FL - LTC Manager of Case Management- Orlando - Orlando, Florida - 521663

FL - LTC Manager of Case Management- Orlando - Orlando, Florida, United States

Job information

Posted by:	UnitedHealth Group
Hiring entity type:	Insurance
Work authorization:	Existing work authorization required for United States
Position type:	Direct Hire, Full-Time
Compensation:	******
Benefits:	See below
Relocation:	Not specified
Position functions:	Nursing - Case Management Nursing - Clinic RN
Travel:	Unspecified
Accept candidates:	from anywhere

Languages:	English - Fluent Spanish - Fluent
Minimum education:	See below
Minimum years experience:	See below
Resumes accepted in:	English
Cover letter:	No cover letter requested
Job code:	521663 / Latpro-2487624
Date posted:	May-22-2013
State, Zip:	Florida, 32862

Description

The Manager of Case Management/Care Coordination is responsible for the direct management of the field based staff that support public sector population in the state of FL. Working with ages from birth to geriatric in the home and community setting concentrating on providing holistic case management services to members who are receiving or may be in need of medical daycare services or personal care assistant services. Will be traveling into member homes and medical daycare settings to conduct in depth assessments and set up plan of car. The care coordination team facilitates, promotes and advocates for the members ongoing self-sufficiency and independence.

**40-60% local travel and 10 - 15% statewide travel required in this position**

Responsibilities include:

Interviewing, hiring, disciplining, evaluating and mentoring a diverse care coordination work force
Manager of Case Management (MCM) will facilitate the smooth onboarding process of new employees by supporting the local BSL team following all relevant processes related to onboarding
Responsible for communication and mentoring members of the care coordination team to ensure long-term and home and community base d care guidelines, policies and procedures are followed
Monitor performance of staff including service performance and adherence to establish utilization and care coordination benchmarks
MCM's will perform ride along visits with each assigned CC to observe and evaluate FSC field visits
May be required periodically to staff a case load of members, when dictated by census fluctuation or staffing overage
MCM will satisfactorily complete member initial visits and assessment, and develop member service plan
Running various reports via Excel and Microsoft Word

Requirements

Required Qualifications:

Registered Nurse with active and unrestricted license in the state of FL
5+ years of relevant health care experience, preferably in managed and/or long-term care
3+ years supervisory/management experience
Demonstrated ability to work effectively in vertically-matrix organizations
Intermediate to advanced user of software applications such as Microsoft Word, Excel and Outlook

Preferred Qualifications:

Experience providing care coordination to persons receiving long-term care and/or home and community based services
Working knowledge of Medicaid/Medicare regulations
Experience in chronic disease management
Experience working in/or managing a field based staff
Multilingual (English, Spanish, Creole, etc.)
Experience in case management to include assessment, planning, and service coordination

UnitedHealthcare Community & State is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.

If you're ready to help make health care work better for more people, you can make a historic impact on the future of health care at UnitedHealthcare Community & State.

We contract with states and other government agencies to provide care for over two million individuals. Working with physicians and other care providers, we ensure that our members obtain the care they need with a coordinated approach.

This enables us to break down barriers, which makes health care easier for our customers to manage. That takes a lot of time. It takes a lot of good ideas. Most of all - it takes an entire team of talent. Individuals with the tenacity and the dedication to make things work better for millions of people all over our country.

You can be a part of this team. You can put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered.

Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.

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Enter your email address and click 'Apply': Apply
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