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Director of Case Management

3 months ago

Boulder, United States Optum 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.


The Director of Case Management is responsible for oversight of operational activities in the Case Management Department according to the standards, philosophy and objectives of Optum and the BCH hospital and department. The Director is responsible for all aspects of environmental control, staff, and personnel assistance to physicians, material and equipment, and the analysis and evaluation of Case Management process for quality improvement.


Primary Responsibilities:

  • Demonstrates the ability to apply nursing and management theories, procedures and standards
  • Directly oversees all Supervisors, Case Managers (MSW's and RN's), ED Case Managers. And Case Management Assistants
  • Demonstrates effective public relations, marketing and implementation strategies to maintain and promote services, product lines and business opportunities both internally and externally
  • Ability to attract and retain highly engaged employees
  • Familiar with compliant documentation and billing practices as they relate to Utilization Review and Discharge Planning
  • Ability to effectively lead and supervise activities of case management, utilization review, social work. ED case management, and discharge planning
  • Ability to work and relate effectively with senior management, peers, and subordinates to foster cooperation and teamwork
  • Ability to develop and manage annual operating and capital budgets
  • Ability to set and manage measurable goals and objectives
  • Ability to effectively use principles of continuous quality improvement
  • Knowledge of Colorado and Federal laws and regulations that pertain to healthcare case management and utilization review and ability to stay abreast of changing laws and regulations that impact revenue cycle management
  • Effective, collaborative, and timely communication skills, both oral and written
  • Knowledge of healthcare issues and trends
  • Effectively relate to people in a wide variety of settings
  • Directs activities of all RN, Social Work and ancillary staff in the Case Management Department
  • Coordinates daily activities of the service area for each member
  • Complete performance reviews for all RN staff members, Social Workers and ancillary staff
  • Implements personnel policies with line staff
  • Meets with staff on a regular basis (formally and informally)
  • Acts as a role model, coach, and resource for staff


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:

  • Colorado RN License in good standing
  • 3+ years recent Case Management experience
  • 2+ years Supervisory/Management experience in a hospital setting
  • Knowledge of Colorado and Federal laws and regulations that pertain to healthcare case management and utilization review


Colorado Residents Only: The salary range for this role is $122,100 to $234,700 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.


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.

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.