Health Coordination Manager - Telecommute in Honolulu, HI

  • UnitedHealth Group
  • New York, NY, United States
  • Jun 20, 2022
Full time

Job Description

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

This position will lead the health coordination team overseeing day-to-day clinical operations and health plan clinical initiatives to support achieving quality and affordability targets.  This manager will manage a program or region, including process improvement, execution of clinical decision processes, team management, including performance management and implementation of program initiatives.

If you are located in or near Honolulu, HI, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

  • Lead and manage regional health coordination management teams comprised of RNs, Social workers, Community Health Workers and other health coordination team members
  • Hire, develop and coach health coordination management team members to set team direction, resolve issues, monitor adherence to state and federal contract requirements and provide guidance to team members
  • Identify, select, structure and prioritize process improvement projects, ultimately implementing changes to meet program requirements
  • Investigate non-standard requests and problems to make recommendations to leadership
  • Acts as interface with functional teams and partners to coordinate workflow processes and implementation plans
  • Review data and facts to identify and solve issues, mitigate risks, prioritize teams’ workloads, and assign direction for ad hoc projects needed
  • Carry member case load as needed

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
  • 5+ years of Clinical experience
  • 1+ years of experience with the LTSS population
  • Leadership experience (e.g., Review work of others, Serve as an expert in their field, Serve as a mentor and leader, Lead functional or segment teams or projects, Motivate and inspire team members)
  • Experience with Medicaid and Medicare populations
  • Demonstrated ability to work in a matrix organization
  • Demonstrated knowledge of Medicare and Medicaid benefits
  • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation.

Preferred Qualifications:

  • Master's degree in nursing, social work, counseling or other related clinical field
  • Experience working in Managed Care
  • Experience working with SDOH population

Soft Skills:

  • Possess a strong work ethic
  • Ability to listen skillfully, collect relevant information, build rapport and respond to customers in a compassionate manner
  • Ability to adapt to change in the workplace
  • Ability to work independently and as a part of a team
  • Ability to interact with internal and external customers in a corporate environment
  • Must possess a positive and motivated attitude
  • Willingness to adapt to multiple external environments and settings

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.     
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.