Clinical Manager RN, STAR+PLUS - El Paso, TX

Service Coordination Manager, RN

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

The Service Coordination Manager, RN provides oversight and direction to the service coordination staff, as well as identify process improvements. The Service Coordinator Manager will lead the way in developing, implementing policies and procedures as necessary to ensure timeliness and accurate delivery of non-waiver and waiver services to achieve optimal outcomes for Star+Plus members.

Primary Responsibilities :

• Provide supervision and oversight of service coordination staff
• Participate in interdepartmental meetings to represent service coordination needs
• Facilitate orientation and training of service coordination staff
• Establish goals for performance standards of service coordinator
• Provide ongoing training and development of service coordination staff
• Identify problems / barriers / opportunities for intervention
• Provide analysis and reporting to ensure compliance with HHSC, TDI, UMCC and URAC standards
• Manage field staff productivity goals, member satisfaction and outcomes measures
• Conduct ride-along and telephonic auditing to support a part of staff evaluation and monitoring
• Develop and maintain corrective action plans as identified

Knowledge and Skills :

Required Qualifications :

Preferred Qualifications :

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 $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone deserves the opportunity to live their healthiest life. UnitedHealth Group is an Equal Employment Opportunity employer and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status.