CO Salary Range: USD 71,600.00 - 140,600.00 per year
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
The Case Management Supervisor directly supervises RN Case Managers, Social Worker Case Managers, Emergency Department Case Managers, and Case Management Assistants ensuring compliance with Optum and BCH standards as well as Joint Commission standards. The position coordinates all the case management functions and is responsible for the day-to-day operations, tracking performance, and supporting continuous improvement in service delivery for the department. The Case Management Supervisor works closely with front line staff to support and resolve complex issues and works with staff to ensure compliance with established expectations. Through concurrent case management patients will be assessed to determine appropriateness of admission, continued hospitalization, as well as appropriate levels of care. Discharge planning will begin at the time of (or prior to) admission, and reassessed ongoing throughout the course of hospitalization.
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Primary Responsibilities:
- Supervise and support team in delivering high-quality services. Meet with staff for supervision on a regular basis
- Monitor and review case management activities to ensure compliance with organizational policies and applicable regulations
- Conduct regular team meetings and discuss case progress, challenges, and solutions.
- Provide training and development opportunities for staff to enhance their skills and effectiveness
- Complete performance evaluations, employee counseling, and disciplinary action and provide constructive feedback
- Complete hiring actions. Develop and implement orientation for new employees
- Complete departmental scheduling and coordinate PTO requests
- Complete payroll biweekly
- Takes the lead role in complex or escalated cases and provides guidance to staff
- Participates in departmental quality improvement projects or committees, as assigned
- Prepare and submit reports to senior management on team performance and outcomes
- Assist in the development and implementation of policies and procedures related to case management
- Follows hospital policy identifying and providing timely reports of any significant medical, legal, or patient-care incidents and participates in follow up
- Collaborates with other hospital departments to maintain interdisciplinary collaboration and resources to support patient care
- Liaise with other departments and external agencies to coordinate and optimize service delivery
- Ensure the confidentiality and security of information
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:
- Registered Nurse (RN) with a current, active, unrestricted RN License in Colorado OR a Social Worker (either a Licensed Clinical Social Worker [LCSW] in Colorado or Master of Social Work [MSW] will qualify)
- 3+ years of recent clinical or case management experience in area of specialization (RN or Social Worker)
- Live in the Boulder CO regional area (this position is location based and not open to remote work)
- Willing/able to work onsite at our office location in Boulder CO (Monday - Friday during regular business hours)
- Willing/able to participate in on-call weekend rotations (approximately every other weekend or as business needs dictate)
Preferred Qualifications:
- Case Management Certification
- Supervisor / Manager / Team Lead / SME experience
Qualified candidates will be expected to effectively demonstrate:
- Excellent communication skills, written and verbal
- Proven analytical, critical thinking, organizational, and decision-making skills
- Ability to compile, evaluate and report statistics to members of the team, and utilize the information to facilitate process improvement activities
- Meeting facilitation, educational presentations, team collaboration and patient interviews
- Knowledge/understanding of community resources, policies and procedures
- Effectively problem-solves and actively pursues resolution
- Demonstrated leadership and supervisory skills
- Demonstrates a high level of organization with the ability to stay focused on the details
- Demonstrates collaborative skills and ability to interact with people of diverse backgrounds
- Self-motivated and able to function in a fast-paced work environment
Professional Accountabilities:
- Adheres to Optum and ENCORE! values and customer service expectations
- Functions without direct supervision, utilizing time constructively and organizing assignments for maximum productivity
- Adheres to name badge/dress code compliance
- Effectively solves problems and actively pursues resolution
- Directly communicates with staff, physicians, patients and families in a professional and courteous manner
- Role models leadership behavior through courtesy, respect and efficiency
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.