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.You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:
Serving as a clinical resource and coach for our Oncology / Specialty Medication Guidance programs
Answering clinical questions from staff and resolving client issues
Providing ongoing training and education on clinical knowledge
Handling escalated issues when necessary
Providing updates and conducting meetings with clients as needed
Maintaining staff levels, interviewing and hiring employees and enforcing disciplinary actions
Conducting employee performance reviews
Conducting call monitoring and case auditing of staff, and implementing performance improvement plans
Ability to work in a fast paced environment
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, unrestricted RN licensure in your state of residence
5+ years recent managerial experience with direct reports, with the ability to partner with staff to build high-performing teams
Preservice review/utilization review related experience
People-management experience, to include motivational leadership, ability to implement performance improvement plans, and a drive to see employees succeed in their work
Proficiency in MS Word and MS Excel, to include the ability to create Word documents and Excel spreadsheets
Access to high speed internet from home (Broadband Cable, DSL or Fiber)
Dedicated workspace for home office set up
Preferred Qualifications:
2+ years of case, and / or disease management experience
ICUE experience
Oncology experience
Specialty medication experience
Experience working in managed care or telephonic nursing
Experience managing a large staff to manager ratio (20 staff to 1 manager)
Experience in Medicare and Retirement or Community and State
Experience managing direct reports to performance metrics
Knowledge of URAC and / or NCQA Clinical Standards
Customer service orientation
Ability to multi-task effectively and manage deadlines and task-oriented projects
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $88,000 to $173,200 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.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.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.
