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. AmeriChoice is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
 
If you're ready to help make health care work better for more people, you can make a historic impact on the future of health care at AmeriChoice.
 
We contract with states and other government agencies to provide care for over two million individuals. Working with physicians and other care providers, we ensure that our members obtain the care they need with a coordinated approach.
 
This enables us to break down barriers, which makes health care easier for our customers to manage. That takes a lot of time. It takes a lot of good ideas. Most of all - it takes an entire team of talent - individuals with the tenacity and the dedication to make things work better for millions of people all over our country.
 
Purpose of Job:  The Manager of Case Management will manage the TN Long Term Care Choices care management team, including RNs and SWs, with responsibility for clinical operations and medical management activities across the continuum of care.  Also, in collaboration with the Health Services Director, the Manager will work to ensure compliance with contract requirements as it relates to care coordination and related activities.
 
We are searching for multiple Managers to work with our teams in the following counties in the Middle Tennessee area:  Smith, Putnam, Macon, Jackson, Trousdale, Clay, Pickett, Overton, Fentress, Dekalb, Cannon, Warren, Van Buren, White, Cumberland, Wilson, Davidson, Sumner, Lawrence, Giles, Wayne, Marshall, Rutherford, Lincoln, Moore, Bedford, Coffee, Montgomery, Houston, Stewart, Robertson, Dickson, Cheatham, Hickman, Humphreys, Perry, Maury, Lewis and Williamson.
 
Managers can be based in our office in Brentwood, or may work from home depending on location.
 
Major Responsibilities:
 

• Manages workload and balance of members assigned to each Care Coordinator to ensure they are within Tennessee-required ratios, and makes adjustments as needed
• Sets team direction, resolves problems and provides guidance to members of own team
• Develops, implements and monitors developmental plans for Care Coordinators in collaboration with other Case Management managers to implement Care Coordination model
• Reviews all relevant operational reports ; i.e. assessment completions to identify areas of deficiency and implement strategies to address gaps in collaboration with Health Services Director
• May oversee work activities of other supervisors
• Adapts departmental plans and priorities to address business and operational challenges
• Influences or provides input to forecasting and planning activities

You can be a part of this team. You can put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered.


Job Requirements

Required Qualifications:
 

• Current, unrestricted RN or SW license required
• Minimum of 1 year of management experience
• Excellent organization, communication, and time management skills
• Strong team player and participant in team building
• Excellent conflict management, care influencing, and collaboration skills
• Ability to proactively partner with care team, including physician engagement
• Strong interpersonal skills
• Strong problem solving and decision making abilities
• Proficient computer skills including the ability to type and talk at the same time and toggle between multiple screens

 
Desired Qualifications:
 

• Multilingual (English, Spanish)
• Working knowledge of Medicaid/Medicare regulations
• Working knowledge of medical terminology
• Experience in chronic disease management
• Long term care experience
• Experience in case management to include assessment, planning, and service coordination
• Highly desirable to have competency in Microsoft Word and Excel
• Undergraduate or higher level degree

 
 
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.