UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale.
 
What makes your clinical career greater with UnitedHealth Group? You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.

This position will lead a team that focuses on assisting with discharging members from the hospital who are difficult to discharge from the hospital due to social determinants of health (SDOH).   This will include assisting with administrative days requests from hospitals where a difficult to discharge member is no longer meeting inpatient criteria but is unable to discharge due to SDOH. .  

Primary Responsibilities:

• Supervises and is accountable for professional employees
• Impact of work is most often at the local level
• Sets team direction, resolves problems and provides guidance to members of own team
• Work under guidance of CSM Associate Director of Medical/Clinical Operations) to set team direction
• Adapts departmental plans and priorities to address business and operational challenges such as staffing and the clinical model
• Influences or provides input to forecasting and planning activities
• Product, service or process decisions are most likely to impact multiple groups of employees and / or customers (internal or external)
• Staffing projections / future needs
• Contract compliance-audit responsibilities
• Inter dept. interaction-sales-PRS, Clin. Ops to ensure goals are met
• Ensure member transitions receive appropriate follow-up - 
• Employee review process including MAP reviews, on-going performance evaluation / assessment
• Monitoring including but not limited to Learn Source program completion
• Local Training requirements and monitoring and addressing learning needs of the supervisors’ direct reports

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:

• Requires current unrestricted RN licensure in the state of Washington
• 3+ years of clinical experience in, acute care, , direct care or case management/discharge planning
• Computer / typing proficiency to enter / retrieve data in electronic clinical records; experience with email, internet research, use of online calendars and other software applications

Preferred Qualifications:

• 2+ years of experience in an acute hospital or SNF discharge planning. 
• Experience in health care and insurance industry, including regulatory and compliance requirements
• Analytics/database experience
• Experience training staff
• Experience presenting in a group setting
• Problem solving skills; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action
• Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others
• Demonstrated ability to assist with focusing activities towards a strategic direction as well as develop tactical plans, drive performance and achieve targets
• Proficiency in Microsoft PowerPoint
• Problem solving skills; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action
• Ability to communicate complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others
• Full COVID-19 vaccination is an essential requirement 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

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 at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy. 

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.