Job details
Job type full-time
Full job description
If you want to achieve more in your mission of health care, you have to be really smart about the business of health careChallenge yourself, your peers and our industry by shaping what health care looks like and doing your life`s best work.(sm)
Ecf choices program offers person-centered care planning, support coordination, and support services for individuals receiving home and community-based services (hcbs).
This position will lead a care management team while overseeing day-to-day clinical operations and health plan clinical initiatives to support achieving quality and affordability targetsThe manager, clinical care management will manage a program or region, including process improvement, execution of clinical decision processes, clinical care management team management, including performance management and implementation of program initiatives.
If you are located in the western part of tennessee, you will have the flexibility to telecommute* as you take on some tough challenges.
Primary responsibilities
Lead and manage regional clinical care management teams comprised of rns, behavioral health care managers and community health workers
Hire, develop and coach clinical care management team members to set team direction, resolve issues, monitor adherence to state and federal contract requirements and provide guidance to team members
Identify, select, structure and prioritize process improvement projects, ultimately implementing changes to meet program requirements
Investigate non-standard requests and problems to make recommendations to leadership
Acts as interface with functional teams and partners to coordinate workflow processes and implementation plans
Review data and facts to identify and solve issues, mitigate risks, prioritize teams’ workloads, and assign direction for ad hoc projects needed
Carry member case load as needed
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
Current, unrestricted, independent licensure as a registered nurse or social worker, or a 4 year degree, with equivalent experience.
3+ years of clinical experience
3+ years of leadership experience (e.g., review work of others, serve as an expert in their field, serve as a mentor and leader, lead functional or segment teams or projects, motivate and inspire team members)
3+ years of experience with medicaid and medicare populations
Demonstrate ability to work in a matrix organization
Demonstrated knowledge of medicare and medicaid benefits
Preferred qualifications
Master`s degree in nursing, social work, counseling or other related clinical field
Experience working in managed care
Soft skills:
Possess a solid work ethic
Ability to listen skillfully, collect relevant information, build rapport and respond to customers in a compassionate manner
Ability to adapt to change in the workplace
Ability to work independently and as a part of a team
Ability to interact with internal and external customers in a corporate environment
Must possess a positive and motivated attitude
Willingness to adapt to multiple external environments and settings
Physical requirements and work environment:
Ability to transition from office to field locations multiple times a day
Must possess transportation to visit clients in various locations
Ability to travel varied distances and multiple locations/terrains to visit assigned client locations
Ability to carry equipment to and from field locations needed for face to face member visits (exLaptop, stethoscope, blood pressure cuff, etc.)
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.
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