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Manager of Medical Clinical Operations - Baton Rouge, LA area

UnitedHealth Group

Baton Rouge, LA
Job Code:
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Job Details

743749 Manager of Medical Clinical Operations Baton Rouge LA area

Manager of Medical Clinical Operations - Baton Rouge, LA area (743749)

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)
Position in this function includes those responsible for management and administration of multiple Medical & Clinical Operations Functions, or managing general operations which are not specific to one of the functions in the Medical & Clinical Operations job family.
***This is a work from home opportunity within the state of Louisiana.  The person may be required to work in the office for meetings on a quarterly basis and also travel 25% of the time performing staff audits. Travel for this role will primarily include the greater Baton Rouge/Lafayette area but may also include all of Louisiana based on business needs***
The work schedule of this position is Mon - Fri, 8:00 AM - 5:00 PM CST.

If you are located in or near the greater Baton Rouge or Lafayette, LA areas, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:
  • Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws
  • Performs supervisory audits as necessary
  • Overall responsibility for the supervision and coordination of all workflow activities related to case management team
  • Manages to operational targets using a variety of reporting metrics, working with the team to achieve these operating goals
  • Provides mentorship and training for team members
  • Supports excellent employee performance and encourage staff development
  • Assists with the development and implementation of departmental policies and procedures
  • Conducts weekly meetings to review complex cases and changes in procedures
  • Completes special projects and tasks as assigned
  • Manages and is accountable for professional employees and/or supervisors
  • Impact of work in most often at the local level
Required Qualifications:
  • Licensed Master's degree in Psychology, Social Work, Counseling or Marriage or Family Counseling, OR an RN. License must be active and unrestricted in the state of Louisiana 
  • 2+ years of healthcare leadership experience
  • 2+ years of Case Management experience
  • 2+ years working in Medicaid and/or Medicare health care and insurance industry, including regulatory and compliance requirements
  • Must demonstrate proficiency in software applications that include, but are not limited to, Microsoft Word, Microsoft Excel, Microsoft PowerPoint
  • Must be open for obtaining CCM certification within 30 months of being hired if you do not already have one
Preferred Qualifications:
  • 8+ years Clinical background
  • CCM
  • Demonstrated ability to assist with focusing activities toward a strategic direction as well as develop tactical plans, drive performance and achieve targets
  • Problem solving skills; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action
  • Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others
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: RN, Registered Nurse, Social Worker, Case Management, Medicaid, Medicare, Health Care, Insurance, Regulatory, Compliance, Clinical, Manager, Supervisor, Leader, CCM, LA, Louisiana, Baton Rouge, Lafayette, telecommute

Job Details

  • Contest Number743749
  • Job TitleManager of Medical Clinical Operations - Baton Rouge, LA area
  • Job FamilyMedical and Clinical Operations
  • Business SegmentOptum Operations

Job Location Information

  • Baton Rouge, LA
    United States
    North America
  • Other LocationsLafayette, LA

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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