We're Monarch HealthCare, Orange County's largest association of independent physicians, and a part of Optum and the growing family of UnitedHealth Group companies. We are changing health care for the better by improving access to affordable, high quality care, and working together to improve the patient experience. With the talent, resources and can-do culture of a Fortune 14 company behind us, there's no telling how far we can go. Join us in creating a better future and you'll soon find you're doing your life's best work.(sm) Primary Responsibilities:Provides direct day to day supervision of case management staff including licensed and unlicensed staff 10 to 12 RNs, LVNs and Coordinators. Develops and implements new policies and procedures Orients / trains case management staff on case management processesProvides senior management with analysis of case management reportsProvides input and feedback on employee performance and conducts counseling and disciplinary actions as necessary Performs Case Management duties as necessary
Required Qualifications: Current, unrestricted California RN license 1+ years clinical in ambulatory, hospital, or SNF setting 1+ years prior authorization experience Computer proficiency, must be able to type, toggle between multiple screens and use MS Word, Outlook and navigate in Windows environment. Preferred Qualifications: Bachelor's Degree in Nursing 1+ Lead, supervisory / management experience Prior experience with Government Programs such as Medicare, Medicaid and MediCal Knowledge of special needs programsWhat's the first thing that happens when one of the most successful physician groups in Orange County comes together with a global leader in health care? Opportunity. With Monarch HealthCare joining Optum and the UnitedHealth Group family of companies, people like you will find increasing levels of challenge, impact and professional success. With a vibrant network of hospitals and urgent care centers, we're changing health care for the better by improving access to affordable, high quality care, and working together to improve the patient experience. That takes passion, commitment, intense focus and the ability to contribute effectively in a highly collaborative team environment. Are you with us? Learn more about this exciting opportunity to do your life's best work.(sm) 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. Job Keywords: Supervisor, Management, CCM, Inpatient, UM, Government, RN, Supervisor, Supervisor Case Management, case manager, managed care, prior authorization, UR, UM, Utilization Review, Irvine, CA, California
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.