HSS Manager - Remote in State of VA

UnitedHealth Group • Arlington, VA • 17h ago

Requisition number: 2362494

Job category: Medical & Clinical Operations

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

In the Health and Social Services Manager role is a remote position in which you will lead a team of care managers, while oversee day-to-day clinical operations and participate in business development activities. You will manage the Home and Community Based Services program for the Northern Virginia region, including team and performance management, process improvement, ensure standardized execution of clinical processes, and implementation of new program initiatives. Complying with contractual requirements and ensuring member needs are met.

While Role is Remote, for consideration candidate MUST reside within the state of VA. Candidates outside of VA will not be considered for this position.

Primary Responsibilities:

Selects, manages, develops, mentors and supports staff in designated department or region

Develops clear goals and objectives for performance management and effectively communicates expectations, and holds the team accountable for results

To meet the unique needs of our members, have an intimate understanding of the contractual requirements

Identify, select, structure, and prioritize process improvement projects, ultimately implementing changes to meet program requirements.

Ensures standardized execution of workflow processes, including conducting performance audits, quality reviews, and compliance adherence

Acts as regional interface with other departments to coordinate workflow processes and implementation plans.

Accountable owner to deliver timely and quality state escalations for complex member situations

Ability to work and collaborate effectively across multidisciplinary clinical teams

Ensure compliance of your team for processes, regulations, documentation, and training

Ability to lead change within your team to increase engagement and foster improvements

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Bachelor's degree

Registered Nurse or Licensed Clinical Social Worker (LCSW) with active and unrestricted license in the state of VA or qualifying reciprocal license

5+ years of experience working within the community health setting in a health care role for HCBS LTSS Members

Experience coaching or mentoring staff

Leadership experience over programs or projects with clinical team members

Intermediate level of experience with Microsoft Word, with the ability to navigate a Windows environment

Driver's License and access to a reliable transportation

Must live within Virginia and within commutable driving distance to Northern Virginia area.

Preferred Qualifications:

Master's degree

Certified Case Manager (CCM)

3+ years of leadership experience

A background in managed care and dual eligible members in Virginia

Case Management experience

Experience/exposure with discharge planning

Experience in utilization review, concurrent review and/or risk management

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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