Clinical Nurse Manager - Philadelphia, PA
$91.7k - $163.7kReliant Medical Group
Health Care Manager
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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
This manager will manage RN case managers, Community Health Workers, and Behavioral Health Advocates leading programs that assist members with health education, care navigation, closing health care gaps, and removing barriers to health related social needs (HRSN). Will assist staff in identifying the best methods to engage members in care and utilization of community resources and offer guidance with difficult cases. Responsible for maintaining regulatory compliance and NCQA accreditation activities. Manages productivity and expected outcomes across the teams, engage staff. Must be a critical thinker and have experience in complex care management, chronic conditions, and behavioral health management to manage, lead and advise the teams as a subject matter expert. This role also requires submission of state reports, presentations and public speaking. Data trending, extracting, capturing and analysis are also an essential element of this role.
This position is required to be located in Philadelphia, PA and will require travel 25%.
If you are located in PA, you will have the flexibility to work remotely* as you take on some tough challenges.
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:
- Active unrestricted Pennsylvania RN license
- Case Management Certification
- 5+ years managing people
- 3+ years of experience with Medicaid
- Fluent Microsoft word and Excel
- Proven excellent writing, and public speaking skills
- Driver's License and access to a reliable transportation
Preferred Qualifications:
- Undergraduate degree
- RN or SW or Clinical Degree
- 5+ years of Clinical Experience
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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