Patient Care Manager - Medical Specialty

Optum in the tri-state region (formerly CareMount Medical, ProHEALTH New York and Riverside Medical Group) offers an interconnected network that enables us to work collaboratively to better coordinate care among our doctors and care teams. Together, we offer you and your family access to more than 2,100 providers, representing 70 specialties, working in 360 medical practices and more than 55 urgent care locations across New York, New Jersey, and Southern Connecticut. For more information, visit www.optum.com/tri. 

Position Overview: Under the direction of the Regional Patient Care Director, and/or designee, the Patient Care Manager assumes clinical and operational responsibility as well as fiscal responsibility for his/her assigned Department(s) incorporating CareMount Medical policies, goals and long range plan. The Patient Care Manager works collaboratively with the Regional Patient Care Director, the Senior Director of Operations & Chief Nursing Officer, Department Heads, and other administrators to provide leadership, direction and management for clinical and non-clinical staff to ensure quality patient care and services in all clinical areas.

Primary Responsibilities:

• Clinical Practice/Patient Care
  • Excellence in the clinical practice and the delivery of patient care
  • Assesses and identifies the needs for and assists with program development
  • Develops and maintains an environment that supports excellent in clinical practice
  • Maintains a high level of clinical excellence in his/her specialty
  • Functions effectively with other health care providers during emergency situations
  • Acts as a resource and role model for clinical staff in the delivery of patient care
  • Collaborates with Regional Patient Care Director, Sr. Director of Operations/Chief Nursing Officer, other Patient Care Managers, Department Heads and Physicians to support excellence in the patient care delivery system throughout CAREMOUNT MEDICAL
  • Reviews and implements policies, procedures and standards of care to assure excellence in patient
  • care, and compliance with any applicable regulatory or accrediting agencies;
  • Defines and implements a patient care service system for his/her designated department(s) that ensures quality care and optimal patient outcomes
• Fiscal Responsibilities
  • Participates in the preparation, monitoring, analyzing and maintenance of annual salaries, OTPS, and capital budgets for all assigned departments
  • Establishes yearly goals for assigned department and develops a plan for meeting departmental goals considering human and material resources
  • Evaluates the impact of proposed new programs on department and MKM/\G and develops a plan to implement new programs accordingly
  • Evaluates the impact of new programs that have been implemented
  • Collaborates with Regional Patient Care Director to determine capital, salaries and OTPS needs for new MDs and programs
  • Monitors P&L statements monthly and collaborates with Regional Patient Care Director regarding variances from budget allotments
  • Maintains communication with Regional Patient Care Director regarding all budgetary issues
• Communication
  • Maintains open lines of communication with administration, directors, other patient care managers and other CAREMOUNT MEDICAL personnel, within and between departments-even during periods of heightened stress
  • Acknowledges and addresses patients, staff, and managers in a friendly and positive manner
  • Maintains open lines of communication with non-CAREMOUNT MEDICAL physicians, administrators, and other community agencies and services
  • Maintains confidentiality of all information obtained from patient records and conversations with patients/significant others, physicians, managers, and other CAREMOUNT MEDICAL personnel
  • Uses discretion and sensitivity during all patient interactions
  • Uses a non-judgmental approach when talking with patients , staff, and coworkers
  • Uses available electronic email/computer systems to communicate inter-and intra departmentally as per departmental and/or CAREMOUNT MEDICAL protocol(s)
• Teaching and Education
  • Uses clinical and professional management knowledge and skills to educate both clinical and non­ clinical staff and others effectively (e.g., via written information, face-to-face communication, phone communication)
  • Continuously evaluates the results of education and modifies the teaching plan based on outcomes
  • Designs and implements educational activities that are appropriate and consistent with CAREMOUNT MEDICAL policies and practice, and which supports excellence in patient care
• Organizational Skills
  • Work area reflects neat and organized work habits
  • Sets priorities effectively to meet deadlines, and/or maintain project timeline
  • Evaluates tasks and delegates appropriately
  • Uses time, supplies, and human resources effectively and efficiently
• Documentation
  • Maintains appropriate and timely documentation of interactions with staff as per CAREMOUNT MEDICAL policies
  • Completes a probationary evaluation form after 90 days of employment for all newly hired and/or transferred staff
  • Completes annual performance evaluations of clinical and non-clinical staff within timeframe established by CAREMOUNT MEDICAL policies
  • Completes all necessary Human Resources forms (Request for Personnel, Payroll Change Form, etc.) accurately and in a timely manner
• Leadership
  • Demonstrates effective problem-solving skills, particularly when urgent/emergent or unexpected clinical or administrative events arise in order to maintain both the smooth functioning of the department(s) and patient/personnel safety
  • Delegates tasks and responsibilities to appropriate personnel based on educational level, ability, and defined job functions
  • Provides direction to personnel and performs an ongoing evaluation of their performance
  • Identifies opportunities for staff performance improvement and implements correction action plans as needed
  • Based on ongoing performance reviews, uses the progressive disciplinary process as needed in accordance with CAREMOUNT MEDICAL policies
  • Serves as a catalyst for maintaining excellent in patient care and improving standards of practice
  • Demonstrates leadership skills through the ability to set and attain goals
  • Serves as an effective role model for professional conduct and professional practice (e.g., maintaining composure during times of increased stress)
  • Serves as an effective preceptor to new staff and new patient care managers as needed
  • Encourages staff development through providing opportunities and mentoring to achieve individual growth and development
  • Actively participates in Patient Care Services monthly meetings
  • Designates an appropriate charge nurse to oversee the Department in the absence of the Patient Care Manager
  • Designates a Patient Care Manager to oversee the charge nurse, and intervene in administrative issues as needed, in the absence of the Department Patient Care Manager
• Professionalism
  • Demonstrates self-direction, accountability, sound judgment, and ethical behavior in all activities
  • Demonstrates patient advocacy
  • Maintains a commitment to the spirit of inquiry as evidenced by a clinical knowledge base that remains current and reflects understanding of relevant clinical research findings
  • Participates in professional conferences, workshops, continuing education programs, and/or pertinent professional organizations
  • Reads current, clinically applicable professional and managerial journals
  • Attends mandatory conferences/in-services in order to maintain (active) NYS registration, in good standing with the NY State Education Department if applicable

General Responsibilities of all Clinical Operations Employees:

• Arrives to work on time or notifies Regional Patient Care Directgor and/or designee as soon as employee becomes aware that he/she will be absent or tardy, and/or as per individual department protocol
• Maintains an acceptable attendance records as per CAREMOUNT MEDICAL policies and procedures
• Attends all mandatory CAREMOUNT MEDICAL programs and in-services as required and applicable
• Dresses according to CAREMOUNT MEDICAL dress code
• Assumes responsibility for reading, understanding, and complying with information contained in the current CAREMOUNT MEDICAL Employee Handbook, CAREMOUNT MEDICAL Administrative Policy & Procedure Manual
• Maintains confidentiality under all circumstances
• Performs related work as required
• Assists Regional Patient Care Director and/or Senior Director of Operations/Chief Nursing Officer by taking on other assignments, assuming additional responsibility, working additional hours, or altering regularly scheduled hours, when necessary, for the efficient operation of assigned department(s) and CAREMOUNT MEDICAL

TYPICAL PHYSICAL DEMAND: Requires full range of body motion including moving and lifting patients, manual and finger dexterity and eye-hand coordination. Requires sitting and/or standing for extended periods of time. Occasionally exerts up to 100 pounds of force, such as assisting patients in arising from the exam table, pushing patients in wheelchairs, or assisting patients into/out of wheelchairs. Requires corrected vision and hearing to normal range.

TYPICAL WORKING CONDITONS: May require frequent exposure to communicable diseases and body fluids, toxic substances, medicinal preparations, and other substances and conditions common to a medical office/healthcare environment. Requires use of computer, potentially for long periods of time. Subject to irregular or flexible hours to meet deadlines.

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:

• Graduate of an accredited Nursing Program with current licensure as a nurse in New York State and current NYS registration in good standing, and/or BS in related field, i.e. Health Care/Business Administration
• Record of prior stable employment and/or favorable references
• Full COVID-19 vaccination is an essential job function 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. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Preferred Qualification:

• 2 years of recent pertinent and professional clinical management experience in a hospital, medical office, or other clinical setting

All qualified applicants will receive consideration for employment without regard to race, ethnicity, color, religion, sex, gender identity, sexual orientation, national origin, disability, or protected veteran status. CareMount is an EO employer - M/F/Veteran/Disability

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

CareMount Medical, ProHEALTH Care Associates, and Riverside Medical Group (the “Practices”) are all physician owned and led practices having complete authority for all medical decision-making and patient care through their physicians and other licensed professionals. Optum, through its management organizations (“Optum”) provides non-clinical administrative services to support the Practices and their physicians. Neither Optum nor its management companies employ, engages, or supervises physicians or other licensed professionals, or determines or sets the methods, standards, or conduct of the practice of medicine or health care provided by the Practices or by any of their licensed professionals. “Part of Optum” reflects that the Practices are part of Optum’s effort to support forward-thinking physician practices in helping their patients live healthier lives.

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 play a role in creating 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 important challenges.

New York Residents Only: The salary range for New York residents is $67,800 to $133,100. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives. 

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 which are disproportionately experienced by people of color, 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.