Manager of Care Coordination - Roanoke / Alleghany Region - Virginia

In your field, learning never stops. And neither do you. You are continually pushing yourself to reach higher and go further. To do everything you can to ensure a positive outcome for our patients. Staying on top of your game and persevering in the face of challenge will be a big part of your success. And at every turn, you'll have the support of an elite and dynamic team. Join us in this role and you will use your diverse knowledge and experience to make health care work better for our patients, while doing your life's best work.(sm)
 
The Manager of Care Coordination is responsible for the direct management of the telephonic and / or field based staff / team that support the Commonwealth Coordinated Care Plus population in the state of VA. This team will perform care coordination for individuals in the home, nursing facility and community based settings and will include the coordination of services to members who are receiving or may be in need of home and community based services. The staff will be traveling into member homes, nursing facilities and adult day health care settings to conduct in depth assessments and initiate the individualized plan of care. The care coordination team facilitates, promotes and advocates for the members ongoing self-sufficiency and independence.
 
40 - 60% local travel and 10 - 15% statewide travel required in this position.
 
Primary Responsibilities:


Interviewing, hiring, disciplining, evaluating and mentoring a diverse care coordination work force
Care Coordinator Manager will facilitate the smooth onboarding process of new employees by supporting the local BSL team following all relevant processes related to onboarding
Responsible for communication and mentoring members of the care coordination team to ensure long-term and home and community based care guidelines, policies and procedures are followed
Monitor performance of staff including service performance and adherence to establish utilization and care coordination benchmarks
Care Coordinator Manager will perform ride along visits with each assigned care coordinator to observe and evaluate Care Coordinator field visits
May be required periodically to staff a case load of members, when dictated by census fluctuation or staffing overage; will satisfactorily complete member initial visits and assessment and develop member individualized care plan
Consult with the United Healthcare Community Plan Medical Director on complex cases and participate in interdisciplinary case conferences
Runs, reviews and analyzes management reports to ensure contract compliance for member outreach, initiation of services, visit compliance;  initial monthly, quarterly and /or annually

Required Qualifications:


Registered Nurse or Licensed Clinical Social Worker (LCSW) with active and unrestricted license in the state of VA or qualifying reciprocal license
Experience communicating with members who have complex medical needs, the elderly, individuals with physical disabilities and / or those who may have communication barriers
5+ years of relevant health care experience, preferably in managed and / or long-term care supervising the management of complex cases
3+ years supervisory / management experience
Experience working in vertically - matrix organizations
Intermediate to advanced user of software applications such as Microsoft Word, Excel and Outlook
Preferred Qualifications:

Experience providing care coordination to persons receiving long-term care and/or home and community based services
Working knowledge of Medicaid / Medicare regulations
Experience in chronic disease management
Experience working in/or managing a field based staff
Experience in case management to include assessment, planning, and service coordination
Certified Case Manager (CCM)
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.
 
 
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