Clinical Program Consultant - Telecommute in MA, NH, RI

US APPLICANTS ONLY: To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination 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 UnitedHealth Group

We're creating opportunities in every corner of the health care marketplace to improve lives while we're building careers. At UnitedHealth Group, we support you with the latest tools, advanced training and the combined strength of high caliber co-workers who share your passion, your energy and your commitment to quality. Join us and start doing your life's best work. SM


Compassion. It's the starting point for health care providers like you and it's what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you're also providing leadership and contributing in ways that can affect millions for years to come. Ready for a new path? Learn more, and start doing your life's best work. SM

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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)

The Clinical Program Consultant works in a leadership position as part of our Clinical Team. This individual works with UnitedHealthcare's contracted Community Based Partners, providing direct oversight and management to a diversified team of Geriatric Social Service Coordinators (GSSCs). This is a key role in developing solid relationships with our clinical partners and ensuring compliance metrics are met.

If you are located in Massachusetts, New Hampshire, or Rhode Island , you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:
  • Work closely with our Community ASAP (Aging Service Access Points) partners and GSSCs (Geriatric Service Support Coordinators) to implement and comply with our care model and visit requirements
  • Proactively monitors individual performances, ensuring performance metrics and goals are reviewed on a regular and frequent basis
  • Demonstrates a positive leadership shadow by shaping positive behaviors, influencing our values, and creating a healthy, high performance environment
  • Ensure compliance with Model of Care and State contractual requirements are met timely (chart audits), providing one to one coaching as needed
  • Demonstrates solid knowledge of computer functionality and software applications (e.g. navigating systems, accessing record management databases, accessing intranet, troubleshooting
  • Provide excellent customer service to our community partners
  • Work closely with sales and provider relations to promote and deliver our care model
  • Comply with our governmental contract requirements
  • Coordinate meetings at ASAPs, handle clinical issues and work closely with clinical region
  • Automobile travel to offices of our contracted providers and to meetings with the same in Massachusetts
  • Local travel around small geographic region

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 or higher
  • Unrestricted RN license or Licensed Social Worker
  • 3+ years of care management experience
  • 2+ years of clinical leadership experience
  • Intermediate proficiency in MS Office (Excel, PowerPoint, MS teams)
  • Reside in either Massachusetts, New Hampshire, or Rhode Island
  • Access to reliable transportation that will enable you to travel to client and / or patient sites within a designated area

Preferred Qualifications:
  • Geriatric home care experience
  • Experience with Community ASAP partners and GSSCs (Geriatric Service Support Coordinators)
  • Knowledge of relevant state and federal guidelines (e.g., Medicare, Medicaid)
  • Proven interpersonal, communication and relationship building skills
  • Curious, adaptable, flexible, and able to work with changing direction and priorities
  • Ability to organize and thrive in a fast-paced matrixed environment

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status

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.

Job Keywords: CPC, Clinical Practice Consultant, RN, Registered Nurse, Licensed Social Worker, Aging Service Access Points, Aging Service Access Points, Telecommute, Telecommuter, Telecommuting, Work at Home, Work from Home, Remote