Clinical Operations Supervisor - Field Based in Grand, Jackson, Rio Blanco, Moffat, or Routt Countie

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.

Position in this function supports corporate objectives by utilizing specialized knowledge of Long-Term Services and Supports to supervise HSS Coordinators providing Case Management services. Provides accountability and oversight for assigned staff. Participates in case conferences and assumes HSS Coordinator duties when necessary. Supports management of the LTSS Program as needed.

Expect to spend about 50% of your time in the field. You'll need to be flexible, adaptable and, above all, patient in all types of situations. Do you live or are you willing to travel to the following counties? Grand, Jackson, Rio Blanco, Moffat, or Routt Counties

Primary Responsibilities:

• Serve as a supervisor overseeing CMA Case Management functions and associated staff. Assumes HSS Coordinator duties when necessary

• Respect confidentiality and maintain confidences as described in the UHG Employee Handbook and acknowledged through signature by all employees. The ability to maintain confidentiality is a critical and essential component of this position

• Conducting supervisory case conferences with HSS Coordinators on a regular basis

• Approval of indefinite lengths of stay, pursuant to 8.402.15Regular, systematic review and remediation of case records and other case management documentation, on at least a sample basis

• Communication with the Department when technical assistance is required by HSS Coordinators, and the supervisor is unable to provide answers after reviewing the regulations

• Allocation and monitoring of staff to assure that all standards and time frames are met

• Assumption of HSS Coordinator duties when necessary

• Attending training and ensuring staff supervised also attends Department provided training for SEP agencies as well as agency provided in-service and staff development training

• Supports management in ensuring the completion of all Work in accordance with the CMA Contract Agreement's requirements. This includes but is not limited to, ensuring the accuracy, timeliness, and completeness of all Work

• Supports management in ensuring the timely submission and accuracy of all Deliverables submitted to the Department of Health Care Policy and Financing (HCPF) within prescribed time frames

• Supports management in ensuring a response to all telephone calls, voicemails, and emails from the Department within two (2) Business Days of receipt by the Contractor, unless the situation is identified as urgent by the Department. For situations identified as urgent by the Department, supports management in ensuring a response to the Department the same business day but no later than twenty-four (24) hours following the request

• Works with management to select, train, and appraise qualified staff. Assess work flow and distribute assignments to appropriate staff. Works with staff to evaluate and identify improvement opportunities and provides immediate and direct feedback. Communicates with management about training needs and performance of staff members. Works collaboratively with management to take corrective action as needed on a timely basis and in accordance with company policy

• The Supervisor must demonstrate competency and ensure that HSS Coordinators supervised also demonstrate competency

• Ensure HSS Coordinators supervised are able to perform intake/screening/referral, assessment/reassessment, development of support plans, on-going case management, monitoring of the individuals health and welfare, documentation of contacts and case management activities in the Department prescribed IMS, resource development and case closure. Assume HSS Coordinator duties when necessary

• Ensure HSS Coordinators supervised complete the required contacts with their members. Assume HSS Coordinator duties when necessary

• Ensure HSS Coordinators supervised monitor the delivery of services and supports identified within the Support Plan and the Prior-Authorization Request (PAR). Assume HSS Coordinator duties when necessary

• Ensure HSS Coordinators receive oversight reviews of their performance including their competency with completing the Level of Care Screen. The Supervisor will shadow case management staff completing the Level of Care Screen on an annual basis and prior to the end of each Contract Fiscal year to establish case manager's competency administering the Level of Care Screen. Documentation on case manager performance shall be maintained by RMHP and provided to the Department upon request. Supervisors, lead workers, or a case manager with at least three years of case management experience may perform the shadowing

• In the event, at any time throughout the case management process, the supervisor suspects an individual to be a victim of mistreatment, abuse, neglect, exploitation or a harmful act, the case manager shall immediately refer the individual to the protective services section of the county department of social services of the individual's county of residence and/or the local law enforcement agency

• May take on special assignments and projects on an as needed basis. Assist with system assessment and development as needed

This position requires travel. Requires independent, reliable, flexible, and on-demand, transportation at the incumbent's expense for travel between various locations and timely arrival and departure from various locations. If the employee chooses to satisfy this requirement by driving a vehicle, the employee must meet the requirements for Colorado licensure and company requirements for liability insurance coverage

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:

• Must meet one of the following:

• 5+ years of relevant experience in the field of LTSS, which includes developmental disabilities

• Combination of education and experience that would enable performance of the full scope of the position. Relevant experience is defined as:

• Experience in one of the following areas: long-term care services and supports, gerontology, physical rehabilitation, disability services, children with special health care needs, behavioral science, special education, public health or nonprofit administration, or health/medical services, including working directly with persons with physical, intellectual or developmental disabilities, mental illness, or other vulnerable populations as appropriate to the position being filled; and,

• Completed coursework and/or experience related to the type of administrative duties performed by case managers may qualify for up to 2+ years of relevant experience

• 2+ years of leadership with direct reports

• 1+ years of experience with MS Office, including Word, Excel, and Outlook

• Reliable transportation and the ability to travel up to 50% within assigned territory to meet with members and providers

• Reside in Grand, Jackson, Rio Blanco, Moffat, or Routt Counties or nearby surrounding counties

Preferred Qualification:

• Experience as a caseworker or case manager with LTSS population, in a private or public social services agency may substitute for the required education on a year for year basis

Physical Requirements

• Ability to transition from office to field locations multiple times per day

• Ability to navigate multiple locations/terrains to visit employees, members and/or providers

• Ability to transport equipment to and from field locations needed for visits (ex. laptop, stethoscope, etc.)

• Ability to remain stationary for long periods of time to complete computer or tablet work duties

Colorado Residents Only: The salary range for Colorado residents is $58,300 to $114,300 annually. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

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.