At Monarch HealthCare, an OptumCare Company, you will perform within an innovative culture focusing on transformational change in the health care system. You will leverage your skills across a diverse and multi - faceted business. Your contributions will have an impact greater than you have ever imagined! Join us and help people live healthier lives while doing your life's best work.(sm) As a part of our continued growth, we are searching for a Supervisor of Inpatient Case Management to join our team. **OFFERING $5000K SIGN - ON BONUS!*** Competitive benefits, great opportunity with a stable and growing company Primary Responsibilities: Supervises Inpatient Clinical Services Nurses providing transition of care coordination for attributed members in the Acute Facility setting Expert knowledge of industry accepted criteria (e.g. MCG, InterQual), CMS and Health Plan guidelines and guideline application Assist with providing direction for case that are complex or requiring out - of - network care Adjust workflow and responsibilities according to business and operational needs Oversee to day - to - day operations of the Inpatient Acute Case Managers (i.e. ability to cover for illness, vacation, etc.) for the acute hospital settings (Short - term Acute, Long - term Acute and Acute Rehab) Actively provides on - site or telephonic review if coverage is required Conducts values and performance coaching which includes: annual reviews, corrective action plans, and recognition of employees Performs supervisory on - call duties as scheduled on a rotating basis Efficiently navigates and utilizes computer data entry programs including but, not limited to: Microsoft Office (Outlook, Word, and Excel)
Required Qualifications: Current unrestricted State California RN nursing license 3+ years of Inpatient Case Manager experience 1+ years of experience in lead / supervisory role Reliable means of transportation to and from work and the ability to travel to local hospitals as needed Efficiently navigate Microsoft Office (Word, Excel, Outlook) Willing to take rotating on - call responsibilitiesPreferred Qualifications:Bachelor's Degree in Nursing 2+ years of experience in lead / supervisory role CCMWhat'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, Registered Nurse, RN, Supervisor, Supervisor Case Management, case manager, managed care, 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.