Care Management Manager, Remote in Ada or Canyon County

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.

This is a fast-paced working environment that requires the ability to multitask with attention to detail and excellent organizational skills.

If you live in Ada or Canyon County, Idado, you’ll enjoy the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Selects, manages, develops, mentors and supports staff in designated department and region
• Develops clear goals and objectives for performance management and effectively communicates expectations, and holds the team accountable for results
• In order to meet the unique needs of our members, have an intimate understanding of the relevant contractual requirements
• Identify, select, structure, and prioritize process improvement projects, ultimately implementing changes to meet program requirements
• Ensures standardized execution of workflow processes, including conducting performance audits, quality reviews, and compliance adherence
• Works collaboratively with other Health Services Department team members to ensure consistency, support and member outcomes
• Acts as a regional interface with other departments to coordinate workflow processes and implementation plans
• Participates in training and coaching of direct reports
• Conducts a minimum of bi-annual field visits with direct reports to observe, provide areas of teaching, address issues and concerns and foster a good working relationship
• Collaborates across Optum and UHG and interacts with Medical Directors, Site Directors, Senior Leaders, Network, Marketing, Account Management, Quality, Product, and other stakeholders
• Review and disseminate report inpatient census report for NF case

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction 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 Idaho license as one of the following:
  • RN/LPN
  • PA
  • LCSW, LMSW, LSW
• 3+ years of experience in case management within the healthcare industry
• Intermediate skills with MS office including Word, Excel, PowerPoint and Outlook with proficient ability to navigate in a Windows environment
• Intermediate experience presenting to leadership and management
• 1+ year’s experience analyzing and making recommendations for process improvement
• Live in Ada or Canyon County, ID

Preferred Qualifications:

• 2+ years Demonstrated Management experience with responsibility for team performance management
• Certified Case Manager (CCM)
• 3+ years of case management leadership experience within a healthcare industry
• Demonstrated experience / additional training or certifications in care in rural settings homelessness, food insecurity, behavioral health, co-occurring conditions, IDD, Person Centered Care, Motivational Interviewing, Stages of Change, Trauma-Informed Care,
• Background in managed care
• Bilingual – Spanish/English or other language specific to market and region

• All employees working remotely 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 salary for this role will range from $91,700 to $163,700 annually 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.