Integrated Health Service Care Manager - Phoenix, Arizona - Full-time / Part-time

There’s an energy and excitement here, a shared mission to improve the lives of others as well as our own. A passion for excellence you won’t find anywhere else. We ask tough questions. We push ourselves and each other to find smarter solutions. The result is a culture of performance that’s driving the health care industry forward. Nursing here isn’t for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come.  Ready for a new path? Learn more, and start doing your life’s best work.(sm)
 
What makes your clinical career greater with UnitedHealth Group? You’ll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.
 
As an Integrated Health Service Care Manager, you will be responsible for planning, implementing, and evaluating integrated medical, behavioral, dental and pharmacy programs for adults, children, families, and seniors in the Arizona Medicaid program.
 
The Integrated Health Service Care Manager will coordinate with the Business Partners who perform clinical functions to meet regulatory requirements. Includes: preparing activity reports to inform management of the status, services, quality initiatives, and outcomes.
 
This is a office position at 1 East Washington Street, Phoenix, AZ
Primary Responsibilities:

Carries out responsibilities in accordance with the organization's policies and regulatory requirements
Monitor, evaluate and communicate process improvements
Serve as a liaison and provides support to Business Partners and internal Health Service team
Assess barriers to care and assist members to address concerns
Provide support to clinical teams and collaborate with business partners, health plans, hospitals, vendors, providers, family, support network
Develop workflow activities & activities for designated programs
Provides education and training for business partners and team members
Represents the department in assigned Plan committees/meetings
Supports excellent employee performance and participates in staff development
Provide support to the Health Services Director
Assist in program development

Required Qualifications: 

Current, unrestricted RN license in the State of Arizona
5+ years clinical, behavioral or case management experience
Case Management experience
Ability to prepare responses for regulatory submissions
Intermediate level of experience with Microsoft Word and Excel, with the ability to navigate a Windows environment
Self-directed in work case load
Preferred Qualifications:

Bachelor's /Master’s Degree
A background in managed care
Experience/exposure with discharge planning
Medicare / Medicaid experience
A background working with the AZ Regional Behavioral Health Authorities
Strong organizational skills and multitasking abilities will be keys to success
Strong communication skills 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: Registered Nurse, RN, Nurse, behavioral, case management, CCM, CM, BH, regulatory submissions, managed care, AZ Regional Behavioral Health Authorities, Phoenix, Arizona, AZ