C&S Clinical Operations Consultant - WAH - Western Time Zone - Full-time / Part-time

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)

The Clinical Operations Nurse Consultant will focus on Rapid Deployment to solve health plan specific clinical gaps and deploy new business.

Primary Responsibilities:

• Assist local health plan clinical teams to deliver/execute the long term care clinical programs as part of a startup or current business


• Subject matter expert in LTC programs and the work of the care coordinator, utilization management team


• Be able to rapidly deploy to a health plan to meet gaps in health plans and deploy resources who may need to augment site staff to get business up and running


• Coach, mentor new nurses/managers, assist with implementation of clinical competency program


• Be a resource for local, regional and national medical management teams on the LTC clinical programs and effectiveness of delivery for covered service area


• Effective written and oral communication skills


• Effective Computer skills in MS Office


• Ability to be flexible, travel and work in different locations as needed


• Demonstrated competency in problem solving, clinical program execution and delivery


• Ability to effectively teach, coach clinical staff

Required Qualifications:

• Job related experience working in Medicaid and Medicare

Preferred Qualifications:

• Current, unrestricted RN licensure in state of residence


• Extensive clinical case management experience in a Medicaid Long Term Care managed program


• Knowledge of basic Medicaid and Medicare


• 5+ years experience in field case management, long term care or utilization management


• Ability to travel (Travel can be 25% on average, but can be more depending on needs) 

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

Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.

Job Keywords: RN Medicare Medicaid MMP LTC Long term care, telecommute, work from home, WAH, Phoenix, AZ, Arizona, Las Vegas, NV, Nevada, Denver, CO, Colorado, Seattle, WA, Washington, Portland, OR, Oregon