Prescription Assistance with OptumRx * Income protection programs for the entire family such as life insurance, Short/Long-term Disability, and Identity Theft. * Employee Assistance program at no ...
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60 Optumrx Jobs Hiring Near You
Prescription Assistance with OptumRx * Income protection programs for the entire family such as life insurance, Short/Long-term Disability, and Identity Theft. * Employee Assistance program at no ...
Associate, Medical Strategy
Cranbury, NJ · Hybrid
$45K - $60K/yr
Pharmacy benefits through OptumRx * FSA, HSA, Dependent Care FSA, and Limited Purpose FSA options * 401(k) and Roth 401(k) with company match * Pet discount program with PetAssure * Norton LifeLock ...
Associate, Medical Strategy
Cranbury, NJ · Hybrid
$45K - $60K/yr
Pharmacy benefits through OptumRx * FSA, HSA, Dependent Care FSA, and Limited Purpose FSA options * 401(k) and Roth 401(k) with company match * Pet discount program with PetAssure * Norton LifeLock ...
Associate, Medical Strategy
Cranbury, NJ · On-site
$45K - $60K/yr
Pharmacy benefits through OptumRx * FSA, HSA, Dependent Care FSA, and Limited Purpose FSA options * 401(k) and Roth 401(k) with company match * Pet discount program with PetAssure * Norton LifeLock ...
Associate, Medical Strategy
Cranbury, NJ · On-site
$45K - $60K/yr
Pharmacy benefits through OptumRx * FSA, HSA, Dependent Care FSA, and Limited Purpose FSA options * 401(k) and Roth 401(k) with company match * Pet discount program with PetAssure * Norton LifeLock ...
Direct Hire - Respiratory Therapist (RRT)
Mountain Home, AR · On-site
$30 - $38/hr
OptumRX | Dental: Delta Dental | Vision: EyeMed * Employee Assistance Program (EAP): Lucet * Company-paid: Basic Life Insurance, AD&D, Long-Term Disability (after 12 months) * 401(k) Retirement ...
Direct Hire - Respiratory Therapist (RRT)
Mountain Home, AR · On-site
$30 - $38/hr
OptumRX | Dental: Delta Dental | Vision: EyeMed * Employee Assistance Program (EAP): Lucet * Company-paid: Basic Life Insurance, AD&D, Long-Term Disability (after 12 months) * 401(k) Retirement ...
Prescription Assistance with OptumRx * Income protection programs for the entire family such as life insurance, Short/Long-term Disability, and Identity Theft. * Employee Assistance program at no ...
Prescription Assistance with OptumRx * Income protection programs for the entire family such as life insurance, Short/Long-term Disability, and Identity Theft. * Employee Assistance program at no ...
Prescription Assistance with OptumRx * Income protection programs for the entire family such as life insurance, Short/Long-term Disability, and Identity Theft. * Employee Assistance program at no ...
Prescription Assistance with OptumRx * Income protection programs for the entire family such as life insurance, Short/Long-term Disability, and Identity Theft. * Employee Assistance program at no ...
Senior Vice President, OptumRx Strategy - Market Intelligence & Strategic Planning
Eden Prairie, MN · Hybrid
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by ...
Senior Vice President, OptumRx Strategy - Market Intelligence & Strategic Planning
Eden Prairie, MN · Hybrid
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by ...
Growth Marketing Specialist
Cranbury, NJ · On-site
$55K - $60K/yr
Pharmacy benefits through OptumRx * FSA, HSA, Dependent Care FSA, and Limited Purpose FSA options * 401(k) and Roth 401(k) with company match * Pet discount program with PetAssure * Norton LifeLock ...
Growth Marketing Specialist
Cranbury, NJ · On-site
$55K - $60K/yr
Pharmacy benefits through OptumRx * FSA, HSA, Dependent Care FSA, and Limited Purpose FSA options * 401(k) and Roth 401(k) with company match * Pet discount program with PetAssure * Norton LifeLock ...
Prescription Assistance with OptumRx * Income protection programs for the entire family such as life insurance, Short/Long-term Disability, and Identity Theft. * Employee Assistance program at no ...
Prescription Assistance with OptumRx * Income protection programs for the entire family such as life insurance, Short/Long-term Disability, and Identity Theft. * Employee Assistance program at no ...
Prescription Assistance with OptumRx * Income protection programs for the entire family such as life insurance, Short/Long-term Disability, and Identity Theft. * Employee Assistance program at no ...
Prescription Assistance with OptumRx * Income protection programs for the entire family such as life insurance, Short/Long-term Disability, and Identity Theft. * Employee Assistance program at no ...
Marketing Manager
Cranbury, NJ · Hybrid
$65K - $75K/yr
Pharmacy benefits through OptumRx * FSA, HSA, Dependent Care FSA, and Limited Purpose FSA options * 401(k) and Roth 401(k) with company match * Pet discount program with PetAssure * Norton LifeLock ...
Marketing Manager
Cranbury, NJ · Hybrid
$65K - $75K/yr
Pharmacy benefits through OptumRx * FSA, HSA, Dependent Care FSA, and Limited Purpose FSA options * 401(k) and Roth 401(k) with company match * Pet discount program with PetAssure * Norton LifeLock ...
Prescription Assistance with OptumRx * Income protection programs for the entire family such as life insurance, Short/Long-term Disability, and Identity Theft. * Employee Assistance program at no ...
Prescription Assistance with OptumRx * Income protection programs for the entire family such as life insurance, Short/Long-term Disability, and Identity Theft. * Employee Assistance program at no ...
Prescription Assistance with OptumRx * Income protection programs for the entire family such as life insurance, Short/Long-term Disability, and Identity Theft. * Employee Assistance program at no ...
Prescription Assistance with OptumRx * Income protection programs for the entire family such as life insurance, Short/Long-term Disability, and Identity Theft. * Employee Assistance program at no ...
Digital Network Coordinator
Dallas, TX · Hybrid
$40K - $50K/yr
Pharmacy benefits through OptumRx * FSA, HSA, Dependent Care FSA, and Limited Purpose FSA options * 401(k) and Roth 401(k) with company match * Pet discount program with PetAssure * Norton LifeLock ...
Digital Network Coordinator
Dallas, TX · Hybrid
$40K - $50K/yr
Pharmacy benefits through OptumRx * FSA, HSA, Dependent Care FSA, and Limited Purpose FSA options * 401(k) and Roth 401(k) with company match * Pet discount program with PetAssure * Norton LifeLock ...
Prescription Assistance with OptumRx * Income protection programs for the entire family such as life insurance, Short/Long-term Disability, and Identity Theft. * Employee Assistance program at no ...
Prescription Assistance with OptumRx * Income protection programs for the entire family such as life insurance, Short/Long-term Disability, and Identity Theft. * Employee Assistance program at no ...
Prescription Assistance with OptumRx * Income protection programs for the entire family such as life insurance, Short/Long-term Disability, and Identity Theft. * Employee Assistance program at no ...
Prescription Assistance with OptumRx * Income protection programs for the entire family such as life insurance, Short/Long-term Disability, and Identity Theft. * Employee Assistance program at no ...
Prescription Assistance with OptumRx * Income protection programs for the entire family such as life insurance, Short/Long-term Disability, and Identity Theft. * Employee Assistance program at no ...
Prescription Assistance with OptumRx * Income protection programs for the entire family such as life insurance, Short/Long-term Disability, and Identity Theft. * Employee Assistance program at no ...
Prescription Assistance with OptumRx * Income protection programs for the entire family such as life insurance, Short/Long-term Disability, and Identity Theft. * Employee Assistance program at no ...
Prescription Assistance with OptumRx * Income protection programs for the entire family such as life insurance, Short/Long-term Disability, and Identity Theft. * Employee Assistance program at no ...
Prescription Assistance with OptumRx * Income protection programs for the entire family such as life insurance, Short/Long-term Disability, and Identity Theft. * Employee Assistance program at no ...
Prescription Assistance with OptumRx * Income protection programs for the entire family such as life insurance, Short/Long-term Disability, and Identity Theft. * Employee Assistance program at no ...
Prescription Assistance with OptumRx * Income protection programs for the entire family such as life insurance, Short/Long-term Disability, and Identity Theft. * Employee Assistance program at no ...
Prescription Assistance with OptumRx * Income protection programs for the entire family such as life insurance, Short/Long-term Disability, and Identity Theft. * Employee Assistance program at no ...
Other
Medical, Dental, Vision, Life, Retirement, PTO
Posted 23 days ago
Job description
Job Description
Job Summary
The Director of Case Management is responsible for the oversight of Case Management unit, including but not limited to clinical resource management, discharge planning activities, patient advocacy, clinical social work and best practice in medical necessity determination and concurrent review. Accountable for the execution, adaptation and outcome of care management as prescribed in the initial Utilization Review Plan with regard to resources, appropriateness of care and adherence to a designated Geometric Length of Stay (GLOS) for each patient.
The Director of Case Management is responsible for the oversight of Case Management unit, including but not limited to clinical resource management, discharge planning activities, patient advocacy, clinical social work and best practice in medical necessity determination and concurrent review. Accountable for the execution, adaptation and outcome of care management as prescribed in the initial Utilization Review Plan with regard to resources, appropriateness of care and adherence to a designated Geometric Length of Stay (GLOS) for each patient.
Essential Functions
- Develops and implements departmental goals, plans, and standards consistent with the clinical,administrative, legal, and ethical requirements/objectives of the organization.
- Directs and evaluates departmental operations, including patient care delivery, information technologies, service level determination, and complaint management, to achieve performance and quality control objectives.
- Plans and monitors staffing activities, including hiring, orienting, evaluating, disciplinary actions, and continuing education initiatives.
- Prepares, monitors, and evaluates departmental budgets, and ensures that the department operates in compliance with allocated funding. Coordinates and directs internal/external audits.
- Creates and fosters an environment that encourages professional growth.
- Integrates evidence-based practices into operations and clinical protocols.
- The Director is responsible for the overall direction and management of these areas, including planning, organizing and directing all activities, staffing, performance improvement in the delivery of clinical services as well as government and regulatory reporting.
Benefits -
- you choose your own Medical, Dental, and Vision plans from a variety of competitive options that give you the coverage that best fits your needs.
- HSA
- 401(K) retirement plan contributions
- Generous Paid Time Off
- Accident & Critical Illness Insurance
- Prescription Assistance with OptumRx
- Income protection programs for the entire family such as life insurance, Short/Long-term Disability, and Identity Theft.
- Employee Assistance program at no cost to you to provide emotional, legal, financial, and daily life support for your entire household. Services are available 24 hrs. a day, 7 days a week.
- Free travel and entertainment discount program to ensure you enjoy your time away from work.
Qualifications
Minimum Education
Associate's Degree in Nursing required
Bachelor's Degree in Nursing or Master's Degree in related field preferred.
Bachelor's Degree in Nursing or Master's Degree in related field preferred.
Licenses/Certifications
Current RN license to practice in NC
Minimum Work Experience
Minimum Work Experience
Minimum 3 years management experience preferred.
Must-Haves
- Associate's Degree in Nursing required
- Current RN license to practice in NC
- Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.
Nice-To-Haves
- Bachelor's Degree in Nursing or Master's Degree in related field preferred.
- Minimum 3 years management experience preferred.