Insurance OPT Jobs in South Carolina

INTRODUCTION

Explore opportunities with Amedisys, part of the Optum family of businesses. We provide home health, hospice and community-based services that help people receive quality care where they feel most comfortable: at home. Rooted in personalized care, we support patients and provide comfort through each stage of their health journey, while building trusted relationships along the way. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.

ROLE AND RESPONSIBILITIES

As the Clinical Manager, you will provide leadership, supervision, and coordination of therapy services to ensure high-quality, compliant, and cost-effective patient care, while maintaining fiscal responsibility, facilitating patient care communication, and supporting referrals, scheduling, patient visits, and documentation as needed.

Primary Responsibilities:

• Recommends employment decisions for staff to the director of operations, including decisions to hire, fire, advance, promote or change status
• Responsible for overall quality of patient care and clinical performance of nurses and aides
• Organizes clinical operations for the care center
• Reviews requests for services and determines patient eligibility/suitability for home care services. Works with intake in coordinating patient referrals and admissions
• Oversees scheduling
• Oversees payor verification and precertification requirements
• Reviews documentation of other staff members and ensures missing, incomplete and/or untimely documentation issues are resolved
• Assists clinicians in establishing immediate and long-term patient goals, setting priorities and developing Plan of Care (POC)
• Regularly evaluates the needs of the patient and makes necessary revisions to the plan of care in collaboration with clinicians
• May provide direct patient care on an infrequent basis in times of emergency
• Participates in the on-call process
• Assists with training of staff to ensure quality care, compliance and fiscal responsibility
• Participates in the investigation and resolution of patient/family/physician concerns

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.

BASIC QUALIFICATIONS

• Associate or bachelor's degree in nursing
• Current RN license, specific to the state(s) you are assigned to work
• Current CPR certification
• 1+ years of clinical RN experience in home health or hospice
• 1+ years of RN management experience

PREFERRED QUALIFICATIONS

• Bachelors degree

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $73,188 to $109,782 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.