Manager of Clinical and Medical Management - Albuquerque, NM - Full-time / Part-time

Talk about meaningful work.  Talk about an important role. Let's talk about your next career move.  UnitedHealth Group is providing exceptional health care services to millions of our nation's most vulnerable and underserved patients. Our impact in New Mexico will expand greatly with the emerging NM Centennial Care program.  We're working with patients who need help in understanding and navigating a complex health care system.  We do it with dedicated and smart Care Coordinators who ensure that all resources are working together in a way that promotes safety, well-being and wellness for every patient we serve.  This is the opportunity for care givers who share our passion for quality and our compassion for people; who bring their distinct focus and energy to work every day.  It's an inspiring role and it can inspire your career.  Find out more about these opportunities to do your life's best work.(sm)  
   
In this role, you'll be managing a team of up to 14 field-based Care Coordinators working in a local catchment area in New Mexico.  This is a field-based position, requiring up to 50% travel within the Albuquerque, NM area. 
 
Primary Responsibilities:


Manage clinical operations across the continuum of care to include assessing, planning, implementing, coordinating, monitoring and evaluating health care delivery
Set team direction, resolve problems and provide guidance to members of the team to ensure they meet the established performance metrics and goals
Take a lead role in developing and participating in new program initiatives and innovations
Provide monitoring and oversight of care management and coordination of care for our members
Adapt departmental plans and priorities to address business and operational challenges
Serve as a coach, mentor and advocate for staff in their development and training
Adhere to ethical, legal / regulatory and accreditation standards to meet business goals and objectives
Create an environment that supports change and models accountability for staff
Track and report performance metrics and identify opportunities for continuous improvement
Conduct team meetings, field-based shadowing of team members, caseload auditing, and implement performance improvement plans
Understand and use data to manage the team as well as individual performance

Required Qualifications:

Current, unrestricted RN license in the state of NM OR licensed social worker or behavioral health clinician (bachelors or higher level degree)
Minimum of 2 years case management / care coordination experience within a medical or behavioral healthcare setting
Previous leadership experience with direct reports, with the ability to partner with staff to build high-performing teams
Excellent organization, communication, teambuilding, and time management skills
Ability to proactively partner with care team, including primary care, behavioral health, state partners, and other key stakeholders
Strong problem solving and decision making abilities
Proficiency in MS Word and MS Excel, to include the ability to create documents and spreadsheets
Preferred Qualifications:

Bilingual English / Spanish
Working knowledge of Medicaid managed care programs and regulations
Working knowledge of medical and/or behavioral health terminology
Experience in case management to include assessment, planning, and service coordination
Undergraduate or higher level degree
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: 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: Manager, Clinical and Medical Management, Bilingual, Medicaid, Albuquerque, NM, New Mexico