UnitedHealth Group is among the most ambitious Fortune 25 companies you'll ever meet. Through our family of businesses, we're working to make the health care system perform better for more people, in more ways than ever.

Simply put, we think the entire system can be greater than it's ever been. And that drives us to work harder, aim higher, and expect more from one another.

Here, you'll be empowered to make an immediate impact for millions of others. And you'll achieve more than you ever expected. How does that fit with your plans?

Job Description

UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health. Evercare is part of the family of companies that UnitedHealth Group one of the leaders across most major segments of the US health care system.
 
When you use your skills, talent and energy for the patients of Evercare, you'll be able to do more and do it better.
 
By tapping into our extensive knowledge base to manage care plans for elderly, disabled, and chronically ill people, you'll ensure that their unique needs are fully understood by all care givers. In short, you'll help make a huge health care system work like a personalized health care team.
 

• Manage the Evercare Pennsylvania clinical team, comprised of nurse practitioners and support staff
  
• Strategize, develop and direct operations of the health services department to ensure provision of high quality, cost-effective medical services.
  
• Responsible for the development and management to budget related to medical care, directs actions to control targeted costs for inpatient and outpatient services in conjunction with the site medical expense team.
  
• Ensure compliance with State and Federal regulations, compliance with company policies and procedures.
  
• Form internal and external strategic relationships which will support program expansion and continuing success.
  
• Develop and routinely update comprehensive medical management work plans/programs for the region.
  
• Review periodic reports (financial/utilization/services) analyze trends and implement timely corrective action plans.
  
• Review and implement medical management policies and procedures to ensure compliance with the State and Federal regulations and with EverCare protocols.
  
• Strategize and implement a clinical model which is focused on quality, reduces medical cost appropriately and which incorporates the skills of provider partners whenever possible. 
  
• Directs the integration of the local quality assurance committee activities into clinical practice as appropriate.
  
• Conduct regular meetings with staff to address issues, concerns, and to communicate corporate and site-specific philosophy.
  
• Oversee the integrity of the patient-data base system to ensure consistency in the data entry and the integrity.
  
• Coordinate plans with the local and national quality committee to comply with regulations and accreditation agencies.
  
• Implements a program which will address the needs of the marketplace.
  
• Strategize and evaluate methodologies for program adaptation and integration within partnering organizations.
  
• Conduct regular agenda-driven meetings with selected partners to promote program visibility and support a dynamic relationship with selected organizations.
  
• Direct the development of results-oriented relationships with contracted facilities or the associated consortium or corporation.
  
• Strategize with the senior staff about program expansion/development/new models/new alliances.
  
• Implement new programs or new care models.
  
• Manage salary, bonus incentives, and enforce work rules in a manner which rewards excellent performance and minimizes staff attrition while meeting budget requirements.
  
• Direct the orientation, training, and on-going education and skill development of the health services staff.
  
• Conduct routine meetings with staff to address issues, concerns, and communicate site and corporate philosophies and directives.
  
• Participate in and lead special project groups which provide skill building opportunities for the participants and allows others to display leadership capabilities. 
  

Discover how fulfilling it is to work among more than 75,000 people who are as committed, driven, intelligent and passionate as you. Put your heart into a career with Evercare.


Job Requirements

• Masters degree prepared in nursing, health sciences, social services or business.
• Nurse Practitioner preferred
• 3-5 years leadership and management experience in an organization that serves the elder population.
• Experience with Medicare, Medicaid and managed care in a variety of health care settings.
• Strong negotiation skills, budget management experience and regulatory knowledge. -
• Leadership and management experience in effective team building and continuous quality improvement programs.
• Working knowledge and experience in cross-functional business segments and their integrated influences and relationships.
• Effective and experienced in motivating and mentoring others who are not in a direct reporting relationship.

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.