Care Management Leader - Remote Indiana

UnitedHealth Group; Indianapolis (IN); Hybrid; USD 92,000 - 164,000; Full time

Job summary

UnitedHealth Group's UnitedHealthcare unit seeks a Health and Social Services Manager to lead a care management team and oversee day-to-day clinical operations in Indiana. The role focuses on adherence reporting, audits, process improvement, and program initiatives, with 25–50% field travel and flexibility for remote work within commutable distance to Hamilton and Marion County, Indiana.

Experience in case management with nursing or social work background required; leadership across

Qualifications

• Possess one of the following: Indiana licensed registered nurse in good standing with 3+ years of case management experience
• Indiana Master’s Social Worker with 3+ years of case management experience
• Bachelor’s and/or Master’s degree in social work, gerontology, counseling, psychology, or nursing with a minimum of 2 years full-time direct service experience with the elderly or disabled which includes assessment, care plan development, and monitoring

Responsibilities

• Works with all areas of leadership across the health plan to support and execute medical and clinical program priorities and goals
• Identifies and implements opportunities to streamline processes, increase innovation, and support growth of medical and clinical operations programs
• Provides adherence reporting, audit oversight, and participates in audit activities for health plans
• Leads laterally to ensure auditing outcomes and reporting findings are successfully celebrated and addressed, as appropriate
• Selects, manages, develops, mentors and supports staff in designated department or region
• Develops clear goals and objectives for performance management and effectively communicates expectations, and holds the team accountable for results
• In order to meet the unique needs of our members, have an intimate understanding of the contractual requirements
• Identify, select, structure, and prioritize process improvement projects, ultimately implementing changes to meet program requirements
• Conducts monthly audits of staff and participates in all other required audits and business monitoring
• Ensures standardized execution of workflow processes, including conducting performance audits, quality reviews, and compliance adherence
• Participates in training and coaching of direct reports as needed
• Collaborates across Optum and UHG and interacted with Medical Directors, Senior Leaders, Quality, and other stakeholders

Skills

Leadership experience

Interdisciplinary team coordination

MS Office proficiency

Reliable transportation

Education

Indiana licensed registered nurse

Indiana Master’s Social Worker

Bachelors or Master’s in social work/gerontology/counseling/psychology/nursing

Tools

MS Office (Word, Excel, Outlook, PowerPoint)

Job description

UnitedHealth Group's UnitedHealthcare unit seeks a Health and Social Services Manager to lead a care management team and oversee day-to-day clinical operations in Indiana. The role focuses on adherence reporting, audits, process improvement, and program initiatives, with 25–50% field travel and flexibility for remote work within commutable distance to Hamilton and Marion County, Indiana.

Experience in case management with nursing or social work background required; leadership across