POSITION SUMMARY/RESPONSIBILITIES The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care. He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs. EDUCATION/EXPERIENCE Bachelor’s degree in Nursing is highly preferred. Two to five years nursing experience required. Work experience in case management, utilization review or hospital quality is preferred. LICENSURE/ CERTIFICATIONS Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or ANCC) is preferred. Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred. Read Less

POSITION SUMMARY/RESPONSIBILITIES The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care. He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs. EDUCATION/EXPERIENCE Bachelor’s degree in Nursing is highly preferred. Three to five years nursing experience required (as a Staff nurse II or above). Work experience in case management, utilization review or hospital quality is preferred. LICENSURE/ CERTIFICATIONS Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or ANCC) is preferred and must be achieved within two years of placement. Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred. Read Less

POSITION SUMMARY/RESPONSIBILITIES The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care. He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs. EDUCATION/EXPERIENCE Bachelor’s degree in Nursing is highly preferred. Two to five years nursing experience required. Work experience in case management, utilization review or hospital quality is preferred. LICENSURE/ CERTIFICATIONS Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or ANCC) is preferred. Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred. Read Less

POSITION SUMMARY/RESPONSIBILITIES The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care. He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs. EDUCATION/EXPERIENCE Bachelor’s degree in Nursing is highly preferred. Three to five years nursing experience required (as a Staff nurse II or above). Work experience in case management, utilization review or hospital quality is preferred. LICENSURE/ CERTIFICATIONS Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or ANCC) is preferred and must be achieved within two years of placement. Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred. Read Less

Nurse Leadership Opportunity! This is a wonderful opportunity for a motivated, self-starter who is seeking a supervisory position and a new challenge! University Health is Bexar County and South Texas' first health system to earn Magnet status from the American Nurses Credentialing Center (ANCC). Magnet hospitals and health systems offer patients reassurance that they are being cared for by a team with a proven track record for providing excellent care and positive outcomes for their patients. What sets us apart? Most up-to-date advancements in nursing Home to the only Level I trauma center in South Texas Nationally certified nursing staff Regionally, nationally and internationally recognized P osition Summary: The Registered Nurse Manager (Patient Care Coordinator-PCC) will be responsible for performing expert leadership skills in management of staff and coordination of patient care activities. The professional RN will work collaboratively with all healthcare providers and non-health care providers. Will serve as a mentor and role model for all staff and will receive mentoring for the Nursing Director. Requirements: Must have a current Texas RN licensure BSN Required BLS from the American Heart Association and national certification in related field are required. Three (3) years recent, full-time hospital experience with a minimum of two (2) years in an equivalent management capacity is also required. Read Less

The Associate Project Manager position ensures that all assigned projects are properly scoped, designed, and executed with an emphasis on strict scope, budget, and schedule control. You will successfully manage each assigned project from inception to completion, continually delivering projects within the approved budget and schedule with the highest quality, cost-effectiveness, and efficiency.

You will report to the Manager of Programs

Responsibilities

SAFETY:

Responsible for overall project safety, obtaining final approval for contractor submitted safety plans and compliance to the project safety plan. Includes compliance to all regulatory (OSHA) requirements, corporate governance requirements, and Facilities Asset Management (FAM) Standard Operating Guide (SOG).

PLANNING & DEVELOPMENT:

Responsible for the development, planning, execution, and closeout of all aspects of the project throughout the project life. Includes project design, development, implementation, budget, cash flow reporting, and maintaining accurate Estimated Forecast to Complete (EFC) for financial reporting, and maintenance of all job files.Lead project scope development and options analysis. Lead project estimate development and review with the support of the Project Estimator. Develop project implementation strategy and schedule with the support of Project Scheduler. Obtain funding approval before implementation with the support of the Project Controller.Closely manage project timelines and schedules to manage client expectations and ensure minimum impact on Operations.

TEAMWORK AND COLLABORATION:

Assemble project teams with internal and external resources to complete all assigned projects.Oversee the efforts of all project team members to ensure that they are working as an integrated team in delivering against project goals.Develop and maintain positive relationships with team members and customers/clients.Partner with all lines of business (LOB) to ensure the final product best meets the intended business objective.

CONTRACT DEVELOPMENT:

Provide support for the administration of contracts including the scope of work, unit costing items, bid alternates, and operational constraints required for contract preparation.

PROJECT SCHEDULE:

Responsible for the project schedule, establishing critical path tasks to ensure schedule compliance, and ensuring proper man loading requirements of the contractor to achieve the desired completion date.

CLIENT COMMUNICATION:

Responsible for coordinating operational constraints and job objectives together to achieve a seamless project. Including timely communication with Business Partners, Clients, and management regarding project status, schedule, and financial and guest impacts.Communicate project information effectively to LOB client and all impacted Resort divisions and management.

TECHNICAL COMPETENCY:

Technically competent with various software programs such as construction management software and Microsoft suite of products (Excel, Word, PowerPoint, etc.) Utilize project and contract management systems in the daily operation of the business.

PROCESS COMPETENCY:

Responsible for timely issuance of field directives, collection of costing concurrence memos, conversion to change orders, and management approval to allow for accurate Estimated Forecast to Complete (EFC) reporting and timely job closeout.Manage project budgets and provide timely project spending updates with the support of the Project Controller.Work closely with the Program Manager to accomplish objectives and improve business processes. Focus on continuous performance improvement and efficiency.

Basic QualificationsFour-year college degree (BA / BS) in project/construction management or related field and 2+ years of applicable hands-on project/ construction experience or 2 years of college and 8+ years of applicable hands-on project/construction experience.Four years of project management/construction management in hospitality, commercial and industrial construction. Theme Park construction experience is a plus.Proven knowledge of project management process and demonstrated ability to manage a portfolio of projects over $4M annually.Proven knowledge of project accounting, estimating, scheduling, budgeting, document management, best value contracting, contract management, and cost forecasting.Knowledge of construction materials, methods, and techniques. Familiarity with all construction applicable codes, i.e., UBC, NEC & UFC.Excellent oral and written communication skills with the ability to prepare presentations for department management reviews that drive related decisions.Outstanding attention to detail and organization skills.Demonstrated leadership skills.Demonstrated computer skills in Windows, Excel, and PowerPoint.Ability to communicate with all levels, including hourly crafts as well as executives.Ability to prepare and deliver executive presentations.Strong customer service orientation.Strong problem-solving and analytical skills.Ability to identify project-related risks and propose mitigation plans.

Required EducationFour-year college degree (BA/BS) in project/construction management or related field and 2+ years of project/ construction related experience; or 2 years of college and 8+ years of applicable hands-on project/construction experience.

Preferred EducationMBA in Project/Construction Management or related fieldKnowledge of Primavera P6, MS Access, and/or PMWeb.

Additional Information

Benefits and Perks: Disney offers a rewards package to help you live your best life. This includes health and savings benefits, educational opportunities, and special extras that only Disney can provide. Learn more about our benefits and

perks at https://jobs.disneycareers.com/benefits

#DXMedia

#LI-AH3

The hiring range for this position in California is $104,800.00 - $128,00.00 per year. The base pay actually offered will take into account internal equity and also may vary depending on the candidate’s geographic region, job-related knowledge, skills, and experience among other factors. A bonus and/or long-term incentive units may be provided as part of the compensation package, in addition to the full range of medical, financial, and/or other benefits, dependent on the level and position offered. Read Less

As a Senior Construction Project Manager, you will be accountable to ensure that all assigned projects are properly scoped, designed and performed with an emphasis on strict scope, budget and schedule control. You will manage implementing assigned projects. You will perform accountabilities according to established operating procedures and will take an active role in continually improving these processes. The position objective is to manage each assigned project from creation to completion. The goal of this position is to complete projects within approved budget and schedule with the highest quality and in the most cost effective and efficient manner.

You will report to the Senior Program Manager.

You Will:

SAFETY: Manage overall project safety, obtaining final approval for contractor submitted safety plans and compliance to the project safety plan. Includes compliance to all regulatory (OSHA) requirements, corporate governance requirements and FAM SOGs.

PLANNING & DEVELOPMENT: Oversee the development, planning, execution and closeout of the project throughout the project life. Includes project design, development, implementation, budget, cash flow reporting and maintaining accurate EFCs for financial reporting, and maintenance of all job files.

TEAMWORK AND COLLABORATION: Assemble project teams with internal and external resources to complete all assigned projects and oversee to ensure that they are working as an integrated team in delivering against project goals.

CONTRACT DEVELOPMENT: Provide support for the administration of contracts including scope of work, unit costing items, and bid alternates and operational constraints required for contract preparation.

PROJECT SCHEDULE: Manage the project schedule, establishing critical path tasks to ensure schedule compliance and ensuring proper man loading requirements of the contractor to achieve the desired completion date.

CLIENT COMMUNICATION: Coordinate operational constraints and job goals together as to achieve a seamless project; including communication with Partners, Clients and management regarding project status, schedule, financial and guest impacts.

TECHNICAL COMPETENCY: Technically competent with various software programs such as construction management software and Microsoft suite of products (Excel, Word, PowerPoint, etc.) Use project and contract management systems in the daily operation of the business.

PROCESS COMPETENCY: Manage the change order process within the department guidelines, while updating project budget and EFCs based on project driven cost trends.

You Have:

Six years of project management/construction management in hospitality, commercial, and industrial construction.

Knowledge of project management process and demonstrated ability to manage a portfolio of projects more than $10M annually.

Knowledge of project accounting, estimating, scheduling, budgeting, document management, best value contracting, contract management and cost forecasting.

Knowledge of construction materials, methods and techniques. Familiarity with all construction applicable codes, i.e., UBC, NEC & UFC.

Ability to prepare presentations for department management review that drive related decisions.

Outstanding attention to detail and organization skills, as well as problem solving skills.

Leadership experience: You will be expected to manage and mentor an early career project manager. You could be expected to mentor participants from our Professional Intern Program.

Identify project related risks and propose mitigation plans.

Preferred Qualifications:

Project management/construction management within a Theme Park environment.

Required Education:

Four-year college degree (BA/BS) in project/construction management or related field and 6+ years of applicable hands-on project/ construction experience

OR

2 years of college and 8+ years of applicable hands-on project/ construction experience.

Preferred Education:

MBA in Project/Construction Management or related field.

#DXMedia

#DXFOS

#LI-AH3

Our Benefits: Disney offers a rewards package to help you live your best life. This includes health and savings benefits, educational opportunities and special extras that only Disney can provide. Learn more about our benefits and perks at https://jobs.disneycareers.com/benefits

The hiring range for this position in Anaheim, CA is $139,200 to $170,000 per year. The base pay actually offered will take into account internal equity and also may vary depending on the candidate’s geographical region, job-related knowledge, skills, and experience among other factors. A bonus and/or long-term incentive units may be provided as part of the compensation package, in addition to the full range of medical, financial, and/or other benefits, dependent on the level and position offered. Read Less

About the Role & Team

At Disney Consumer Products, we inspire imagination around the world and are committed to creating happiness for families and fans by bringing captivating, inspiring, and inclusive products into their daily lives. From toys to t-shirts, console games, books, and more, our team brings our beloved brands and franchises into the lives of families through products and experiences that can be found worldwide, such as the Disney Store e-commerce platform, Disney Parks, local and international retailers, and Disney Store locations around the world!

The Disney Store Planning organization is responsible for developing a strategic financial plan to drive growth and profitability and deliver on the Guest experience. The team is the foundation of the DisneyStore.com Channel and works in partnership with Merchandising and Sourcing to deliver a range of items relevant to Disney Stores (e-commerce and brick-and-mortar).

You and your teams will drive a quarterly/annual financial strategy for an assortment across multiple categories, based on detailed knowledge of business insights and analytics, marketplace trends, and guest mix across channels. You will evaluate the assortment and react to in-season performance, trends, and takeaways to inform & adjust current and future seasons’ financial and inventory positioning. You will demonstrate a comprehensive understanding of all key financial performance indicators to build recommendations and influence the broader organization's execution.

The Senior Manager, Merchandise Planning, will report to the Director - Planning & Allocation and lead a team of 2 direct and 3 second-level reports.

This is a full-time role.

What You Will Do:

Lead the team that creates Category Plans, including weekly, monthly, and annual forecasts

Drive the business with full accountability for revenue and cost of goods for an area of responsibility

Own the pre-season & in-season planning, including forecasting and inventory open-to-buy management to drive growth and profitability

Analyze data, identify trends, and make data-driven decisions that provide actionable insights

Lead the development of monthly/annual cause-of-change models

Translate business performance drivers and metrics into informative analysis and recommendations, influencing organizational decisions

Identify pricing and liquidation opportunities for your division to manage inventory liability

Lead cross-functional merchandise meetings, provide input on product performance, assortment strategies, and inventory positioning

Mentor & develop team members’ skills to continually build bench strength and broaden career path opportunities

Required Qualifications & Skills:

6+ years of experience in merchandise planning, financial analysis, and/or strategy development

Leadership experience guiding and motivating hard-working teams with an excellent track record of achievement, advancement, and performance

Use financial forecasting, analytical, and communication skills to turn business performance data into useful insights and recommendations for senior leaders

Proven ability to shape business decisions, influence partners, and build relationships across the company

Apply storytelling techniques to financial data and present it to leaders at various levels

Ability to meet timelines, handle multiple priorities, and perform job responsibilities accurately while working in a fast-paced and vibrant environment

Familiarity with retail planning software or systems, MS Office, Excel, and an understanding of Business Intelligence tools

Preferred Qualifications & Skills:

Knowledge of retail planning software or systems such as Oracle MFP (Merchandise Financial Planning)

Understanding of Business Intelligence tools, including MicroStrategy

Proficiency in interpreting Tableau reports and leveraging the insights to enhance business performance

Self-starter with natural curiosity and the ability to deal with ambiguity

Ability to work within a sophisticated matrix organization and find creative solutions

Required Education:

Bachelor’s Degree and/or 6+ years of related experience

Preferred Education:

Bachelor’s Degree in Business, Finance, Mathematics, or other related fields

Additional Information: 

Disney offers a rewards package to help you live your best life. This includes health and savings benefits, educational opportunities, and special extras that only Disney can provide. Learn more about our benefits and perks at https://jobs.disneycareers.com/benefits. 

#DCPJobs

#DXMedia

The hiring range for this position in Glendale, CA is $139,200 to $186,600 per year. The base pay actually offered will take into account internal equity and also may vary depending on the candidate’s geographic region, job-related knowledge, skills, and experience among other factors. A bonus and/or long-term incentive units may be provided as part of the compensation package, in addition to the full range of medical, financial, and/or other benefits, dependent on the level and position offered. Read Less

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts on the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. 

Working under the direction of the Essential Plan (EP) Sales & Account management and collectively with the Business Development and Community Outreach team, the Sales Account Manager will interface with New York Health Plan to increase marketing synergy and drive overall membership growth. The EP Account Manager is a field-based role that establishes and cultivates strategic business relationships with key sales and market influencers, potential new customers, and related community institutions. The Essential Plan is for New Yorkers between the ages of 19-64. This position requires someone with tenacity to perform sales activities both indoors and outdoors. Function identified will be new Business to Business (B2B) opportunities for the purpose of prospecting and enrolling new Essential Plan eligible including vertical channels (dental, vision, fitness, colleges, trade schools, small businesses, as well as industry sectors identified by your manager) that support EP Growth strategy in key areas in New York. Training on all government programs will be conducted upon hire.

If you reside in New York, you'll enjoy the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

Enroll eligible members in UHC Essential PlanBuild and foster relationships with key accounts (provider offices, CBOs, housing, etc.)The EP Account Manager presents health plan information to providers, business advocacies, potential eligible and responsible for closing salesServe as point of contact for members to provide excellent service and enrollment experienceLead pipeline managementResponsible for meeting or exceeding sales and enrollment expectations within assigned territoryConduct product information presentations in multiple settings, including in-home consultationsFunction independently and responsibly with minimal need for supervisionTrack and measure various sales event effectiveness and activities, events, leads & leads progress, sales, appointments, contacts, and relationship progress daily through internal systemsProvide input, support and feedback on promotional opportunities, benefits, and other issuesStay informed on UHC operations, provider network, premiums, member services, claims, explanation of benefits, processes and other services and issues to provide community partners, prospects, and members with accurate information, and provide feedback as appropriateAbility to manage multiple priorities including visiting provider offices on a regular basis and following up on leads in a timely fashionAbility to track a schedule to keep appointments on time and information pertaining to those appointments in timely mannerInput consumer demographics and interactions into company systems as appropriatePerforms other duties as required

Demonstrated Skills:

Execute excellent communication, interpersonal, time management and organizational skillsExcellent relationship building skillsAbility to be compassionate while sellingFunction independently and responsibly with minimal need for supervisionAbility to manage multiple priorities as it relates to meeting enrollment goals Ability to communicate complex healthcare information to potential clients

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

High School Diploma/GED

Marketplace Certified (Valid NYSOH Certified Application Counselor ID - CAC). If you do not have an active CAC ID or if the ID is not in good standing, you must be willing to obtain this ID within 30 days of hiring.

2+ years of business-to-business (B2B), Business to consumer (B2C) Direct marketing, outside sales or community outreach experience

Intermediate level of proficiency with MS Office (Outlook, Word, Excel, PowerPoint) and CRM (Salesforce) 

Ability to travel locally up to 100% of time within assigned sales territories in this NY market area

Ability to work core business hours, Monday - Friday 8am-5pm and nights and weekends, when required

Reside within/commutable distance of their target geography

Access to reliable transportation and valid US driver's license with current automobile insurance and good driving history

Preferred Qualifications:

Bilingual preferred (Russian, Spanish, English, Arabic, French, etc.)

Established professional relationships with non-profits, community sources CBO's, religious/faith-based organizations FBO's in designated sales territory

Experience working with communities of all different ethnicities, cultural backgrounds, diverse populations and/or underserved communities

Demonstrated knowledge of Essential Plan Market Place marketing rules and regulations preferred, training in all lines of businesses will be provided 

Previous outside sales and territory management experience

Act as a team player - work collaboratively with others (both inside the sales unit as well as outside) to achieve goals, relate to others in an open and accepting manner, keep others up to date on information they need, contribute ideas and support decisions made by the team and the organization, treat people with dignity and respect

Insured and dependable vehicle

 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $19.00 to $38.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 

    

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

 

    

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

 

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

 

 

#RPO, #RED

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Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. 

 

The Case Manager is responsible and accountable for coordination of patient services through an interdisciplinary process, which provides a clinical and psychosocial approach through the continuum of care. Through concurrent case management, patients will be assessed to determine appropriateness of admission, continued hospitalization, as well as appropriate level of care. Discharge planning will begin at the time of (or prior to) admission, and reassessed ongoing throughout the course of hospitalization. Quality and Risk Management issues will also be monitored and reported as appropriate. CM may be assigned to various units throughout the hospital or the Emergency Department.

 

Schedule: 3 days a week, per week, Thursday, Friday, Saturday and following week, Wednesday, Thursday, Friday. 8:00AM - 4:30PM.

 

NOTE: Qualified candidates must live in the Boulder CO regional area and be willing to work onsite at a hospital facility (not a remote work-from-home position)

 

Primary Responsibilities:

The CM will be responsible for integrating the assessment of the need for post-hospital services and determination of an appropriate discharge plan for complex casesEducates patient/family as to options/choices within the level of care determined to be appropriate. Initiates and ensures completion of all necessary paperworkFacilitates completion of orders as required prior to transfer of patient to the next level of care in a timely manner so discharge is not delayedContinuum of Care planning will emphasize education and collaboration with physicians, family members, clinical social workers, nursing staff, therapists and case managers from contracted payors when appropriate to determine discharge plan that will be of maximum benefit to the patient. Involve staff from the next level of care in the treatment plan as early as possible to promote continuity and collaborationReports on all relevant information to the staff assuming responsibility in the next level of careEmployees are expected to comply with all regulatory requirements, including CMS and Joint Commission StandardsKnowledge of all applicable federal and state regulations. Demonstrates a working knowledge of managed care and Medicare health plans as well as reimbursement related to post-acute services within the continuum of careConsults with physician section leaders for support in cases where continued stay is not appropriate, and case managers are unable to come to resolution by working with assigned physicianResponsible for communicating with the department director LOS and financial information, as well as issues that may affect the Continuum of Care processAll employees are expected to remain flexible to meet the needs of the hospital, which may include floating to other departments to assist as the patient's needs fluctuateReviews the patient plan of care with the multi-disciplinary team. Facilitates and participates in multi-disciplinary team care conferences for patients with complex problems. Communicates in the medical record and verbally with the team to coordinate interventions and facilitate continuity of careDaily communication and collaboration with the patient care staff to provide continuous assessment, evaluation and continuum planning to ensure the patient receives the appropriate level of care at the appropriate timeCoordinates patient care processes to achieve desired quality outcomes and identifies/controls inappropriate resource utilizationFacilitates patient and family education and promotes continuity of care to achieve optimal patient outcomes. Assures patient rights by offering a choice when appropriate

Professional Accountabilities:

Adheres to name badge/dress code complianceEffectively solves problems and actively pursues resolutionDirectly communicates with staff, physicians, patients and families in a professional and courteous mannerRole models leadership behavior through courtesy, respect and efficiencyFunctions without direct supervision, utilizing time constructively and organizing assignments for maximum productivity. Arrange schedule to facilitate meeting with physicians for patient care rounds, team meetings and other opportunities to improve communication 

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Registered Nurse (RN) with a current, active, unrestricted RN License in Colorado OR a Social Worker (either a Licensed Clinical Social Worker [LCSW] in Colorado OR Master of Social Work [MSW] will qualify2+ years of experience working as a clinician in an acute care setting with proficient knowledge of hospital workflowsLive in the Boulder CO regional area (this position is location based and not open to remote work)Willing and able to work Part-Time onsite at a hospital location Boulder CO (24 hours per week)Willing and able to work a Part-Time rotating schedule of 1 week: Thursday, Friday, Saturday; Next week: Wednesday, Thursday, Friday (Repeat alternating weekly schedule every month)

Preferred Qualifications:

Case management experience or certificationKnowledge or understanding of community resources, policies, and proceduresSolid clinical acumen with the ability to use sound judgment, deductive reasoning, and problem-solving skillsDemonstrates a high level of organization with the ability to stay focused on the detailDemonstrates collaborative skills and ability to interact with people of diverse backgroundsSolid written and verbal communication skillsSelf-motivated and able to function in a fast-paced work environmentMeets and maintains quality and productivity standardsSolid working knowledge of Microsoft packagesAbility to learn and understand various clinical software applicationsProficient typing skillsEffectively solves problems and actively pursues resolutionCritical thinking and organizational skills 

 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.

    

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. 

 

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

    

   

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

   

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

   

   

#RPO #RED

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Opportunities at Northern Light Health, in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits and discover the meaning behind: Caring. Connecting. Growing together.  

The Care Manager RN - Per Diem provides leadership in the coordination of patient-centered care across the continuum, develops a safe discharge plan through collaboration with the patients/caregivers and multidisciplinary healthcare team to arrange appropriate post discharge services and optimal transitions in care. Facilitates appropriate LOS, patient experience, and reimbursement for all patients. Develops and maintains collaborative relationships with all members of the healthcare team.  Through clinical care coordination drives efficient utilization of resources to reduce length of stay, improve patient flow and throughput, limits variation by applying innovative and evidence-based practice, and to reduce the risk of readmission.

Schedule: Flexible Schedule - Required to work 1 Saturday Quarterly

Location: 175 Foreriver Parkway, Portland, ME

Primary Responsibilities:

Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc.; serves as an educational resource to all Health System staff regarding utilization reviewAssumes roles in assessment physical, psychosocial, & economic needs for transition of care planning to a variety of levels of care, delegates to others as appropriate Documents, verifies, and validates specific data required to monitor and evaluate interventions and outcomesInterviews and collects patient specified data and chart review related to readmission and appropriately notifies care teamCommunicates telephonically and electronically with outpatient providers to enhance the continuum of careIntegrates performance improvement principles and customer service excellence principles into all aspects of job responsibilities, practice and governmental commercial payer guidelinesAdheres to the policies, procedures, rules, regulations, and laws of the hospital and all federal and state regulatory bodiesAssume responsibility for Health System required continued education and owns professional growthPerforms tasks of a clinical nature within scope of assigned duties and clinical expertiseCommunicate effectively in both oral and written form, as appropriate for the needs of the audiencePerforms other duties as assigned or required

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Associate's Degree (or higher) in NursingCurrent, unrestricted RN license in the state of employment1+ years of experience in a hospital, acute care, or direct care settingIntermediate level of proficiency to navigate Windows based environment and the ability to typeAbility to work one Saturday, quarterly

Preferred Qualifications:

Bachelor's Degree in Nursing (BSN)Previous background in managed careCertified Case Manager (CCM)1+ years of Case management experienceExperience or exposure to discharge planning

 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 

    

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

   

    

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

   

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

    

 

#RPO #RED #RPOLinkedin

Read Less

Opportunities at Northern Light Health, in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits and discover the meaning behind: Caring. Connecting. Growing together.  

The Care Manager RN - Per Diem provides leadership in the coordination of patient-centered care across the continuum, develops a safe discharge plan through collaboration with the patients/caregivers and multidisciplinary healthcare team to arrange appropriate post discharge services and optimal transitions in care. Facilitates appropriate LOS, patient experience, and reimbursement for all patients. Develops and maintains collaborative relationships with all members of the healthcare team.  Through clinical care coordination drives efficient utilization of resources to reduce length of stay, improve patient flow and throughput, limits variation by applying innovative and evidence-based practice, and to reduce the risk of readmission.

Schedule: Flexible Schedule - Required to work 1 Saturday Quarterly

Location: 175 Foreriver Parkway, Portland, ME

Primary Responsibilities:

Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc.; serves as an educational resource to all Health System staff regarding utilization reviewAssumes roles in assessment physical, psychosocial, & economic needs for transition of care planning to a variety of levels of care, delegates to others as appropriate Documents, verifies, and validates specific data required to monitor and evaluate interventions and outcomesInterviews and collects patient specified data and chart review related to readmission and appropriately notifies care teamCommunicates telephonically and electronically with outpatient providers to enhance the continuum of careIntegrates performance improvement principles and customer service excellence principles into all aspects of job responsibilities, practice and governmental commercial payer guidelinesAdheres to the policies, procedures, rules, regulations, and laws of the hospital and all federal and state regulatory bodiesAssume responsibility for Health System required continued education and owns professional growthPerforms tasks of a clinical nature within scope of assigned duties and clinical expertiseCommunicate effectively in both oral and written form, as appropriate for the needs of the audiencePerforms other duties as assigned or required

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Associate's Degree (or higher) in NursingCurrent, unrestricted RN license in the state of employment1+ years of experience in a hospital, acute care, or direct care settingIntermediate level of proficiency to navigate Windows based environment and the ability to typeAbility to work one Saturday, quarterly

Preferred Qualifications:

Bachelor's Degree in Nursing (BSN)Previous background in managed careCertified Case Manager (CCM)1+ years of Case management experienceExperience or exposure to discharge planning

 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 

    

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

   

    

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

   

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

    

 

#RPO #RED #RPOLinkedin

Read Less

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together

The Nursing Facility Care Manager is responsible for facilitating, promoting, and advocating for the enrollees' ongoing self-sufficiency and independence. This position is responsible for assessment and planning for an identified group of patients in Nursing Facilities. Additionally, the care coordinator is responsible for assessing the availability of natural supports such as the enrollee's representative or family members to ensure the ongoing mental and physical health of those natural supports.

The Nursing Facility Care Manager collaborates with the Interdisciplinary Team to coordinate the delivery of comprehensive, efficient, cost-effective patient care. The Nursing Facility Care Manager will be traveling into nursing facilities, Adult Day Health, and Adult Living Facilities (ALF) to conduct in-depth assessments and develop the plan of care.

The Nursing Facility Care Manager actively assists enrollees with care transitions in collaboration with the Interdisciplinary Team and the acute or skilled facility staff, and the enrollees and / or the enrollees' representatives. The Nursing Facility Care Manager act as liaison between the Health Plan, the Commonwealth, enrollees, and their families.  

The Nursing Facility Care Manager follows established professional standards of care, Commonwealth guidelines and policy and procedures.

This is a field-based position visiting Nursing Facilities based in Western VA Markets. For consideration, you must reside within a commutable distance of Washington County, Grayson County and Smyth County VA Markets Alleghany or Rockbridge Counties in VA.

If you reside within a commutable distance of Madison, Charlottesville, Waynesboro, Fluvanna, or Staunton, VA Markets, you will have the flexibility to work remotely* as you take on some tough challenges. 

Primary Responsibilities:

Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needsDevelop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management and member safety in alignment with evidence-based guidelinesPartner and collaborate with internal care team, providers, and community resources/partners to implement care planProvide education and coaching to support member self-management of care needs and lifestyle changes to promote healthSupport proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admissionAdvocate for members and families as needed to ensure the members' needs and choices are fully represented and supported by the health care team

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Current and unrestricted Licensed Practical Nurse in the state of Virginia OR Social Work or Human Services (or related field) with a 4-year degree3+ years of care coordination or behavioral health experience and/or work in a healthcare environment 1+ years of experience with MS Office, including Word, Excel, and Outlook  Experience working with members who have medical needs, the elderly, individuals with physical disabilities and / or those who may have communication barriers  Access to reliable transportation and valid US driver's license with the ability to travel within assigned territory to meet with members and providers

Preferred Qualifications:

CCM certificationExperience working with Medicaid / Medicare populationExperience working in team-based careLong term care / geriatric experienceBackground in Managed Care

Physical Requirements:

Ability to transition from office to field locations multiple times per dayAbility to navigate multiple locations/terrains to visit employees, members and/or providersAbility to transport equipment to and from field locations needed for visits (ex. laptop, stethoscope, etc.)Ability to remain stationary for long periods of time to complete computer or tablet work duties

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

        

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $24 - $43 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

      

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

     

 

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

 

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

   

 

#RPO #RED

Read Less

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together

The Nursing Facility Care Manager is responsible for facilitating, promoting, and advocating for the enrollees' ongoing self-sufficiency and independence. This position is responsible for assessment and planning for an identified group of patients in Nursing Facilities. Additionally, the care coordinator is responsible for assessing the availability of natural supports such as the enrollee's representative or family members to ensure the ongoing mental and physical health of those natural supports.

The Nursing Facility Care Manager collaborates with the Interdisciplinary Team to coordinate the delivery of comprehensive, efficient, cost-effective patient care. The Nursing Facility Care Manager will be traveling into nursing facilities, Adult Day Health, and Adult Living Facilities (ALF) to conduct in-depth assessments and develop the plan of care.

The Nursing Facility Care Manager actively assists enrollees with care transitions in collaboration with the Interdisciplinary Team and the acute or skilled facility staff, and the enrollees and / or the enrollees' representatives. The Nursing Facility Care Manager act as liaison between the Health Plan, the Commonwealth, enrollees, and their families.  

The Nursing Facility Care Manager follows established professional standards of care, Commonwealth guidelines and policy and procedures.

This is a field-based position visiting Nursing Facilities based in Western VA Markets. For consideration, you must reside within a commutable distance of Washington County, Grayson County and Smyth County VA Markets Alleghany or Rockbridge Counties in VA.

If you reside within a commutable distance of Madison, Charlottesville, Waynesboro, Fluvanna, or Staunton, VA Markets, you will have the flexibility to work remotely* as you take on some tough challenges. 

Primary Responsibilities:

Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needsDevelop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management and member safety in alignment with evidence-based guidelinesPartner and collaborate with internal care team, providers, and community resources/partners to implement care planProvide education and coaching to support member self-management of care needs and lifestyle changes to promote healthSupport proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admissionAdvocate for members and families as needed to ensure the members' needs and choices are fully represented and supported by the health care team

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Current and unrestricted Licensed Practical Nurse in the state of Virginia OR Social Work or Human Services (or related field) with a 4-year degree3+ years of care coordination or behavioral health experience and/or work in a healthcare environment 1+ years of experience with MS Office, including Word, Excel, and Outlook  Experience working with members who have medical needs, the elderly, individuals with physical disabilities and / or those who may have communication barriers  Access to reliable transportation and valid US driver's license with the ability to travel within assigned territory to meet with members and providers

Preferred Qualifications:

CCM certificationExperience working with Medicaid / Medicare populationExperience working in team-based careLong term care / geriatric experienceBackground in Managed Care

Physical Requirements:

Ability to transition from office to field locations multiple times per dayAbility to navigate multiple locations/terrains to visit employees, members and/or providersAbility to transport equipment to and from field locations needed for visits (ex. laptop, stethoscope, etc.)Ability to remain stationary for long periods of time to complete computer or tablet work duties

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

        

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $24 - $43 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

      

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

     

 

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

 

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

   

 

#RPO #RED

Read Less

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together

The Nursing Facility Care Manager is responsible for facilitating, promoting, and advocating for the enrollees' ongoing self-sufficiency and independence. This position is responsible for assessment and planning for an identified group of patients in Nursing Facilities. Additionally, the care coordinator is responsible for assessing the availability of natural supports such as the enrollee's representative or family members to ensure the ongoing mental and physical health of those natural supports.

The Nursing Facility Care Manager collaborates with the Interdisciplinary Team to coordinate the delivery of comprehensive, efficient, cost-effective patient care. The Nursing Facility Care Manager will be traveling into nursing facilities, Adult Day Health, and Adult Living Facilities (ALF) to conduct in-depth assessments and develop the plan of care.

The Nursing Facility Care Manager actively assists enrollees with care transitions in collaboration with the Interdisciplinary Team and the acute or skilled facility staff, and the enrollees and / or the enrollees' representatives. The Nursing Facility Care Manager act as liaison between the Health Plan, the Commonwealth, enrollees, and their families.  

The Nursing Facility Care Manager follows established professional standards of care, Commonwealth guidelines and policy and procedures.

This is a field-based position visiting Nursing Facilities based in Western VA Markets. For consideration, you must reside within a commutable distance of Washington County, Grayson County and Smyth County VA Markets Alleghany or Rockbridge Counties in VA.

If you reside within a commutable distance of Madison, Charlottesville, Waynesboro, Fluvanna, or Staunton, VA Markets, you will have the flexibility to work remotely* as you take on some tough challenges. 

Primary Responsibilities:

Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needsDevelop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management and member safety in alignment with evidence-based guidelinesPartner and collaborate with internal care team, providers, and community resources/partners to implement care planProvide education and coaching to support member self-management of care needs and lifestyle changes to promote healthSupport proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admissionAdvocate for members and families as needed to ensure the members' needs and choices are fully represented and supported by the health care team

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Current and unrestricted Licensed Practical Nurse in the state of Virginia OR Social Work or Human Services (or related field) with a 4-year degree3+ years of care coordination or behavioral health experience and/or work in a healthcare environment 1+ years of experience with MS Office, including Word, Excel, and Outlook  Experience working with members who have medical needs, the elderly, individuals with physical disabilities and / or those who may have communication barriers  Access to reliable transportation and valid US driver's license with the ability to travel within assigned territory to meet with members and providers

Preferred Qualifications:

CCM certificationExperience working with Medicaid / Medicare populationExperience working in team-based careLong term care / geriatric experienceBackground in Managed Care

Physical Requirements:

Ability to transition from office to field locations multiple times per dayAbility to navigate multiple locations/terrains to visit employees, members and/or providersAbility to transport equipment to and from field locations needed for visits (ex. laptop, stethoscope, etc.)Ability to remain stationary for long periods of time to complete computer or tablet work duties

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

        

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $24 - $43 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

      

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

     

 

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

 

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

   

 

#RPO #RED

Read Less

Opportunities at Northern Light Health, in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits and discover the meaning behind: Caring. Connecting. Growing together.  

The Care Manager RN - Per Diem provides leadership in the coordination of patient-centered care across the continuum, develops a safe discharge plan through collaboration with the patients/caregivers and multidisciplinary healthcare team to arrange appropriate post discharge services and optimal transitions in care. Facilitates appropriate LOS, patient experience, and reimbursement for all patients. Develops and maintains collaborative relationships with all members of the healthcare team.  Through clinical care coordination drives efficient utilization of resources to reduce length of stay, improve patient flow and throughput, limits variation by applying innovative and evidence-based practice, and to reduce the risk of readmission.

Schedule: Flexible Schedule - Required to work 1 Saturday Quarterly

Location: 175 Foreriver Parkway, Portland, ME

Primary Responsibilities:

Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc.; serves as an educational resource to all Health System staff regarding utilization reviewAssumes roles in assessment physical, psychosocial, & economic needs for transition of care planning to a variety of levels of care, delegates to others as appropriate Documents, verifies, and validates specific data required to monitor and evaluate interventions and outcomesInterviews and collects patient specified data and chart review related to readmission and appropriately notifies care teamCommunicates telephonically and electronically with outpatient providers to enhance the continuum of careIntegrates performance improvement principles and customer service excellence principles into all aspects of job responsibilities, practice and governmental commercial payer guidelinesAdheres to the policies, procedures, rules, regulations, and laws of the hospital and all federal and state regulatory bodiesAssume responsibility for Health System required continued education and owns professional growthPerforms tasks of a clinical nature within scope of assigned duties and clinical expertiseCommunicate effectively in both oral and written form, as appropriate for the needs of the audiencePerforms other duties as assigned or required

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Associate's Degree (or higher) in NursingCurrent, unrestricted RN license in the state of employment1+ years of experience in a hospital, acute care, or direct care settingIntermediate level of proficiency to navigate Windows based environment and the ability to typeAbility to work one Saturday, quarterly

Preferred Qualifications:

Bachelor's Degree in Nursing (BSN)Previous background in managed careCertified Case Manager (CCM)1+ years of Case management experienceExperience or exposure to discharge planning

 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 

    

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

   

    

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

   

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

    

 

#RPO #RED #RPOLinkedin

Read Less

Opportunities at Northern Light Health, in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits and discover the meaning behind: Caring. Connecting. Growing together.  

The Care Manager RN - Per Diem provides leadership in the coordination of patient-centered care across the continuum, develops a safe discharge plan through collaboration with the patients/caregivers and multidisciplinary healthcare team to arrange appropriate post discharge services and optimal transitions in care. Facilitates appropriate LOS, patient experience, and reimbursement for all patients. Develops and maintains collaborative relationships with all members of the healthcare team.  Through clinical care coordination drives efficient utilization of resources to reduce length of stay, improve patient flow and throughput, limits variation by applying innovative and evidence-based practice, and to reduce the risk of readmission.

Schedule: Flexible Schedule - Required to work 1 Saturday Quarterly

Location: 175 Foreriver Parkway, Portland, ME

Primary Responsibilities:

Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc.; serves as an educational resource to all Health System staff regarding utilization reviewAssumes roles in assessment physical, psychosocial, & economic needs for transition of care planning to a variety of levels of care, delegates to others as appropriate Documents, verifies, and validates specific data required to monitor and evaluate interventions and outcomesInterviews and collects patient specified data and chart review related to readmission and appropriately notifies care teamCommunicates telephonically and electronically with outpatient providers to enhance the continuum of careIntegrates performance improvement principles and customer service excellence principles into all aspects of job responsibilities, practice and governmental commercial payer guidelinesAdheres to the policies, procedures, rules, regulations, and laws of the hospital and all federal and state regulatory bodiesAssume responsibility for Health System required continued education and owns professional growthPerforms tasks of a clinical nature within scope of assigned duties and clinical expertiseCommunicate effectively in both oral and written form, as appropriate for the needs of the audiencePerforms other duties as assigned or required

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Associate's Degree (or higher) in NursingCurrent, unrestricted RN license in the state of employment1+ years of experience in a hospital, acute care, or direct care settingIntermediate level of proficiency to navigate Windows based environment and the ability to typeAbility to work one Saturday, quarterly

Preferred Qualifications:

Bachelor's Degree in Nursing (BSN)Previous background in managed careCertified Case Manager (CCM)1+ years of Case management experienceExperience or exposure to discharge planning

 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 

    

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

   

    

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

   

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

    

 

#RPO #RED #RPOLinkedin

Read Less

Opportunities at Northern Light Health, in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits and discover the meaning behind: Caring. Connecting. Growing together.  

The Care Manager RN - Per Diem provides leadership in the coordination of patient-centered care across the continuum, develops a safe discharge plan through collaboration with the patients/caregivers and multidisciplinary healthcare team to arrange appropriate post discharge services and optimal transitions in care. Facilitates appropriate LOS, patient experience, and reimbursement for all patients. Develops and maintains collaborative relationships with all members of the healthcare team.  Through clinical care coordination drives efficient utilization of resources to reduce length of stay, improve patient flow and throughput, limits variation by applying innovative and evidence-based practice, and to reduce the risk of readmission.

Schedule: Flexible Schedule - Required to work 1 Saturday Quarterly

Location: 175 Foreriver Parkway, Portland, ME

Primary Responsibilities:

Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc.; serves as an educational resource to all Health System staff regarding utilization reviewAssumes roles in assessment physical, psychosocial, & economic needs for transition of care planning to a variety of levels of care, delegates to others as appropriate Documents, verifies, and validates specific data required to monitor and evaluate interventions and outcomesInterviews and collects patient specified data and chart review related to readmission and appropriately notifies care teamCommunicates telephonically and electronically with outpatient providers to enhance the continuum of careIntegrates performance improvement principles and customer service excellence principles into all aspects of job responsibilities, practice and governmental commercial payer guidelinesAdheres to the policies, procedures, rules, regulations, and laws of the hospital and all federal and state regulatory bodiesAssume responsibility for Health System required continued education and owns professional growthPerforms tasks of a clinical nature within scope of assigned duties and clinical expertiseCommunicate effectively in both oral and written form, as appropriate for the needs of the audiencePerforms other duties as assigned or required

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Associate's Degree (or higher) in NursingCurrent, unrestricted RN license in the state of employment1+ years of experience in a hospital, acute care, or direct care settingIntermediate level of proficiency to navigate Windows based environment and the ability to typeAbility to work one Saturday, quarterly

Preferred Qualifications:

Bachelor's Degree in Nursing (BSN)Previous background in managed careCertified Case Manager (CCM)1+ years of Case management experienceExperience or exposure to discharge planning

 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 

    

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

   

    

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

   

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

    

 

#RPO #RED #RPOLinkedin

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Opportunities at Northern Light Health, in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits and discover the meaning behind: Caring. Connecting. Growing together.  

The Care Manager RN - Per Diem provides leadership in the coordination of patient-centered care across the continuum, develops a safe discharge plan through collaboration with the patients/caregivers and multidisciplinary healthcare team to arrange appropriate post discharge services and optimal transitions in care. Facilitates appropriate LOS, patient experience, and reimbursement for all patients. Develops and maintains collaborative relationships with all members of the healthcare team.  Through clinical care coordination drives efficient utilization of resources to reduce length of stay, improve patient flow and throughput, limits variation by applying innovative and evidence-based practice, and to reduce the risk of readmission.

Schedule: Flexible Schedule - Required to work 1 Saturday Quarterly

Location: 175 Foreriver Parkway, Portland, ME

Primary Responsibilities:

Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc.; serves as an educational resource to all Health System staff regarding utilization reviewAssumes roles in assessment physical, psychosocial, & economic needs for transition of care planning to a variety of levels of care, delegates to others as appropriate Documents, verifies, and validates specific data required to monitor and evaluate interventions and outcomesInterviews and collects patient specified data and chart review related to readmission and appropriately notifies care teamCommunicates telephonically and electronically with outpatient providers to enhance the continuum of careIntegrates performance improvement principles and customer service excellence principles into all aspects of job responsibilities, practice and governmental commercial payer guidelinesAdheres to the policies, procedures, rules, regulations, and laws of the hospital and all federal and state regulatory bodiesAssume responsibility for Health System required continued education and owns professional growthPerforms tasks of a clinical nature within scope of assigned duties and clinical expertiseCommunicate effectively in both oral and written form, as appropriate for the needs of the audiencePerforms other duties as assigned or required

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Associate's Degree (or higher) in NursingCurrent, unrestricted RN license in the state of employment1+ years of experience in a hospital, acute care, or direct care settingIntermediate level of proficiency to navigate Windows based environment and the ability to typeAbility to work one Saturday, quarterly

Preferred Qualifications:

Bachelor's Degree in Nursing (BSN)Previous background in managed careCertified Case Manager (CCM)1+ years of Case management experienceExperience or exposure to discharge planning

 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 

    

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

   

    

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

   

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

    

 

#RPO #RED #RPOLinkedin

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At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together

The Nursing Facility Care Manager is responsible for facilitating, promoting, and advocating for the enrollees' ongoing self-sufficiency and independence. This position is responsible for assessment and planning for an identified group of patients in Nursing Facilities. Additionally, the care coordinator is responsible for assessing the availability of natural supports such as the enrollee's representative or family members to ensure the ongoing mental and physical health of those natural supports.

The Nursing Facility Care Manager collaborates with the Interdisciplinary Team to coordinate the delivery of comprehensive, efficient, cost-effective patient care. The Nursing Facility Care Manager will be traveling into nursing facilities, Adult Day Health, and Adult Living Facilities (ALF) to conduct in-depth assessments and develop the plan of care.

The Nursing Facility Care Manager actively assists enrollees with care transitions in collaboration with the Interdisciplinary Team and the acute or skilled facility staff, and the enrollees and / or the enrollees' representatives. The Nursing Facility Care Manager act as liaison between the Health Plan, the Commonwealth, enrollees, and their families.  

The Nursing Facility Care Manager follows established professional standards of care, Commonwealth guidelines and policy and procedures.

This is a field-based position visiting Nursing Facilities based in Western VA Markets. For consideration, you must reside within a commutable distance of Washington County, Grayson County and Smyth County VA Markets Alleghany or Rockbridge Counties in VA.

If you reside within a commutable distance of Madison, Charlottesville, Waynesboro, Fluvanna, or Staunton, VA Markets, you will have the flexibility to work remotely* as you take on some tough challenges. 

Primary Responsibilities:

Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needsDevelop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management and member safety in alignment with evidence-based guidelinesPartner and collaborate with internal care team, providers, and community resources/partners to implement care planProvide education and coaching to support member self-management of care needs and lifestyle changes to promote healthSupport proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admissionAdvocate for members and families as needed to ensure the members' needs and choices are fully represented and supported by the health care team

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Current and unrestricted Licensed Practical Nurse in the state of Virginia OR Social Work or Human Services (or related field) with a 4-year degree3+ years of care coordination or behavioral health experience and/or work in a healthcare environment 1+ years of experience with MS Office, including Word, Excel, and Outlook  Experience working with members who have medical needs, the elderly, individuals with physical disabilities and / or those who may have communication barriers  Access to reliable transportation and valid US driver's license with the ability to travel within assigned territory to meet with members and providers

Preferred Qualifications:

CCM certificationExperience working with Medicaid / Medicare populationExperience working in team-based careLong term care / geriatric experienceBackground in Managed Care

Physical Requirements:

Ability to transition from office to field locations multiple times per dayAbility to navigate multiple locations/terrains to visit employees, members and/or providersAbility to transport equipment to and from field locations needed for visits (ex. laptop, stethoscope, etc.)Ability to remain stationary for long periods of time to complete computer or tablet work duties

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

        

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $24 - $43 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

      

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

     

 

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

 

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

   

 

#RPO #RED

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