - Primary Responsibilities:

  • Oversees the Inpatient care management area
  • Manage and oversight of a team size of approximately 15 - 20 nurses
  • Responsible for metrics of team and productivity reporting
  • Responsible for 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
  • Responsible for participating in workgroups and initiatives
  • Support and drives change management for all initiative
  • Responsible for 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 Tennessee
    • 5+ years of clinical experience as a Registered Nurse
    • 5+ years of utilization review/management experience
    • 3+ years of Supervisory/leadership or Team Lead experience -
    • Experienced with medical necessity guidelines including MCG guidelines and/or InterQual guidelines
    • Experience in managed care
    • 3+ years of clinical nursing experience practicing clinically (Acute Inpatient, SNF/AIR/LTAC, Emergency Department, Urgent Care, Doctor's Office, School Nurse) -
    • Discharge planning experience
    • Understanding utilization review process including census management
    • Proficient computer skills to include Microsoft Office (EXCEL. WORD, POWERPOINT), email, Internet and clinical programs
    • Live in the State of Tennessee
    • Dedicated workspace in the home and access to high speed internet - Preferred Qualifications:
      • MSN
      • Experience working in a matrix organization
      • Knowledge of compliance and quality measures -
      • Excellent communication skills both verbal and written
      • Ability to manage client relationships in support of performance guarantees
      • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment. Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm) - Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $66,100 to $118,300. The salary range for Connecticut / Nevada residents is $72,800 to $129,900. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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. *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy 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.

Keywords: UnitedHealth Group, Los Angeles , Nurse Manager Inpatient Care Management Tennessee - Telecommute in TN, Healthcare , Los Angeles, California

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