The Manager of Inpatient Care Management is responsible for the day-to-day functioning, future planning, and fiscal oversight of Inpatient Care Coordination in a manner that supports the mission and vision of A.R. Gould Hospital in Presque Isle, Maine.

Primary Responsibilities:

• Clinical operations across the continuum of care (assessing, planning, implementing, coordinating, monitoring, and evaluating)
• Case management and coordination of care
• Takes a lead role in setting direction and participating in or developing new programs.
• Sets team direction, resolves problems and guides members of the team.
• Ensures the team meets established performance metrics and performance guarantees.
• Adapts departmental plans and priorities to address business and operational challenges.

You’ll be rewarded and recognized for your performance in an environment that will challenge you, give you clear direction on what it takes to succeed in your role, and provide development for other positions you may be interested in.

Required Qualifications:

• Current, unrestricted RN license in the State
• BSN degree
• 3+ years of nursing leadership.
• 3+ years of experience in a hospital setting, acute care, direct care experience, or experience as a telephonic Case Manager for an insurance company
• Prior case management experience.
• Microsoft Word, with the ability to navigate a Windows environment.

Preferred Qualifications:

• Certified Case Manager (CCM)
• Case Management experience
• Experience/exposure with discharge planning
• Experience in utilization review, concurrent review, and risk management
• Background in managed care
• Proven solid organizational skills and multitasking abilities will be keys to success

Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can create a healthier world, one insight, one connection, and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged, and high-performing teams to help solve critical challenges.

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 that people of color disproportionately experience, 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.