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in Omaha, NE
Associate Director Case Mgmt. UHC-Community Plan of Nebraska
•30 days ago
Hours | Full-time, Part-time |
---|---|
Location | Omaha, NE Omaha, Nebraska |
About this job
Primary Responsibilities:
Implementation and oversight of all clinical management functions for individuals receiving care management (level one and two) program, including but not limited to: assessment, care coordination, interaction with state agencies and community organizations as related to care plan coordination, participant and caregiver education, and oversight of multi-disciplinary care conferences
Implementation and oversight of all program management functions, including but not limited to: compliance with program requirements, rules and regulations, implementation of and management of program policies, procedures and protocols that are aligned with federal and state requirements, with an emphasis on audit readiness
Participation in all audit reviews both internally and with external partners
Successful candidate may represent the plan at meetings with stakeholders, members and regulators, as requested by leadership
Candidate should be comfortable with and have experience with public speaking and conducting meetings
Superior Excel and PowerPoint skills
Experience working with diverse groups of members, state/federal regulators, and stakeholders
Candidate should be a patient advocate, and have tenacity for finding solutions
Extensive knowledge of the continuum of care
Implementation and oversight of all clinical management functions for individuals receiving care management (level one and two) program, including but not limited to: assessment, care coordination, interaction with state agencies and community organizations as related to care plan coordination, participant and caregiver education, and oversight of multi-disciplinary care conferences
Implementation and oversight of all program management functions, including but not limited to: compliance with program requirements, rules and regulations, implementation of and management of program policies, procedures and protocols that are aligned with federal and state requirements, with an emphasis on audit readiness
Participation in all audit reviews both internally and with external partners
Successful candidate may represent the plan at meetings with stakeholders, members and regulators, as requested by leadership
Candidate should be comfortable with and have experience with public speaking and conducting meetings
Superior Excel and PowerPoint skills
Experience working with diverse groups of members, state/federal regulators, and stakeholders
Candidate should be a patient advocate, and have tenacity for finding solutions
Extensive knowledge of the continuum of care
Requirements
Required Qualifications:
Nebraska Registered Licensed Nurse
Must be a Nebraska resident
8+Â years of clinical experience in health care clinical settings
5 years of extensive experience in leadership and management Â
Experience managing professional remote personnel
At least 5 years of experience in case management, LTSS, TCM IDD or Behavior Health populations
Preferred Qualifications:
Certified in case management
Master’s degree in health related field
Previously worked in a managed care sector
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)
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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.
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UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Nebraska Registered Licensed Nurse
Must be a Nebraska resident
8+Â years of clinical experience in health care clinical settings
5 years of extensive experience in leadership and management Â
Experience managing professional remote personnel
At least 5 years of experience in case management, LTSS, TCM IDD or Behavior Health populations
Preferred Qualifications:
Certified in case management
Master’s degree in health related field
Previously worked in a managed care sector
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)
Â
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.
Â
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.