Manager, Care Coordination

UnitedHealth Group • Kalamazoo, MI

222d • $89,800 - $176,700 • 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 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.

Requirements

• Current, unrestricted independent license as a Registered Nurse or Social Worker to practice in the state of Michigan
• 4+ 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 within assigned territory to meet with employees, members, and providers
• Ability to travel locally up to 25% of the time within a specified region Southeast MI
• Ability to travel Southfield, MI for quarterly team meetings
• Currently reside in or within commutable driving distance to Kalamazoo, Michigan
• Clinical operations experience with MI Health Link (MMP and/or with MI Medicaid Long Term Support Services (LTSS))
• Must be 18+ years of age or older

Nice To Haves

• 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 Kalamazoo, MI

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

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree