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 Case Management Team Lead is responsible for understanding and performing the roles and responsibilities of the clinical staff and their functions. Additionally, the Clinical Team Lead collaborates with internal and external customers and assists the Clinical Manager with managerial activities as needed. You will be supervising a team of approximately 18 telephonic Case Managers / Disease Managers onsite in our Tonawanda office location at 500 Colvin Woods Parkway, Tonawanda, NY. The Case Management / Disease Management team is responsible for inbound and outbound calls, working with our Commercial clients. This is a Monday - Friday position during normal business hours. Three nights per month are required to work until 8pm. This position is onsite in our Buffalo/Tonawanda location. Primary Responsibilities: Provide coaching to clinical staff Maintains an understanding of the roles and responsibilities of the clinical staff and their functions, and executes those roles and responsibilities as needed Assists the Clinical Manager with managerial responsibilities as called upon Manages escalated issues from internal and external sources Acts as a resource to clinical staff for consumer issues, program definitions, and clarification Performs as liaison for customer and vendor issues Special projects, initiatives, and other job duties as assigned Monitors client performance results Maintains multistate licensure as telephonic outreach to members may be required as dictated by business need This position will require active and unrestricted Nursing licensure in multiple US States. Selected candidate must be willing and able to obtain and maintain multiple state licensure. (Application fees and filing costs paid for by UHG)
A current, unrestricted RN license in the State of New York
3+ years of experience in a hospital setting, acute care, direct care experience
Experience as a Case Manager in a managed care setting
CCM expected within 24 months of assuming role
BSN or Masters degree
A background in managed care
Case or disease management experience
Experience / exposure with discharge planning
Bilingual (Spanish / English) skills
Medical / Surgical, Home Health, Diabetes or Cardiac experience (certification in one of those specialties)
Computer proficiency, to include strong data entry skills and the ability to navigate a Windows environment
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system 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)
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 Key Words: RN, Registered Nurse, Nursing, Atlanta, Georgia, Case Manager, GA, CCM, Managed Care, Tonawanda, NY, New York