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 to start Caring. Connecting. Growing together.

　　Optum’s Pacific West region is redefining health care with a focus on health equity, affordability, quality, and convenience. From California to Oregon and Washington, we are focused on helping more than 2.5 million patients live healthier lives and helping the health system work better for everyone. At Optum Pacific West, we care. We care for our team members, our patients, and our communities. Join our culture of caring and make a positive and lasting impact on health care for millions.

　　*Hybrid Role with 2-3 days in office/site required. Rotating on-call weekend coverage every 4-6 weeks.

　　Position in this function is responsible for all activities associated with regional care management programs (inpatient and ambulatory). Ensures all care management activities are efficient, effective, and meet regulatory requirements. Monitors staff performance, provides mentorship, and recognizes and manages departmental opportunities that impact outcomes.

　　Primary Responsibilities:

　　Develops and maintains solid and lasting team member and partner relationships

　　Meets productivity targets and serves as an example to team members

　　Exhibits behavior and communication skills, demonstrating a commitment to superior patient care, patient experience, and outcomes

　　Ensures that the regional care management programs meet and exceed compliance adherence, CMS, health plan delegation, and quality

　　Develops, implements, and analyzes data to support best practice outcomes for care management programs

　　Meets auditing timeframes and proactively manages gaps and interventions

　　Identifies the need for and participates in developing and implementing care management operating procedures

　　Identifies and proactively manages staffing efficiencies and productivity, ensuring efficient management of resources

　　Collaborates with staff, stakeholders, and clinicians to provide a patient-centric approach to care management

　　Serves as subject matter expert in care management programs and processes

　　Supports and guides staff to be accountable in decision-making

　　Develops tools and ensure resources are available to support accountable decision-making

　　Uses, protects, and discloses Optum patients’ protected health information (PHI) only following Health Insurance Portability and Accountability Act (HIPAA) standards

　　Performs additional duties as assigned

　　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:

　　Bachelor’s degree from a 4-year college or a professional certification requiring formal education beyond a 2-year college or equivalent experience

　　Graduate from an accredited school of Nursing

　　Current California RN

　　2+ years of managed care or clinical experience

　　Preferred Qualifications:

　　Master's degree or demonstrated equivalent experience

　　Certification Case Management

　　2+ years of leadership experience (supervisor and above) with direct reports

　　Case management experience

　　California Residents Only: The salary range for California residents is $88,000 to $173,200 annually. 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.

　　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: OptumCare 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.

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