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Case Management Team Lead - Remote

Company: UnitedHealth Group
Location: San Jose
Posted on: November 19, 2023

Job Description:

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, -data -and resources they need to feel their best. -Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive -benefits -and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. -Join us to start -Caring. Connecting. Growing together. -


The -Case Management Team Lead -is responsible for understanding and performing the roles and responsibilities of the clinical staff and their functions. Additionally, the Clinical Team Lead collaborates with internal and external customers and assists the Clinical Manager with managerial activities as needed. You will be supervising multiple teams of approximately 35 telephonic Case Managers / Disease Managers The Case Management / Disease Management team is responsible for inbound and outbound calls, working with our Commercial clients. -
This is a Monday - Friday position during normal business hours. -There may be some nights per month required to work until 8 PM. - -

If you are located within compact state, you will have the flexibility to work remotely* as you take on some tough challenges. -

Primary Responsibilities: -

  • Provide coaching to clinical staff
  • Maintains an understanding of the roles and responsibilities of the clinical staff and their functions, and executes those roles and responsibilities as needed
  • Assists the Clinical Manager with managerial responsibilities as called upon
  • Manages escalated issues from internal and external sources
  • Acts as a resource to clinical staff for consumer issues, program definitions, and clarification
  • Performs as liaison for customer and vendor issues
  • Special projects, initiatives, and other job duties as assigned
  • Monitors client performance results
  • Maintains multistate licensure as telephonic outreach to members may be required as dictated by business need
  • Depending on business needs there may be times to act as a Case Manager/Disease Manager and carry a caseload

    This position will require active and unrestricted Nursing licensure in multiple US States. - Selected candidate must be willing and able to obtain and maintain multiple state licensure (application fees and filing costs paid for by UHG).

    - -

    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:

    • Licensed in the state you reside
    • Certified Case Manager (CCM)
    • 3+ years of experience in a hospital setting, acute care, direct care experience or experience in related job
    • Experience as a Case Manager in a managed care setting

      Preferred Qualifications:

      • BSN or Master's degree
      • Medical / Surgical, Home Health, Diabetes or Cardiac experience (certification in one of those specialties)
      • Experience / exposure with discharge planning
      • Proven computer proficiency, to include solid data entry skills and the ability to navigate a Windows environment
      • Proven bilingual (Spanish / English) skills

        New York Residents Only: The salary range for New York residents is $67,800 to $133,100 per year. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

        *All employees working remotely will be -required -to adhere to UnitedHealth Group's Telecommuter Policy -

        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. - - - -

        - -

        Diversity creates a healthier atmosphere: -UnitedHealth Group -is an Equal Employment Opportunity/Affirmative Action employers 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

Keywords: UnitedHealth Group, San Jose , Case Management Team Lead - Remote, Executive , San Jose, California

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