Job Description

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 team is focused on audit and delegation oversight with a focus on quality and utilization management. 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 reside in New Mexico, you will have the flexibility to work remotely* as you take on some tough challenges.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
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.)
• Ability to remain stationary for long periods of time to complete computer or tablet work duties

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 4-Year Clinical Degree
• 4+ years of Clinical Experience in care coordination, delegation oversight, or utilization management
• 3+ years' Leadership Experience with responsibility for team performance OR 3+ years of experience as a UnitedHealthcare care coordinator/case manager with experience serving as a peer mentor and/or coach
• Intermediate MS Office skills, including Word, Excel, Outlook, and PowerPoint
• Reliable transportation and the ability to travel within assigned territory to meet with employees, members, and providers
• Must currently reside in New Mexico
• Ability to travel locally up to 25% of the time throughout the State of New Mexico

Preferred Qualifications:

• Master's Degree or Higher in Clinical Field
• Current, unrestricted independent licensure as a Registered Nurse with experience in utilization management/utilization review
• Experience working in team-based care
• Experience working in Managed Care
• Knowledge of Medicaid population

*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). 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.
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.
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.

Skills Required