Manager of Clinical Care Coordination - Maui

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The Manager of Clinical Care Coordination will lead a care management team while overseeing day‑to‑day clinical operations and health plan clinical initiatives to support achieving quality and affordability targets. The Manager will manage a program, region, or collection of Pod teams, including process improvement, execution of clinical decision processes, and team management, to include performance management and implementation of program initiatives.

If you are located in Maui, HI, you will have the flexibility to work remotely
* as you take on some tough challenges. Travel is required on island and to neighbor islands based on business needs.

• Hire, manage, develop, mentor and support staff in designated department or region
• Develop clear goals and objectives for performance management, effectively communicate expectations, and hold the team accountable for results
• Identify, select, structure, and prioritize process improvement projects, ultimately implementing changes to meet program requirements
• Review data and facts to identify and solve issues, mitigate risks, prioritize teams’ workloads, and assign direction for ad hoc projects needed
• Ensure 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
• Resolve inpatient and outpatient provider authorizations and collaborate with Provider relations to assist in Provider resolutions
• Carry member case load as needed

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

• Current, unrestricted independent licensure as a Registered Nurse or Social Worker in Hawaii
• 4+ years of Clinical experience
• 3+ years of Leadership experience with responsibility for team performance
• Intermediate MS Office skills, including Word, Excel, Outlook, and Power Point
• Driver’s license and access to reliable transportation and the ability to travel within assigned territory to meet with employees, members, and providers
• Ability to travel to other islands based on business needs

• Master’s Degree or higher in Clinical Field
• Background in Managed Care
• Experience working in team‑based care

• Ability to transition from office to field locations multiple times as needed
• 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
• All employees working remotely will be required to adhere to United Health 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). No matter where or when you begin a career with us, you’ll find a far‑reaching choice of benefits and incentives.

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. #UHCPJ

At United Health 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,…