Manager of Clinical Care Coordination - Maui, HI
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 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 Maui, HI, you will have the flexibility to work remotely as you take on some tough challenges. Travel is required on island and to neighbor islands based on business needs. 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.
Requirements
- Current, unrestricted independent licensure as a Registered Nurse or Social Worker in Hawaii
- 4+ years of Clinical experience
- 3+ years of Leadership experience with responsibility for team performance
- 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 to other islands based on business needs
Nice To Haves
- Master's Degree or higher in Clinical Field
- Background in Managed Care
- Experience working in team-based care
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
Benefits
- 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.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Number of Employees
5,001-10,000 employees
