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Manager of Care Coordination - Virginia

UnitedHealth Group

Accomac, VA
Job Code:
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Job Details

Manager of Care Coordination - Virginia(Job Number:706026)

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

Job Case Management
Primary Location US-VA-Accomac
Other Location US-VA-Newport News, US-VA-Suffolk, US-VA-Chesapeake, US-VA-Norfolk, US-VA-Virginia Beach, US-VA-Portsmouth
Organization C&S Exec HP Operations
Schedule Full-time
Number of Openings 1
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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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