Supervisor Case Management – Remote

Optum New Jersey, (formerly Optum Tri-State NJ) is seeking a Supervisor to join our team in New Jersey.  Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for everyone.

At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you’ll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

The Supervisor is responsible for clinical operations and medical management activities across the continuum of care.  This includes case management, coordination of care and medical management consulting, health education, coaching and treatment decision support.  You will coordinate and oversee a team comprised of 13-15 RNs, LPNs and non-clinical roles and will be accountable for their daily activities. 

If you are located in New Jersey, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Set priorities for the team
• Coordinate work activities with other supervisors and/or managers
• Adapts departmental plans and priorities to address business and operational challenges
• Influences or provides input for forecasting and planning activities
• Provide on-going training and education
• Conduct call monitoring and case auditing of staff and implementing performance improvement plans when necessary
• Independently serve as the clinical liaison with hospital, clinical and administrative staff for discharge planning and/or next site of care needs
• Ensure adherence to relevant state and federal guidelines
• Identifies opportunities for process improvement in all aspects of member care

Optum NY/NJ was formed in 2022 by bringing together Riverside Medical Group, CareMount Medical, Crystal Run Healthcare and ProHealth Care. The regional alignment combines resources and services across the care continuum – from preventative medicine to diagnostics to treatment and beyond across New York, New Jersey, and Southern Connecticut. As a Patient Centered Medical Home, Optum NY/NJ can provide patient-focused medical care to the entire family. You will find our team working in local clinics, surgery centers and urgent care centers, within care models focused on managing risk, higher quality outcomes and driving change through collaboration and innovation. Together, we’re making health care work better for everyone.

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 nursing license in the state of New Jersey
• Must reside in the state of New Jersey
• CCM certification or ability to obtain within 6 months of employment
• 3+ years of managed care experience
• 1+ years of leadership experience (manager, supervisor, team lead, SME)
• CURO experience
• Expert knowledge of case management principles

Preferred Qualifications: 

• Bachelor’s Degree or higher
• RN licensure

New Jersey Residents Only: The salary range for this role is $70,200 to $137,800 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.  

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.