Health Coordination Manager - Telecommute in Maui, HI

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

Our teams are helping people from around the world. We can bring out your best as you put your listening, analytical and problem solving skills to work in a setting that is geared to helping improve lives and enhance health care for millions. Here, you'll discover a wealth of pathways for professional growth within Customer Service, Billing, Claims, Enrollment & Eligibility and across our global economy. Join us and find out why this is the place to do your life's best work. SM

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 Mau i, HI , you will have the flexibility to telecommute* as you take on some tough challenges.

This is a work from home position.

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)
  • Demonstrated ability to work in a matrix organization
  • Experience with Medicaid and Medicare populations
  • Demonstrated knowledge of Medicare and Medicaid benefits
  • Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance

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

Physical Requirements and Work Environment:
  • Ability to transition from office to field locations multiple times a day
  • Must possess transportation to visit clients in various locations
  • Ability to travel varied distances and multiple locations/terrains to visit assigned client locations
  • Ability to carry equipment to and from field locations needed for face to face member visits (ex. laptop, stethoscope, blood pressure cuff, etc.)

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.

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