In the Health and Social Services Manager role is a remote position in which you will lead a team of care managers, while oversee day-to-day clinical operations and participate in business development activities. You will manage the Home and Community Based Services program for the region you are assigned to including team and performance management, process improvement, ensure standardized execution of clinical processes, and implementation of new program initiatives. Complying with contractual requirements and ensuring member needs are met.
*While Role is Remote, for consideration candidate MUST reside within the state of VA. Candidates outside of VA will not be considered for this position. *If you reside within the state of
Virginia, you will enjoy the flexibility to telecommute* 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
- To meet the unique needs of our members, have an intimate understanding of the contractual requirements
- Identify, select, structure, and prioritize process improvement projects, ultimately implementing changes to meet program requirements.
- Ensures 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.
- Accountable owner to deliver timely and quality state escalations for complex member situations
- Ability to work and collaborate effectively across multidisciplinary clinical teams
- Ensure compliance of your team for processes, regulations, documentation, and training
- Ability to lead change within your team to increase engagement and foster improvements
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:- Bachelor's degree
- Registered Nurse or Licensed Clinical Social Worker (LCSW) with active and unrestricted license in the state of VA
- 3+ years of experience working within the community health setting in a health care role for HCBS LTSS Members, or complex member populations
- 1+ year of experience coaching or mentoring staff
- 1+ year of leadership experience over programs or projects with clinical team members
- Intermediate level of experience with Microsoft Word, Excel, and PowerPoint with the ability to navigate a Windows environment
- Access to reliable transportation and a valid US driver's license
- Must live within Virginia and within commutable driving distance to assigned region
Preferred Qualifications:- Master's degree
- Certified Case Manager (CCM)
- 3+ years of leadership experience
- A background in managed care and dual eligible members in Virginia
- Case Management experience
- Experience/exposure with discharge planning
- Experience in utilization review, concurrent review and/or risk management
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. 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. The salary for this role will range from $91,700 - $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.
