Uhc Careers – Social Services Manager

United Healthcare
social services manager management team health performance management develops manages coaching nursing community healthcare compliance
October 14, 2022
United Healthcare
FULL_TIME

Job Description:


You will manage a program or region, including team and performance management, process improvement, and standardized execution of clinical decision processes, and implementation of new program initiatives. Also complying with contractual requirements and ensuring member needs are met.


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Job Responsibilities:



  • Identify, select, structure, and prioritize projects, ultimately implementing changes to meet program requirements

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

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

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

  • Conducts staff training and coaching of direct reports as needed

  • Collaborate with Provider Relations team to assist in resolution of issues presented by providers

  • Conducts bi-annual field visits with direct reports to observe, provide areas of teaching, address issues and concerns and foster a good working relationship

  • Oversee interdisciplinary teams for Nursing Facility transitions

  • Engaged in performance improvement initiatives to optimize clinical workflows, promote team engagement, and continuously improve care management of health plan members

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

  • Manages the day-to-day operations for community-based, nursing facility, and assisted living care managers in surrounding counties, which included resolving problems, promoting collaboration to ensure the team meets the established performance metrics and organizational goals


Job Requirements:



  • NJ Choice Master Trainer Certification

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

  • Bilingual in English/Spanish

  • Background in managed care

  • Intermediate level of proficiency with Microsoft Office suite (Word, Excel, SharePoint, PowerPoint, etc.), with the ability to navigate a Windows environment

  • 5+ years of experience working within the community health setting in a health care role

  • Case Management experience

  • Experience coaching or mentoring staff

  • Unrestricted RN license in the state of New Jersey, or Licensed Clinical Social Worker, or bachelor’s degree in clinical or behavioral field

  • 3+ years of case management leadership experience within a healthcare industry

  • Experience/exposure with discharge planning

  • Master’s degree


Job Details:


Company: United HealthCare


Vacancy Type: Full Time


Job Location: Iselin, NJ, US


Application Deadline: N/A


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