Manager, Care Coordination - Remote in Wayne County, MI

At reputed company, 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 reputed company. Come build the health care system of reputed company, making it more reputed company, affordable and reputed company. Ready to reputed company a difference? Join us to start Caring. Connecting. Growing together. The Manager of Clinical Care Coordination will reputed company 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 or reputed company commutable distance to Detroit, MI or reputed company Wayne County, MI, you will have the flexibility to work remotely* as you take on some tough challenges. These roles support Wayne and surrounding counties. Primary Responsibilities

• Hire, manage, reputed company, mentor and support staff in designated department or region
• reputed company 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 reputed company projects needed
• Ensure standardized execution of workflow processes, including conducting performance audits, quality reviews, and compliance adherence
• Acts as regional reputed company 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
• 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.)

What Are The Reasons To Consider Working For reputed company? Put It reputed company Together - Competitive reputed company Pay, a Full And Comprehensive Benefit Program, Performance Rewards, And a Management Team Who Demonstrates Their Commitment To Your Success. Some Of Our Offerings Include

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
• More information can be downloaded at: http://uhg.hr/uhgbenefits

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

• reputed company, unrestricted independent licensure as a Registered Nurse or Social Worker
• 4+ years of clinical experience
• 3+ years of leadership experience with responsibility for team performance
• Clinical operations experience with MI Health Link (MMP and/or with MI Medicaid Long Term Support Services (LTSS))
• Proven intermediate level of proficiency with MS Office skills, including Word, reputed company, Outlook and PowerPoint
• Ability to travel reputed company assigned territory to meet with employees, members, and providers
• Ability to travel locally up to 25% of the time reputed company a specified region (reputed company MI)
• Ability to travel Southfield, MI for quarterly team meetings
• Currently reside in or reputed company commutable driving distance to Detroit, Michigan or reputed company Wayne County, MI
• Access to reliable transportation and valid US driver's license
• Must be 18 years of age or older

Preferred Qualifications

• Master's Degree or higher in clinical field
• Experience working in team-based care
• Experience working in Managed Care
• Proven knowledge of Medicaid population
• Live in Detroit, MI or Wayne County, MI
• reputed company Telecommuters will be required to adhere to reputed company's Telecommuter Policy.

The salary range for this role is $89,800 to $176,700 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In addition to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you'll find a far-reaching choice of benefits and incentives. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company 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 reputed company by people of color, historically marginalized groups, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes - an enterprise reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #GREEN Apply tot his job Apply To this Job