See more Collapse

Manager - Clinical Care Coordination - Altcs

2 months ago

Phoenix, United States UnitedHealthcare Full time

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.**

**Purpose of Job**:
To lead a team of case managers, while overseeing day-to-day clinical operations and participating in business development activities. The person in this position will manage a program or region, including performance management, process improvement, and standardized execution of clinical decision processes, case manager team management and implementation of new program initiatives including global and regional medical affairs initiatives. Function also includes problem-solving at the member, family, and provider level.

This is a telecommute position but will require travel through Maricopa County, and there will be some travel to the Phoenix office as needed.

If you are located in Maricopa County, AZ, you will have the flexibility to telecommute* as you take on some tough challenges.

**Primary Responsibilities**:

- Excellent Communication skills, possess de-escalation skills and ability to interrelate with individuals at various level and in various functional areas throughout the organization and to develop effective business relationships
- Identify, select, structure, and prioritize process improvement projects and revises to meet changing needs and requirements
- Follow up with workgroup team members as appropriate
- Lead one or more projects across internal and or external divisions or areas
- Participates in program development/initiative workgroups within UnitedHealth Group
- Manages utilization program as a result of day-to-day management and successful implementation of initiatives
- Creates a team-oriented management environment, enhancing the integration between the clinical and operations sections of medical affairs
- Manages mentors and supports staff in designated department or region
- Engage in regular auditing activities with the ability to provide focused education individually as well as across the team as patterns emerge
- Develops clear goals and objectives for performance management and effectively communicate accountability
- Assists with design and implementation of global and regional medical affairs initiatives
- Assists in strategic development of medical affairs processes to ensure that efficient and systematic operational plans are created and executed
- Ensures standardized execution of workflow processes, such as authorizations and non-certifications and analyze outcomes of standardized audits for AHCCCS, NCQA, HEIDIS purposes
- Acts as regional interface with other departments to coordinate workflow processes and implementation plans
- Assists in the development and execution of educational programs to enhance staff development
- Monitors performance metrics specific to functional area. Evaluates metrics in addition to developing action plans to address variance from standards
- Oversees team of case management staff, serves as a mentor, monitors adherence to state contract requirements and performance measure outcomes

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**:

- Registered Nurse with a current AZ license or Degreed Social Worker or who has a degree in psychology, special education, or counseling or degree in similar field
- 3+ years of case management experience serving elderly and/or persons with physical or developmental disabilities
- 3+ years of supervisory experience
- 2+ years case management experience serving members determined to have a Serious Emotional Disability (SED) and/or Serious Mentally Illness (SMI)
- Ability to perform in a leadership role, training experience and regularly exercise independent judgment and discretion in handling of duties
- Working knowledge of Microsoft Word, Excel, and PowerPoint
- Demonstrated solid written / grammar and communication skills, excellent time management skills, the ability to master new skills and ideas, able to adapt to change, and exhibit flexibility
- First rate customer service, interpersonal skills, detail oriented and self-motivation
- Basic knowledge of Medicare / Medicaid regulations
- Exhibit original thinking and creativity in the development of new and improved methods and approaches to problems
- Ability to function independently and responsibly with mínimal need for supervision
- Demonstrate initiative in achieving individual, team, and organizational goals and objectives
- Effective team player
- Demonstrated solid organizational skills
- Ability to travel lo

We have other current jobs related to this field that you can find below

  • Title: Medical Director

    2 months ago

    Phoenix, United States Arizona Health Care Cost Containment System Full time

    Job Summary: As Medical Director, this position is responsible for decisions related to medical care and day-to-day availability for consultation regarding services provided to the AHCCCS Managed care Acute Care, ALTCS, and special populations, as well as oversight of the care rendered to the AHCCCS population by various managed care organizations and...

  • Nurse (Clinical Care Coordinator)

    4 months ago

    Phoenix, United States Department Of Health And Human Services Full time

    Summary This is a Direct Hire Open Continuous Announcement (OCA) for Nurse (Clinical Care Coordinator) for the Phoenix Indian Medical Center and will report to the Supervisory Nurse. The Nurse Clinical Care Coordinator ensures patients at the Phoenix Indian Medical Center receive...

  • Clinical Research Coordinator III

    2 weeks ago

    Phoenix, United States DM Clinical Research Full time

    Job DescriptionJob DescriptionClinical Research Coordinator IIIA CRC III will ensure that quality research is conducted at assigned investigative sites in accordance with the sponsor protocol, FDA Regulations, and ICH/GCP guidelines and to provide the best quality data to the sponsor. To ensure study enrollment meets or exceeds Sponsors' expectations. To...

  • Clinical Research Coordinator III

    1 month ago

    Phoenix, United States DM Clinical Research Full time

    Job DescriptionJob DescriptionClinical Research Coordinator IIIA CRC III will ensure that quality research is conducted at assigned investigative sites in accordance with the sponsor protocol, FDA Regulations, and ICH/GCP guidelines and to provide the best quality data to the sponsor. To ensure study enrollment meets or exceeds Sponsors' expectations. To...

  • Care Navigator

    1 month ago

    Phoenix, United States Phoenix Children's Hospital Full time

    Position Details Department: PCCN | Phx Children's Care Network Category: Administrative Support Location: Phoenix Employee Type: Regular Posting #: 830053 Posted On: 4/11/2024 Position Summary Posting Note: Looking to add a Care Navigator to our PCCN (Phoenix Children's Care Network) team to assist our patients and families with care coordination. This...

  • Dental Clinic Care Coordinator

    2 months ago

    Phoenix, United States Anthem Family Dentist Full time

    Job DescriptionJob DescriptionNorth Valley Family Dentist is currently hiring for a full-time or part-time Dental Clinic Care Coordinator to help our patients plan for and receive the dentistry services they need in the Phoenix, AZ area. This full- or part-time administrative position at our dentistry office earns a competitive wage of $16- $21/hr, plus...

  • Medical Director

    2 months ago

    Phoenix, United States Arizona Official Website of State of Arizona Full time

    Job Summary: As Medical Director, this position is responsible for decisions related to medical care and day-to-day availability for consultation regarding services provided to the AHCCCS Managed care Acute Care, ALTCS, and special populations, as well as oversight of the care rendered to the AHCCCS population by various managed care organizations and...

  • Business Development Manager

    3 weeks ago

    Phoenix, United States Axsendo Clinical Full time

    Job Description Job Description Salary: $85,000 plus Commission Business Development Manager (Clinical Research) Role Overview We are seeking an experienced Business Development Manager with a robust background in clinical research to join our dynamic team. The ideal candidate will be responsible for driving sales and business growth through strategic...

  • Clinical Care Coordinator

    2 months ago

    Phoenix, United States Touchstone Health Services Full time

    Job DescriptionJob DescriptionAre you looking for a flexible work environment?Are you working for a healthy work/life balance?Are you looking for career advancement opportunities? The general purpose of this position is to treat families under the 12 Principles and facilitate Child and Family Team Meetings.Come be a part of the Clinical Care team at...

  • Business Development Manager

    1 month ago

    Phoenix, United States Axsendo Clinical Full time

    Job DescriptionJob DescriptionSalary: $85,000 plus CommissionBusiness Development Manager (Clinical Research)Role OverviewWe are seeking an experienced Business Development Manager with a robust background in clinical research to join our dynamic team. The ideal candidate will be responsible for driving sales and business growth through strategic planning...

  • Patient Care Coordinator Clinic

    1 month ago

    Phoenix, United States U.S. Dermatology Partners Full time

    Job DetailsJob Location Phoenix-32nd - Phoenix, AZ Position Type Full Time Job Category Business Development DescriptionSECTION 1: Job Summary (Summary of the basic functions of the position) Coordinate the scheduling of appointments or patients who submit requests online (via numerous channels such as ZocDoc, online websites, Landing Pages, Solution Reach,...

  • Care Coordinator/Case Manager

    3 weeks ago

    Phoenix, United States Intermountain Centers Full time

    Phoenix, AZ, USA Req #2088 Monday, May 13, 2024 Looking to build a lasting career?Join a team that is inclusive and embraces all individuals . Intermountain Centers is one of the largest statewide behavioral health and integrated care organizations in Arizona. What does building a lasting career look like? Exceptional health, dental, and disability...

  • Clinical Support Coordinator

    2 weeks ago

    Phoenix, United States AIS HealthCare Full time

    AIC (Advanced Infusion Care) is looking for a customer service oriented and motivated individual to work from/within our Phoenix, Arizona office for the dual role of Clinical Support Coordinator and Administrative Assistant. A full description of essential duties and responsibilities for these roles, as well as education/experience and qualification...

  • Patient Care Coordinator Clinic

    4 weeks ago

    Phoenix, United States U.S. Dermatology Partners Full time

    Job DetailsJob LocationPhoenix-Tatum - Phoenix, AZPosition TypeFull TimeJob CategoryBusiness DevelopmentDescriptionSECTION 1: Job Summary (Summary of the basic functions of the position)Coordinate the scheduling of appointments or patients who submit requests online (via numerouschannels such as ZocDoc, online websites, Landing Pages, Solution Reach, etc)...

  • Care Coordinator

    3 weeks ago

    Phoenix, United States ORION HOMES, LLC Full time

    Job Description Job Description Salary: $21.00-$25.00 Care Coordinator As a member of the Leadership Team perform clinical and administrative duties in support of residential and therapeutic services for adults with SMI, TBI, and dual-diagnoses. Support the implementation of treatment plans, ensure services are provided in accordance with all applicable...

  • Clinical Support Coordinator

    1 day ago

    Phoenix, United States AIS HealthCare Full time

    AIC (Advanced Infusion Care) is looking for a customer service oriented and motivated individual to work from/within our Phoenix, Arizona office for the dual role of Clinical Support Coordinator and Administrative Assistant. A full description of essential duties and responsibilities for these roles, as well as education/experience and qualification...

  • Clinical Support Service Coordinator

    4 weeks ago

    Phoenix, United States HonorHealth Full time

    Overview Looking to be part of something more meaningful? At HonorHealth, you’ll be part of a team, creating a multi-dimensional care experience for our patients. You’ll have opportunities to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact. ...

  • RN Clinical Coordinator

    1 month ago

    Phoenix, United States Unavailable Full time

    Overview Hello humankindness Located conveniently in the heart of Phoenix ArizonaSt. Josephs Hospital and Medical Center is a 571-bed not-for-profit hospital that provides a wide range of health social and support services. Founded in 1895 by the Sisters of Mercy St. Josephs was the first hospital in the Phoenix area. More than 125 years later St. Josephs...

  • F-ACT Clinical Care Coordinator

    1 month ago

    Phoenix, United States Community Bridges Full time

    Community Bridges, Inc. (CBI) is an integrated behavioral healthcare agency offering a variety of different programs throughout Arizona. CBI provides residential, outpatient, inpatient, patient-centered medical homes, medication-assisted treatment, and crisis services to individuals experiencing crisis, opioid use disorder, homelessness, and mental...

  • Care Coordinator

    1 month ago

    Phoenix, United States Orion Homes Full time

    Job DescriptionJob DescriptionSalary: $21.00-$25.00Care CoordinatorAs a member of the Leadership Team perform clinical and administrative duties in support of residential and therapeutic services for adults with SMI, TBI, and dual-diagnoses. Support the implementation of treatment plans, ensure services are provided in accordance with all applicable...