Nurse Case Management

1 week ago


Cheektowaga, United States UnitedHealth Group Full time

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

*** This is an office-based role in the Cheektowaga, NY office. ***

Primary Responsibilities:

  • Clinical operations across the continuum of care (assessing, planning, implementing, coordinating, monitoring, and evaluating)
  • Case management and coordination of care
  • 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

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:

  • Current, unrestricted RN license in the State of New York
  • 3+ years of experience as a manager, supervisor, team lead, or SME
  • 3+ years of experience in a hospital setting, acute care, direct care, or as a telephonic Case Manager for an insurance company
  • Certified Case Manager (CCM) _OR_ the ability to become certified within six months of employment
  • Proficient in Microsoft Office Suite including Word, Excel, and Teams, and able to navigate a Windows environment

Preferred Qualifications:

  • BSN
  • Case Management experience
  • Experience / exposure with discharge planning
  • Experience in utilization review, concurrent review and / or risk management
  • Background in managed care
  • Proven solid organizational skills and multitasking abilities

New York Residents Only: The salary range for this role is $88,000 to $173,200 annually. 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.

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: 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.



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