Uhc Jobs – Manager, Health & Social

Job Description:

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.

Job Responsibilities:

• 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
• Selects, manages, develops, mentors, and supports staff in designated department or region
• Engaged in performance improvement initiatives to optimize clinical workflows, promote team engagement, and continuously improve care management of health plan members
• Collaborate with Provider Relations team to assist in resolution of issues presented by providers
• To meet the unique needs of our members, have an intimate understanding of the contractual requirements
• Review and manages operational reports to monitor staff productivity and program effectiveness
• Collaborates across Optum and UHG and interacted with Medical Directors, Site Directors, Senior Leaders, Network, Marketing, Account Management, Quality, Product, and other stakeholders
• Manages the day-to-day operations for community-based, nursing facility, and assisted living care managers in surrounding counties, which included resolving problems, promoting collaboration to ensure the team meets the established performance metrics and organizational goals
• Oversee interdisciplinary teams for Nursing Facility transitions
• Other duties as assigned
• Develops clear goals and objectives for performance management and effectively communicates expectations and holds the team accountable for results
• Conducts bi-annual field visits with direct reports to observe, provide areas of teaching, address issues and concerns and foster a good working relationship
• Conducts staff training and coaching of direct reports as needed
• Serves as a direct liaison for members, nursing facility providers and assisted living providers and nursing facility transition programs (I Choose home New Jersey)

Job Requirements:

• Bilingual in English/Spanish
• Intermediate level of proficiency with Microsoft Office suite (Word, Excel, SharePoint, PowerPoint, etc.), with the ability to navigate a Windows environment
• Unrestricted RN license in the state of New Jersey
• Background in managed care
• Full COVID-19 vaccination is an essential job function of this role.
• Travel up to 20% for meetings, conferences, etc

Qualification & Experience:

• 5+ years of experience working within the community health setting in a health care role
• 3+ years of experience coaching or mentoring staff within a healthcare industry
• Experience/exposure with discharge planning
• NJ Choice Master Trainer Certification
• Experience in utilization review, concurrent review and/or risk management
• Master’s degree
• Case Management experience

Job Details:

Company: United HealthCare

Vacancy Type: Full Time

Job Location: Iselin, NJ, US

Application Deadline: N/A

Apply Here

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