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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together
In the Health and Social Services Manager role, you will lead a team of Health and Social Services Coordinators, while overseeing day-to-day clinical operations in the state of New Jersey, and participating in business development activities. You will manage a program or region, including team and performance management, process improvement, and standardized execution of clinical decision processes, and implementation of new program initiatives. Also complying with contractual requirements and ensuring member needs are met.
If you are located in New Jersey and willing to travel up to 25% of your time to Southern Counties in New Jersey, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:

• Selects, manages, develops, mentors, and supports staff in designated department or region
• Develops clear goals and objectives for performance management and effectively communicates expectations and holds the team accountable for results
• Engaged in performance improvement initiatives to optimize clinical workflows, promote team engagement, and continuously improve care management of health plan members
• To meet the unique needs of our members, have an intimate understanding of the contractual requirements
• Identify, select, structure, and prioritize projects, ultimately implementing changes to meet program requirements
• Ensures standardized execution of workflow processes, including conducting performance audits, quality reviews, and compliance adherence
• Collaborate with Provider Relations team to assist in resolution of issues presented by providers
• Conduct staff training and coaching of direct reports as needed
• Conduct bi-annual field visits with direct reports to observe, provide areas of teaching, address issues and concerns and foster a good working relationship
• Other duties as assigned

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 LSW OR RN license in the state of New Jersey OR a Master's degree in Health Science or Social Science (MPH, MSW, MA)
• 5+ years of clinical experience
• 3+ years of leadership experience with responsibility for team performance
• Proven intermediate MS Office skills, including Word, Excel, Outlook, and PowerPoint
• Driver's license and access to reliable transportation and the ability to travel up to 25% within assigned territory to meet with employees, members, and providers

Preferred Qualifications:

• NJ Choice Master Trainer certification
• Case management experience
• Experience/exposure with Developmental Disabilities (DD)
• Experience in utilization review, concurrent review and/or risk management
• Background in Medicare/Medicaid

*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.
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