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Manager Medical Clinical Operations - Central / Southern Michigan - Telecommute

UnitedHealth Group


Location:
Southfield, MI
Date:
01/19/2018
2018-01-192018-02-17
Job Code:
743751
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Job Details

743751 Manager Medical Clinical Operations Central Southern Michigan Telecommute

Manager Medical Clinical Operations - Central / Southern Michigan - Telecommute (743751)

Position Description

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)

 

This position has responsibility for oversight of all CM operations including management of staff, compliance with audits, management of state based initiatives, adherence to NCQA / HEDIS measures and all administrative services to assure the ongoing work of Optum in MI. 

 

**** This position requires travel in the state of Michigan****

 

If you are located in central or southern Michigan, you will have the flexibility to telecommute* as you take on some tough challenges.

 

Primary Responsibilities:  

  • Manages and is accountable for clinical and non - clinical professional employees and/or supervisors
  • Sets team direction, resolves problems and provides guidance to members of own team
  • Adapts departmental plans and priorities to address business and operational challenges
  • Influences or provides input to forecasting and planning activities
  • Monitors, manages and controls operational and performance metrics in conjunction with established program value targets
  • Develops solutions to address new, often complex customer requirements that address operational, clinical and customer needs
  • Ensures audits are conducted, standards are met, successful outcome are achieved
  • Reviews operational and performance metrics regularly and partners with direct supervisor in driving action plan development and execution
  • Ensures site remains compliance with all applicable regulatory and accreditation requirements (NCQA and URAC)
  • Collaborates across OCHS and UHG including Medical, Site Directors, senior leaders, sales, account management, product organization, and other stakeholders

Required Qualifications:   

  • Current, unrestricted RN license in the State of Michigan and / or LCSW,LMFT, LMHC
  • 3+ years of hands - on clinical experience
  • 2+ years of Case Management experience
  • 2+ years of Supervisory or Management experience (including performance management functions i.e. hiring, performance evaluations, corrective action plans etc.)
  • Reliable transportation to travel to member homes or other locations within the service delivery area, as needed to support field audits and meetings
  • Proficient in Microsoft Excel, Word, PowerPoint and Outlook
  • Strong Data Analytic Skills

Preferred Qualifications:   

  • Certification in Case Management (CCM)
  • Managed Care / Insurance experience
  • Experience managing a virtual and / or field - based team
  • Accreditation requirements (NCQA and URAC)
  • Demonstrated ability with developing strategic plans, attainable goals, drive performance, and achieve targets
  • Problem solving skills, detail oriented and highly organized
  • Strong team building, leadership and mentoring skills
  • Ability to work in a rapidly changing environment being adaptable and flexible

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health - related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

 

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.


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: Case Management, RN, registered nurse, LCSW, LMFT, LMHC, Supervisor, Managed Care, Southfield, Detroit, Jackson, Owosso, MI, Michigan

Job Details

  • Contest Number743751
  • Job TitleManager Medical Clinical Operations - Central / Southern Michigan - Telecommute
  • Job FamilyMedical and Clinical Operations
  • Business SegmentOptum Operations

Job Location Information

  • Southfield, MI
    United States
    North America
  • Other LocationsDetroit, MI
    Jackson, MI

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelManager
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionYes
  • Overtime StatusExempt

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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