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Manager, Care Coordination - Remote in Wayne County, MI

Manager, Care Coordination - Remote in Wayne County, MI

UnitedHealth GroupDetroit, Michigan, United States
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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. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The Manager of Clinical Care Coordination will lead a care management team while overseeing day-to-day clinical operations and health plan clinical initiatives to support achieving quality and affordability targets. The Manager will manage a program, region, or collection of Pod teams, including process improvement, execution of clinical decision processes, and team management, to include performance management and implementation of program initiatives.

If you are located in or within commutable distance to Detroit, MI or within Wayne County, MI, you will have the flexibility to work remotely

  • as you take on some tough challenges. These roles support Wayne and surrounding counties.

Primary Responsibilities :

  • Hire, manage, develop, mentor and support staff in designated department or region
  • Develop clear goals and objectives for performance management, effectively communicate expectations, and hold the team accountable for results
  • Identify, select, structure, and prioritize process improvement projects, ultimately implementing changes to meet program requirements
  • Review data and facts to identify and solve issues, mitigate risks, prioritize teams' workloads, and assign direction for ad hoc projects needed
  • Ensure standardized execution of workflow processes, including conducting performance audits, quality reviews, and compliance adherence
  • Acts as regional interface with other departments to coordinate workflow processes and implementation plans
  • Resolve inpatient and outpatient provider authorizations and collaborate with Provider relations to assist in Provider resolutions
  • Carry member case load as needed
  • Ability to transition from office to field locations multiple times per day
  • Ability to navigate multiple locations / terrains to visit employees, members and / or providers
  • Ability to transport equipment to and from field locations needed for visits (ex. laptop, stethoscope, etc.)
  • What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include :

  • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
  • Medical Plan options along with participation in a Health Spending Account or a Health Saving account
  • Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
  • 401(k) Savings Plan, Employee Stock Purchase Plan
  • Education Reimbursement
  • Employee Discounts
  • Employee Assistance Program
  • Employee Referral Bonus Program
  • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
  • More information can be downloaded at : uhgbenefits
  • 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
  • 4+ years of clinical experience
  • 3+ years of leadership experience with responsibility for team performance
  • Clinical operations experience with MI Health Link (MMP and / or with MI Medicaid Long Term Support Services (LTSS))
  • Proven intermediate level of proficiency with MS Office skills, including Word, Excel, Outlook and PowerPoint
  • Ability to travel within assigned territory to meet with employees, members, and providers
  • Ability to travel locally up to 25% of the time within a specified region (West MI)
  • Ability to travel Southfield, MI for quarterly team meetings
  • Currently reside in or within commutable driving distance to Detroit, Michigan or within Wayne County, MI
  • Access to reliable transportation and valid US driver's license
  • Must be 18 years of age or older
  • Preferred Qualifications :

  • Master's Degree or higher in clinical field
  • Experience working in team-based care
  • Experience working in Managed Care
  • Proven knowledge of Medicaid population
  • Live in Detroit, MI or Wayne County, MI
  • All Telecommuters 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). 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 $89,900 to $160,600 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 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.

    UnitedHealth Group is 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 is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

    #RPO #GREEN

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