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 Manager of Care Coordination - Bowling Green, KY - BOWLING GREEN, Kentucky, United States

Job information
Posted by: UnitedHealth Group 
Hiring entity type: Insurance 
Work authorization: Existing work authorization required for United States
Position type: Direct Hire, Full-Time 
Compensation: ******
Benefits: See below
Relocation: Not specified 
Position functions: Health - Social Work/Public Health
Nursing - Clinic RN
Travel: Up to 25% 
Accept candidates: from anywhere 
Languages: English - Fluent
Spanish - Fluent
Minimum education: See below 
Minimum years experience: See below 
Resumes accepted in: English
Cover letter: No cover letter requested
Job code: 892209 / Latpro-3754605 
Date posted: Sep-16-2020
State, Zip: Kentucky, 42101


For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)

In this Health and Social Services Manager role, you will lead a team of Health and Social Services Coordinators, while overseeing day-to-day clinical operations 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. Complying with contractual requirements and ensuring member needs are met.

If you are located in or near Bowling Green, KY, you will have 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
  • In order 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
  • Resolves inpatient and outpatient provider authorizations and collaborate with Provider relations to assist in Provider resolutions
  • Participates in 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
  • Review and disseminate report inpatient census report for NF case
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 equivalent experience
  • Registered Nurse or Licensed Social Worker in the state of KY
  • 3+ years of experience in case management within the healthcare industry
  • Demonstrated Management experience with responsibility for team performance management
  • Intermediate skills with MS office including Word, Excel and Outlook with proficient ability to navigate in a Windows environment
  • Intermediate PowerPoint experience presenting to leadership and management
  • Previous experience analyzing and making recommendations for process improvement

Preferred Qualifications:
  • Master’s degree
  • Certified Case Manager (CCM)
  • 3+ years of case management leadership experience within a healthcare industry
  • Background in managed care
  • Bilingual - Spanish/English

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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