HSS Manager - Remote in Northern VA Markets Only

UnitedHealth Group•Manassas, VA

13h•Remote

About The Position

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 is a remote position in which you will lead a team of care managers, while oversee day-to-day clinical operations and participate in business development activities. You will manage the Home and Community Based Services program for the Northern Virginia region, including team and performance management, process improvement, ensure standardized execution of clinical processes, and implementation of new program initiatives. Complying with contractual requirements and ensuring member needs are met. While Role is Remote, for consideration candidate MUST reside in Northern VA. Candidates outside of Northern VA will not be considered for this position.

Requirements

Bachelor’s degree
Registered Nurse or Licensed Clinical Social Worker (LCSW) with active and unrestricted license in the state of VA or qualifying reciprocal license
5+ years of experience working within the community health setting in a health care role for HCBS LTSS Members
Experience coaching or mentoring staff
Leadership experience over programs or projects with clinical team members
Intermediate level of experience with Microsoft Word, with the ability to navigate a Windows environment
Driver’s License and access to a reliable transportation
Must live within Virginia and within commutable driving distance to Northern Virginia area.

Nice To Haves

Master’s degree
Certified Case Manager (CCM)
3+ years of leadership experience
A background in managed care and dual eligible members in Virginia
Case Management experience
Experience/exposure with discharge planning
Experience in utilization review, concurrent review and/or risk management

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
To meet the unique needs of our members, have an intimate understanding of the contractual requirements
Identify, select, structure, and prioritize process improvement projects, ultimately implementing changes to meet program requirements.
Ensures 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.
Accountable owner to deliver timely and quality state escalations for complex member situations
Ability to work and collaborate effectively across multidisciplinary clinical teams
Ensure compliance of your team for processes, regulations, documentation, and training
Ability to lead change within your team to increase engagement and foster improvements