HSS Manager – Remote in MA Market

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 to start Caring. Connecting. Growing together.

  
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 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
• 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

 

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

 

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.

 

 

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.