Healthcare Operations Manager

1 week ago


Cheektowaga, United States UnitedHealth Group Full time

At UnitedHealth Group, we're committed to helping people live healthier lives and making the health system work better for everyone.

As a Healthcare Operations Manager, you'll play a critical role in delivering care and improving health outcomes for millions of people around the world.

As a Nurse Case Management Professional, you'll work closely with our team to connect people with the care, pharmacy benefits, data, and resources they need to feel their best.

Key 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

Requirements:

  • 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
  • A background in managed care
  • Case Management experience
  • Experience / exposure with discharge planning
  • Experience in utilization review, concurrent review and / or risk management

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.



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