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.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.If you are located in New Jersey and willing to travel up to 25% of your time to Essex County, NJ, you will have the flexibility to work remotely as you take on some tough challenges.Primary 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
Engaged in performance improvement initiatives to optimize clinical workflows, promote team engagement, and continuously improve care management of health plan members
To meet the unique needs of our members, have an intimate understanding of the contractual requirements
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
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
Collaborate with Provider Relations team to assist in resolution of issues presented by providers
Conducts staff training and coaching of direct reports as needed
Conducts bi-annual field visits with direct reports to observe, provide areas of teaching, address issues and concerns and foster a good working relationship
Collaborates across Optum and UHG and interacted with Medical Directors, Site Directors, Senior Leaders, Network, Marketing, Account Management, Quality, Product, and other stakeholders
Serves as a direct liaison for members, nursing facility providers and assisted living providers and nursing facility transition programs (I Choose home New Jersey)
Review and manages operational reports to monitor staff productivity and program effectiveness
Travel up to 30% within NJ for meetings, conferences, etc.
Other duties as assigned
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 in the state of New Jersey
5+ 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
Access to reliable transportation and the ability to travel up to 25% within assigned territory to meet with employees, members, and providers
Preferred Qualifications:
Master’s degree
NJ Choice Master Trainer certification
Case management experience
Experience/exposure with discharge planning
Experience in utilization review, concurrent review and/or risk management
Background in managed care
Bilingual in English/Spanish
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter PolicyNew Jersey Residents Only: The salary range for this role is $88,000 to $173,200 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.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.