Director Inpatient Management Job in Los Angeles, California US
DIRECTOR - INPATIENT MANAGEMENT - Virtual Position West Coast
Sets team(s) direction, resolves problems and provides guidance to team members, works independently understanding individual and market goals, metrics, trends and results
Prioritizes activities for multiple markets; sets direction for manager(s) market(s)
Adapts department plans and priorities to address business challenges to include PTO management and caseload balancing.
Provides input to forecasting and planning activities relevant staffing and facility coverage due to identified utilization trends and membership fluctuations.
Keeps Performance on Track by ongoing performance monitoring and completing annual MAP evaluations. Implements developmental plans and supports MBOs for upcoming year.
Actively participates in market bed day meetings and communicate direction to managers and staff.
Properly escalates concerns or operational issues impacting Region or Market(s)
Engages Sr. Medical Director or Medical Directors for activities that impact both nursing and physicians.
Supports and actively engages in projects for region/assigned markets or Enterprise-wide initiatives
Support and champion business standardization and flawless execution for business initiative
Support continuous improvement of annual employee engagement scores
A current, unrestricted RN license in applicable state(s)
Minimum of 5 years relevant experience including 3 years in a management role in Utilization Management in a managed care environment or other equivalent setting.
Familiar with the utilization of criteria based decision making tools, such as Milliman Care Guidelines, Interqual or other criteria-based guidelines preferred.
Case management certification and/or experience preferred
Solid computer skills
Ability to build and maintain relationships is essential
Effective communication skills, flexibility and displays positive attitude
BS or BSN degree preferred, graduate degree preferred
Previous Director Level experience required
UnitedHealthcare, part of the UnitedHealth Group family of companies, is comprised of three specialized businesses dedicated to meeting the health care benefits needs of individuals and groups; all part of something greater, but each with a specialized focus:
UnitedHealthcare Employer Individual works with individuals, small businesses and large multi-site employers to provide innovative, affordable benefits services.
UnitedHealthcare Medicare Retirement is focused on serving Americans over the age of 50. It is the largest business dedicated to meeting the growing health and well-being needs of aging individuals in the nation, serving one in five Medicare beneficiaries through a comprehensive and diversified array of products and services through four industry-leading businesses.
UnitedHealthcare Community State provides high-quality, personalized, public-sector health care programs that help local government agencies improve health outcomes for millions of children and low-income and disabled individuals at an affordable cost.
Together, were removing the barriers that keep people from receiving the kind of quality health care that makes a difference. We focus on Integrity, Compassion, Relationships, Innovation and Performance as we empower people to achieve better health and well-being.
Come grow and thrive in our culture of innovation and ideas. Because there is no opportunity greater than the quest to help people live healthier lives.