Regional Care Coordination Director - Johnson City, TN

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 Health Services Director for TennCare CHOICES Long Term Services and Support is responsible for planning and directing all aspects of the region's operational policies, objectives and initiatives.
 
Primary Responsibilities:


Day to day site operations, daily management and oversight of multiple levels of internal and external staff
Lead, mentor and develop clinical leadership staff
Identifies and drives local Healthcare Affordability Initiatives along with medical director(s) and clinical team
Ensures monitoring and oversight of CHOICES Long term services and support/staff to meet defined goals / targets, contractual requirements
Develops, translates and executes strategies or functional/operational objectives for the CHOICES program including care coordination, financial accountability and customer (Members and State Partner) satisfaction
Serves as the CHOICES Health Services SME and liaison with the State
LTSS Special Programs / Projects management (for example Nursing Facility to HCBS  Transitions, HCBS Consumer Directed (CD) services, Community Living Supports (CLS) Services, ERC Services program oversight, CEA request and reductions  project oversight site etc.)
LTSS CHOICES Policy and Procedure, SOP reviews updates and maintenance
Health Plan benefits and LTSS benefits Coordination management (DSNP, Optum Care Plus, PCCM, BH, DME etc.)

Required Qualifications:

Bachelor’s Degree or Masters in Social Work Studies
Licensed RN or Social Worker
3+ years providing care coordination within LTC services
2+ years within managed care or long term care organization
3+ years of Leadership / management experience aligned with effective team building
Experience or ability to work in a matrix organization
Ability to manage projects to completion
Ability to travel to state meetings or offices as needed
Resides or ability to relocate to Johnson City / Nashville, TN area
Preferred Qualifications:

Experience dealing with Medicare, Medicaid, government and CMS regulations
Master’s Degree in Business or Healthcare Administration
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: RN, LTC, LSW, Long term care, Managed care, Johnson City, Nashville, TN, Tennessee