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Director Inpatient Care Management - West Region (Telecommute) - Full-time / Part-time
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Seattle, WA Seattle, Washington |
About this job
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)
This role operates within the UCS Clinical Services UM function and works with Intake Management, Prior Authorization and interfaces with Medical Directors and other key stakeholders. External facing includes hospitals and other facilities, both contracted and non-contracted. The business handles all lines: Medicare, Medicaid, and Commercial.
The Director Inpatient Care Management is a telecommuter position and reports to VP, Inpatient Care Management. This Director will maintain ultimate oversight of Managers and Inpatient Care Managers across several states in the West region. This role will have accountability for setting team(s) direction, resolving problems and providing guidance to team members. They will work independently understanding individual and market goals, metrics, trends and results.
Primary Responsibilities:
- Prioritizes activities for multiple markets; sets direction for manager(s) market(s)
- Adapts department plans and priorities to address business challenges to include PTO management and caseload balancing
- Provides daily input to forecasting and planning activities relevant staffing and facility coverage due to identified utilization trends and membership fluctuations. *Inpatient facilities include: Acute Care hospitals, Acute Inpatient Rehab, SNFs
- Manages 4 direct reports (Managers- with approximately 100 indirect reports, ICMs) including ongoing performance monitoring and completing annual MAP evaluations
- Actively participates in individual market bed day action planning meetings (1X mo minimum) and communicates direction to managers and staff
- Properly escalates concerns or operational issues impacting Region or Market(s)
- Engages with internal Sr. Medical Director or Medical Directors regarding activities that impact both nursing and physicians, limited with external leadership
- Supports and actively engages in projects for region/assigned markets and Enterprise-wide initiatives
- Support and champion business standardization and flawless execution for business initiative
- Support continuous improvement of annual employee engagement scores and champion of vital signs action team
Required Qualifications:
- Current, unrestricted RN license required
- BS or BSN degree a plus
- Minimum of 5 years hands on clinical experience including Managed care experience required
- 3+ years in a management role with focus on Utilization Management required
- Knowledge of ACO, HMO, PPO's strongly preferred
- Experience with data analysis and accountability preferred
- Experience with the utilization of criteria based decision making tools, such as MCG, Interqual or other criteria-based guidelines a plus
- Microsoft Word, Outlook, Excel, PowerPoint
- Strong demonstrated ability to build and maintain relationships
- Effective communication and presentation skills, flexibility, displays positive attitude
Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.SM
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Job Keywords: RN, clinical, managed care, Seattle, WA, Washington, Los Angeles, CA, San Francisco, California, San Diego
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