Associate Director of Clinical Compliance and Operations - Telecommute in Overland Park, KS

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Posted 2 days ago United States Salary undisclosed
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Job Description

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) Function is responsible for clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating). This includes case management, coordination of care, and medical management consulting with a focus on LTC. Function may also be responsible for providing health education, coaching and treatment decision support for care coordination staff. This position provides leadership to and is accountable for the performance of managers and/or senior level professional staff. Impact of work is most often at the operational or local business unit or market level. Requires current unrestricted RN licensure in applicable state. If you are located in Overland Park, KS, you will have the flexibility to telecommute* as you take on some tough challenges. 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: Undergraduate degree or equivalent experience Unrestricted RN license in the state of Kansas 5+ years of experience in Leadership/Management of staff 5+ years of experience in Case Management 5+ years of experience presenting to senior leaders and external stakeholders 3+ years of experience with Care Management system implementations and or upgrades Extensive experience with Policy and SOP development Excellent writing skills Intermediate-Advanced Microsoft Office suite to include, Word, Excel, PowerPoint If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders Preferred Qualifications: Master's degree Medicaid Managed care experience Long Term Care knowledge/experience including HCBS Waivers Experience with monitoring and improving clinical compliance Experience with end to end process improvement 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) *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy 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: Associate Director, Clinical Compliance, Clinical Operations, Operations, RN, Nurse, Registered Nurse, Undergraduate Degree, Leadership, Management, Care Management, SOP, Kansas, KS, Overland Park, Telecommute, Telecommuting, Telecommuter, Work From Home, Work At Home, Remote