RN Clinical Manager

Wauwatosa, Wisconsin
Jul 01, 2022
Jul 08, 2022
Contract Type
Full Time
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration, and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

The RN Clinical Manager is responsible for overseeing Registered Nurses and Behavioral Health Case Managers and participating in day-to-day clinical care of patients in the At Home clinical program. This position is responsible for clinical outcomes, business operation targets and overseeing the work activities of team of Registered Nurses and Behavioral Health Case Managers. 

Standard Hours: Monday - Friday 8AM - 5PM Central Time; no nights, weekends, or holidays.

Location: - Milwaukee, Green Bay, and Madison, Wisconsin.

Primary Responsibilities: 

    Set team direction, resolve problems, and provide guidance to members of own team Lead, supervise, and develop members of the DSNP clinical team Oversee work activities of other supervisors and staff Adapt departmental plans and priorities to address business and operational challenges Influence and/or provide input to forecasting and planning activities Ensures team meets established performance metrics and performance guarantees Ensure effective orientation and development for Clinical Staff Utilize Complex Population Management performance tools that hold the clinical team accountable for market metrics and performance standards Promote individual development by providing learning and growth opportunities to clinical staff Communicate needs and issues addressed by clinical staff to local market and corporate leadership as appropriate Participate in site specific strategic planning activities Develop solutions to problems or barriers by partnering with key stakeholders Provide clinical operations across the continuum of care (assessing, planning, implementing, coordinating, monitoring, and evaluating) Serve as a role model to internal and external partners Oversee implementation and adoption of clinical and quality initiatives Use knowledge of the business and financial goals to determine and communicate clinical priorities Partner with staff to achieve business goals Monitor and hold clinical team accountable for Model of Care documentation Actively engage, coach, and drive clinical staff in implementing activities to grow new membership
What are the reasons to consider working for UnitedHealth Group?  Put it all together – competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

  • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
  • Medical Plan options along with participation in a Health Spending Account or a Health Saving account
  • Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
  • 401(k) Savings Plan, Employee Stock Purchase Plan
  • Education Reimbursement
  • Employee Discounts
  • Employee Assistance Program
  • Employee Referral Bonus Program
  • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
  • More information can be downloaded at: http://uhg.hr/uhgbenefits
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:

  • Associates Degree in Nursing
  • Current unrestricted RN license in Wisconsin
  • Proficient computer skills including the ability to document clinical information with written and electronic medical records
  • 3+ years of related management experience with focus on managing and developing a clinical team, preferably in a home care and/or geriatric care setting
  • Experience in utilization review, concurrent review and/or risk management
  • Ability to lift up to 40 pounds
  • Valid Driver's License with access to reliable transportation that will enable you to travel up to 75% to visit clients and / or patient sites within a designated area
  • Certified in Basic Life Support 
  • You will be provisioned with appropriate Personal Protective Equipment (PPE) and are required to perform this role with patients and members on site, as this is an essential function of this role
  • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state, and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation
Preferred Qualifications:

  • Knowledge of business acumen including analysis
  • Proven experience in developing and sustaining internal and external client relationships with healthcare professionals.
  • Knowledge of Medicare Dual (DSNP) and Medicaid environment
  • Strong clinical critical thinking skills
  • Strong organizational skills and multitasking abilities will be keys to success
  • Excellent communication skills and demonstrated ability to foster a culture of clinical excellence and build collaborative relationships
  • Proven experience in developing and sustaining internal and external client relationships with healthcare professionals.
  • BSN
  • Experience in Managed Care
  • Case Management Experience
  • Certified Case Manager (CCM)
  • Experience/exposure with discharge planning

To protect the health and safety of our workforce, patients, and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state, and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So, when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to 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 Case Manager, RN, RN Clinical Manager, Nurse, Registered Nurse, RN, Manager, Supervisor, Home Care, Manager, Wisconsin, #Hybrid, #RPO

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