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Job Details


UnitedHealth Group

Clinical Service Manager - Burlington, Camden, Gloucester, and Mercer Counties, NJ (112220019)

Customer Service

Assistant Manager

Yearly

No

Basking Ridge, New Jersey, United States

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

The CSM in collaboration with market DCO provides leadership and is accountable for the performance of a team of Advanced Practice Clinicians (APC’s) and RN’s. In collaboration with the DCO, the CSM will be responsible for clinical outcomes and business operation targets of market.

  • Assist in the development of functional market level strategies, plans, and organizational priorities
  • Identify and resolve technical, operational and organizational challenges outside and within clinical team
  • Develop internal and external strategic relationships, which support program expansion and continuing success
  • Directly manage clinical staff to ensure business goals/metrics are achieved

Primary Responsibilities:

  • Set team direction, resolve problems, and provide guidance to members of own team
  • Oversee work activities of other supervisors and staff
  • Adapt departmental plans and priorities to address business and operational challenges
  • Influence and/or provide input to forecasting and planning activities

Job Duties:

Staff Performance and Internal/External Relationship (Clinical & Leadership Proficiency)

  • Manage salary, bonus incentives and policies in a manner which reward performance excellence
  • Ensure effective orientation and development for clinical staff
  • Utilize Complex Population Management performance tools that hold the clinical team accountable for market metrics and performance standards
  • Promote individual development by providing learning and growth opportunities to clinical staff
  • Actively participate in local/regional NP, PA, physician and geriatric associations with goal of developing clinical and leadership skills
  • Communicate needs and issues addressed by clinical staff to local market and corporate leadership as appropriate
  • Participate in site specific strategic planning activities
  • Develop solutions to problems or barriers by partnering with key stakeholders
  • Provide clinical and clinical operations expertise on business development efforts
  • Serve as a role model to internal and external partners

Program Quality and Revenue Accuracy (Business Proficiency)

  • Oversee implementation and adoption of clinical and quality initiatives
  • Accountable for specific financial targets related to clinical programs
  • Use knowledge of the business and financial goals to determine and communicate clinical priorities
  • Partner with staff to achieve business goals
  • Monitor and hold clinical team accountable for documentation and coding initiatives to achieve revenue accuracy
  • Actively engage, coach and drive clinical staff in implementing activities to grow same store and new membership (product/payer specific) 

Professionalism:

  • Personal and Professional Accountability:
    • Create an environment that facilitates the team to initiate actions that produce positive results
    • Ability to hold self and others accountable for actions and results
    • Answers for one’s own behavior and actions
  • Career Planning:
    • Develops own career path
    • Coach others in the development of their career planning
    • Create an environment in which professional and personal growth are an expectation
  • Ethics:
    • Integrate high ethical standards and UHG core values into everyday work activities

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:

  • 3+ years of experience as an APC, demonstrating progressive responsibility
  • Active and unrestricted license in the state which you reside
  • Certified Nurse Practitioner or Physician Assistant through a national board
    • For NPs: Graduate of an accredited master’s degree in Nursing (MSN) program or doctor of nursing practice (DNP) program and board certified through the American Academy of Nurse Practitioners (AANP) or the American Nurses Credentialing Center (ANCC), Adult-Gerontology Acute Care Nurse Practitioners (AG AC NP), Adult/Family or Gerontology Nurse Practitioners (ACNP), with preferred certification as ANP, FNP, or GNP
    • For PAs: Graduate of an accredited Physician Assistant degree program and currently board certified by the National Commission on Certification of Physician Assistants (NCCPA).
  • Current active DEA licensure/prescriptive authority or ability to obtain post-hire, per state regulations (unless prohibited in state of practice)
  • Access to reliable transportation that will enable you to travel to client and / or patient sites within a designated area
  • Ability to lift a 30 pound bag in and out of car and to navigate stairs and a variety of dwelling conditions and configurations
  • Ability to gain a collaborative practice agreement, if applicable in your state
  • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Preferred Qualifications:

  • 2+ years of leadership and management experience in an organization that serves the chronically ill
  • 2 + years of Medicare experience
  • 1+ years of experience as an APC at Optum
  • Leadership and management experience or in a lead role in a CCM market with success in effective team building and quality improvement
  • Experience in adult teaching environment
  • Possess knowledge and understanding of geriatrics clinical management
  • Proficient computer skills including the ability to document medical information with written and electronic medical records
  • Proficient in excel
  • Ability to work across functions and businesses to achieve business goals
  • Ability to develop and maintain positive customer relationships
  • Effective in motivating and mentoring colleagues and peers
  • Able to quickly adapt to change and drive change management within team and market
  • Possess a high level of organizational skills, self- motivation, and ability to manage time independently

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care 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)

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.

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