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QOC Nurse Supervisor - Remote - Remote Eligible

Lead team to improve quality and patient safety processes across departments
Pittsburgh, Pennsylvania, United States
Mid-Level
$71,200 – 127,200 USD / year
2 days ago
UnitedHealth Group

UnitedHealth Group

A diversified health and well-being company offering a broad spectrum of products and services through two distinct platforms: UnitedHealthcare and Optum.

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Caring. Connecting. Growing Together.

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable.

This role supports Quality/Patient Safety efforts for the organization. Specifically, this position is responsible for managing front line non-clinical and clinical staff related to businesses process supported by the department.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Excellent working knowledge of systems used for processing of QOC cases
  • Plans, prioritizes, organizes and completes work to meet established objectives
  • Able to effectively utilize UHG applications related to QOC case research
  • Excellent verbal & written communication skills with internal & external customers
  • Interface with other departments as needed
  • Attend monthly Regional Peer Review Committee meetings
  • Manage team huddles and oversee team case inventory and adjust caseloads as needed
  • Manage role specific meetings to discuss topics to educate and/or improve processes
  • Coordinates work activities with other supervisors/managers
  • Responsible for updating department Standard Operating Procedures (SOPs) and job aids
  • Monitor performance through multiple reports
  • Monitor staff attendance and evaluate PTO requests for approval based on business needs
  • Manage staff performance issues through coaching and corrective action plan process as needed
  • Evaluate staff performance throughout the year and during MAP/ YIR
  • Special projects as assigned by QOC manager, director or NVP

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:

  • Undergraduate degree and/or equivalent related experience
  • An active, Unrestricted licensed RN
  • Solid computer proficiency
  • Demonstrated ability to effectively utilize UHG applications
  • Demonstrated excellent verbal and written communication skills
  • Demonstrated solid analytical and research skills
  • Designated quiet workspace in your home
  • Access to install secure high-speed internet

Preferred Qualifications:

  • 2+ years of Appeals and Grievances experience
  • Supervisory experience
  • Experience working on a virtual team
  • Available to work 8am-5pm

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

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). The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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QOC Nurse Supervisor - Remote - Remote Eligible
Pittsburgh, Pennsylvania, United States
$71,200 – 127,200 USD / year
Remote
About UnitedHealth Group
A diversified health and well-being company offering a broad spectrum of products and services through two distinct platforms: UnitedHealthcare and Optum.