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Job Details


UnitedHealth Group

Manager of Care Management - Remote in MA

Management

Management

No

Waltham, Massachusetts, United States

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 equitable. Ready to make a difference? Join us and start doing your life's best work.(sm)

In the Health and Social Services Manager role, you will lead a team of professionals and paraprofessionals providing care management, while overseeing day-to-day clinical operations and participating in business development activities. 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. Complying with contractual requirements and ensuring member needs are met.

One Care is a fully integrated Medicare and Medicaid product that serves individuals between the ages of 21 and 64 who have physical and intellectual disabilities.

If you are located in the state of MA, you will have the flexibility to work remotely* as you take on some tough challenges.

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
  • In order 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


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:

  • Undergraduate degree or 5+ years of equivalent experience
  • RN in the state of Massachusetts
  • 5+ years of experience working within the community health setting in a health care role
  • Experience coaching or mentoring staff
  • Intermediate level of experience with Microsoft Word, with
  • Ability to navigate a Windows environment

Preferred Qualifications:

  • BSN or Master's degree.
  • Certified Case Manager (CCM)
  • 3+ years of leadership experience
  • Case Management experience
  • Experience/exposure with discharge planning
  • Experience in utilization review, concurrent review and/or risk management
  • Background in managed care


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 at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm)

*All employees working remotely 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.

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