Job details
Job type full-time
Full job description
Unitedhealthcare is a company that`s on the riseWe`re expanding in multiple directions, across borders and, most of all, in the way we thinkHere, innovation isn`t about another gadget, it`s about transforming the health care industryReady to make a difference? make yourself at home with us and start doing your life`s best work.(sm)
The clinical program consultant works in a leadership position as part of our clinical teamThis individual works with unitedhealthcare’s contracted community based partners, providing direct oversight and management to a diversified team of geriatric social service coordinators (gsscs)This is a key role in developing solid relationships with our clinical partners and ensuring compliance metrics are met.
If you are located in massachusetts, new hampshire, or rhode island , you will have the flexibility to telecommute* as you take on some tough challenges.
Primary responsibilities:
Work closely with our community asap (aging service access points) partners and gsscs (geriatric service support coordinators) to implement and comply with our care model and visit requirements
Proactively monitors individual performances, ensuring performance metrics and goals are reviewed on a regular and frequent basis
Demonstrates a positive leadership shadow by shaping positive behaviors, influencing our values, and creating a healthy, high performance environment
Ensure compliance with model of care and state contractual requirements are met timely (chart audits), providing one to one coaching as needed
Demonstrates solid knowledge of computer functionality and software applications (e.gNavigating systems, accessing record management databases, accessing intranet, troubleshooting
Provide excellent customer service to our community partners
Work closely with sales and provider relations to promote and deliver our care model
Comply with our governmental contract requirements
Coordinate meetings at asaps, handle clinical issues and work closely with clinical region
Automobile travel to offices of our contracted providers and to meetings with the same in massachusetts
Local travel around small geographic region
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:
Bachelor’s degree or higher
3+ years of care management experience
2+ years of clinical leadership experience
Intermediate proficiency in ms office (excel, powerpoint, ms teams)
Reside in either massachusetts, new hampshire, or rhode island
Access to reliable transportation that will enable you to travel to client and / or patient sites within a designated area
Full covid-19 vaccination is an essential requirement of this roleUnitedhealth group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance
Preferred qualifications:
Unrestricted rn license or licensed social worker
Geriatric home care experience
Experience with community asap partners and gsscs (geriatric service support coordinators)
Knowledge of relevant state and federal guidelines (e.g., medicare, medicaid)
Proven interpersonal, communication and relationship building skills
Curious, adaptable, flexible, and able to work with changing direction and priorities
Ability to organize and thrive in a fast-paced matrixed environment
Unitedhealth group requires all new hires and employees to report their covid-19 vaccination status
Careers at unitedhealthcare community & stateChallenge brings out the best in usIt also attracts the bestThat`s why you`ll find some of the most amazingly talented people in health care hereWe serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, hiv/aids and high-risk pregnancyOur holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factorsJoin usWork with proactive health care, community and government partners to heal health care and create positive change for those who need it mostThis is the place to do your life`s best work.(sm)
*all telecommuters will be required to adhere to unitedhealth group’s telecommuter policy.
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 workplaceCandidates are required to pass a drug test before beginning employment.
Job keywords: cpc, clinical practice consultant, rn, registered nurse, licensed social worker, aging service access points, aging service access points, telecommute, telecommuter, telecommuting, work at home, work from home, remote
