Manages and oversees a program that delivers clinical services to high risk Medicaid enrollees across the state of Tennessee. The Manager, Clinical Operations will support the Tennessee Health Plan through deployment of nurse practitioners and social workers who, as part of an integrated team, complete in home clinical assessments, provide transitional care services, and identify resources to close gaps in care for dual eligible individuals who are receiving services in their home. * Position requires a local market presence. Candidates must live within a commutable distance to UHG office in Brentwood, TN as position will require onsite presence 2-3 times a week. Primary Responsibilities:Collaborate with the local Health Plan to identify, manage, and oversee an integrated set of services Develop and maintain partnerships within the local market to drive strategic opportunities Collaborate with the market Medical Director and clinical leadership to support efficient, value based care Develop and execute on business processes to support the clinical model of care Drive overall program performance to ensure key metrics and milestones are achieved Identify and lead performance improvement initiatives Report directly to the TeamMD clinical team with matrix reporting to Health Plan leadership Develop positive, forward thinking, and collaborative relationships with all stakeholders Directly supervise non-medical staff, and support the Medical Director in supervision of provider staff
Required Qualifications:Minimum 5 years' experience managing clinical and non-clinical personnel in a healthcare setting Ability to drive excellence and build a culture of accountability Strong written and verbal communication Knowledge of Microsoft products (Word, Excel, Outlook, etc.) and strong typing skills Must live within a commutable distance to UHG office in Brentwood, TN as position will require onsite presence 2-3 times a weekPreferred Qualifications:Master's Degree in clinical, healthcare, or business administration OR Bachelor's Degree in Nursing (BSN) or Licensed Master Social Worker (LMSW) Experience working with the Medicaid population Experience working with ECW and / or CareOne 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) 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. Job Keywords: Practice Manager, Clinic Manager, Healthcare Operations, Office Manager
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.