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About UHG

Careers at UnitedHealth Group

 

We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM

 

Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com

 

Job Category:

Medical and Clinical Operations

Country:

United States

Postal Code:

76540

Approximate Salary:

Not Specified

Position Type:

Full Time

Manager of Case Management - TX STAR Kids - Bell County, TX

UHG - Killeen, Texas

Posted: 10/12/2018

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 and help people live healthier lives while doing your life's best work.(sm)

The Manager of Case Management for the STAR Kids program will manage staff that supports care of members in their homes or other community settings by completing in-person health assessments and coordinating patient care, focusing on disease management and keeping members healthy and independent.
 

If you are located in Bell County, Texas, you will have the flexibility to telecommute* as you take on some tough challenges.   
 
Primary Responsibilities:

  • Support clinical operations across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating)
  • Engage in case management and coordination of care, supporting Service Coordinator team members in the field
  • Takes lead role in setting direction and participating in or developing new programs
  • Sets team direction, resolves problems and provides guidance to members of the team
  • Ensures team meets established performance metrics and performance guarantees
  • Adapts departmental plans and priorities to address business and operational challenges
  • Plans, organizes, and oversees staff to ensure timely completion of assessments
  • Oversees the department's daily staffing requirements to meet program standards
  • Implements and interprets organizational policies and procedures, reviews work of staff to ensure that policies and guidelines are appropriately applied
  • Other duties as assigned to support team

Required Qualifications:

  • Current, unrestricted RN license in the State of Texas
  • 5+ years of RN experience of in a hospital setting, acute care, direct care case management, home health care or clinical experience in acute / rehab / or long term care setting
  • Experience in pediatric populations 
  • Demonstrated supervisory or management experience with responsibility for team performance management
  • Solid experience with MS office including Word, Excel and Outlook with proficient ability to navigate in a Windows environment
  • Strong organizational skills and multitasking abilities will be keys to success

Preferred Qualifications:

  • BSN
  • A background in managed care
  • Medicare and / or Medicaid experience
  • Case Management experience
  • Certified Case Manager (CCM)
  • Experience / exposure with discharge planning
  • Experience in utilization review, concurrent review and / or risk management
  •  Experience with MDCP (Medically Dependent Children’s Program) or CCP (Community Coalition Programs)

Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm)

 

*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.

     

     

Job Keywords: RN, registered nurse, management, managed care, case management, CCM, Medicaid Waver, MDCP, pediatrics, field based, home care, complex case management, managed care, discharge planning, risk management, bilingual, Telecommuter, Telecommuting, Telecommute, Bell County, Killeen, TX, Texas, TXSTARKIDS

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