Health and Social Services Manager-Telecommute in NJ, NY, or PA

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 the Health and Social Services Manager role, you will lead a team of Health and Social Services Coordinators, while overseeing day-to-day clinical operations, in the state of New Jersey, 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. Also complying with contractual requirements and ensuring member needs are met.

If you are located in NJ, NY, or PA and willing to travel to NJ 20% of the time 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
• Engaged in performance improvement initiatives to optimize clinical workflows, promote team engagement, and continuously improve care management of health plan members
• To meet the unique needs of our members, have an intimate understanding of the contractual requirements
• Identify, select, structure, and prioritize projects, ultimately implementing changes to meet program requirements
• Ensures standardized execution of workflow processes, including conducting performance audits, quality reviews, and compliance adherence
• Manages the day-to-day operations for community-based, nursing facility, and assisted living care managers in surrounding counties, which included resolving problems, promoting collaboration to ensure the team meets the established performance metrics and organizational goals
• Oversee interdisciplinary teams for Nursing Facility transitions
• Collaborate with Provider Relations team to assist in resolution of issues presented by providers
• Conducts staff 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
• Serves as a direct liaison for members, nursing facility providers and assisted living providers and nursing facility transition programs (I Choose home New Jersey)
• Review and manages operational reports to monitor staff productivity and program effectiveness
• Other duties as assigned
• Traveling up to 20% to NJ for meetings, conferences, etc
   

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:

• Unrestricted RN license in the state of New Jersey, or Licensed Clinical Social Worker, or bachelor’s degree in clinical or behavioral field
• 5 years of experience working within the community health setting in a health care role  
• Experience coaching or mentoring staff
• Intermediate level of proficiency with Microsoft Office suite (Word, Excel, SharePoint, PowerPoint, etc.), with the ability to navigate a Windows environment
• Travel up to 20 percent for meetings, conferences, etc
• 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
• NJ Choice Master Trainer Certification
• 3 years of case management leadership experience within a healthcare industry
• Case Management experience
• Experience/exposure with discharge planning
• Experience in utilization review, concurrent review and/or risk management
• Background in managed care
• Bilingual in English/Spanish

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 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.

Colorado, Connecticut or Nevada Residents Only: The salary/hourly range for Colorado residents is $82,100 to $146,900. The salary/hourly range for Connecticut/Nevada residents is $90,500 to $161,600. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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.