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.

OptumCare Network of Arizona is a network of health care providers in the Southwest, whose mission is to connect and support providers by working together to deliver the most effective and compassionate care to each and every patient they serve. OptumCare Network of Arizona is focused doing the right things for patients, physicians, and the community. OptumCare Network of Arizona’s Core Business is contracting directly with health insurers to deliver a highly personal care management and service model to their patients. The current focus of OptumCare Network of Arizona is on seniors, and those with complex care needs, who most benefit from a high touch model of care.

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. 

The Case Management (CM) RN Supervisor supports the CM team by providing leadership, overseeing the day - to - day operations, and assisting with program development to ensure the objectives of the program are met.

If you reside in the greater Phoenix, AZ area, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Provides clinical guidance and support to assigned CMs and other staff
• Assists in the hiring, orientation, training, and retention of CMs and other staff
• Performs oversight of CM caseloads and makes adjustments as needed for effective case
• management
• Assists in process improvement efforts for OptumCare AZ
• Regularly audits or oversees the audits of the CM team’s documentation on patient assessments
• Defined outcomes and metrics associated with the case management processes
• Serves as the clinical liaison and collaborates with OptumCare AZ vendors and community
• partners
• Maintains audit tools of CM programs
• Facilitate the use of community resources to mitigate return to acute of our members /
• beneficiaries
• Facilitate monthly team meetings
• Manage the patient survey response process and contact members as requested
• Coordinating Interdisciplinary team rounds and other projects
• Prepare productivity and performance reports for department and leadership meetings
• Ensures standardized execution of workflow processes, policy and procedure, auditing, etc.
• Manages case managers’ assigned case load
• Act as a resource for direct reports to include inquiries and assistance as needed
• Advocating and facilitating members / beneficiaries with coordination of care issues, as needed
• Other assigned duties

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’s degree in nursing (BSN) required within 1-2 years of hire
• Current, unrestricted RN license in the state of AZ
• CCM certification required within 2 years of hire*
• 3 years of experience in an acute care setting
• 1 years of leadership experience
• Experience using EMR, utilization management and / or prior authorization systems
• Experience with Microsoft Office
• Knowledge of case management, quality improvement, and coordination of care
• Proven possess planning, organizing, conflict resolution, negotiating and interpersonal skills
• Proven independent problem identification / resolution and decision-making skills
• Proven ability to prioritize, plan, and handle multiple tasks / demands simultaneously

*Employee must complete their first attempted test by their second work anniversary. If employee does not pass the exam, they will be offered a 1-year grace period during which there are 3 more opportunities to test, given CCMC testing schedule. If employee does not pass the exam and obtain certification by the end of the 1-year grace period, next step would be termination.

Preferred Qualifications:

• Graduate degree in related field
• Experience working with Medicare members
• Experience managing a field-based team
• Working knowledge of hospice and palliative care

Positions in this function require various nurse licensure and certification based on role and grade level.Licensure includes RN and LPN/LVN, depending on grade level, with current unrestricted licensure in applicable state.These roles identify, coordinate, or provide appropriate levels of care under the direct supervision of an RN or MD.Function is responsible for clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring, and evaluating).This includes case management, coordination of care, and medical management consulting.Function may also be responsible for providing health education, coaching and treatment decision support for members.Includes Health Coach, Health Educator, and Health Advocate roles that require an RN.*Employees in jobs labeled with ‘SCA’ must support a government Service Contract Act (SCA) agreement.

• 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.
• Owns output at task level.
• Work is generally limited to own function.
• Sets priorities for the team to ensure task completion.
• Coordinates work activities with other supervisors.
• Develops plans to meet short-term objectives.
• Identifies and resolves operational problems using defined processes, expertise, and judgment.
• Decisions are guided by policies, procedures, and business plan.
• Product, service, or process decisions are most likely to impact individual employees and/or customers (internal or external).

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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 employers 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