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)
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"Clinical Manager of Non-SNP Care Coordination will organize and manage the daily operations for the regional team to ensure the effective planning and coordination in the assessment and care planning of members. The manager assists with monitoring of compliance with clinical policies; assists with implementation of regulatory requirements; and provides staff training support and performs other duties as outlined by the Clinical Director of Non-SNP Care Coordination.
The Manager provides oversight of staff engaged in care coordination activities and case management of members while ensuring appropriate value based, quality care is provided.
""""If you are located within Baton Rouge, LA or New Orleans, LA, you will have the flexibility to telecommute* as you take on some tough challenges.
""""Principal Responsibilities:
"" - Facilitates communication and coordination between all members of the health care team.
" - Provides clinical guidance in matters of assessment, care planning, documentation, provision of services, and care coordination
" - Participates in evaluations of the quality and effectiveness of assessment and care planning for population based on risk status
- Identifies and coordinates benefit options for the member and/or care giver to overcome potential barriers from discharge to an alternate level of care
" - Monitors performance against assigned members gaps in HEDIS and Star measures through weekly report analysis
- Participates with the interdisciplinary care team in review of assigned members
"" - Collaborates with members of the interdisciplinary care team and medical director(s) to facilitate appropriate treatment for members
" - Utilizes evidence-based guidelines in their daily practice
" - Provides leadership, assists with ongoing evaluation of programs and staff compliance. Assists with documentation of staff performance of assigned staff
" - Provides continuing education and coaching to staff
- Works in coordination company-based security health information systems technology to ensure appropriate documentation of the members care coordination and record
" - Participates in ongoing training to ensure the records are accurate and secure
" - Follows corporate instruction based on Federal and State guidance related to health information documentation and security
Management Responsibilities:
""Supervisory Responsibilities:
""Reports to the Clinical Director of Non-SNP Care Coordination and has the management responsibilities of the staff to include:
"-Care Coordinator - Registered Nurse
"-Care Coordinator - Social Worker
"-Office Navigator
"-Administrative Assistant/Clerical Support
"-Other staff as assigned
Responsibility: To continue to strive to be the best for our members by adapting and evolving to change, continuing professional development, and to never stop learning
"Excellence: By exceeding expectations and finding innovative ways to exceed standards, we are changing our members lives
Youll 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:
""Preferred Qualifications:
""Careers at UnitedHealthcare Medicare & Retirement. The Boomer generation is the fastest growing market segment in health care. And we are the largest business in the nation dedicated to serving their unique health and well-being needs. Up for the challenge of a lifetime? Join a team of the best and the brightest to find bold new ways to proactively improve the health and quality of life of these 9 million customers. You'll find a wealth of dynamic opportunities to grow and develop as we work together to heal and strengthen our health care system. Ready? It's time to do your life's best work.(sm)
""""*All Telecommuters will be required to adhere to UnitedHealth Groups 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: Market Clinical Manager, Clinical Manager, Telecommute, Telecommuting, Telecommuter, Work From Home, Remote, Baton Rouge, New Orleans, Louisiana, LA
UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.
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