Remote RN Clinical Manager: Care Coordination Leader

Palo Verde Community College District; El Paso (TX); Hybrid; USD 92,000 - 164,000; Full time

Job summary

UnitedHealth Group in El Paso, TX seeks an experienced Service Coordination Manager, RN, to oversee service coordination staff and drive policy, process improvements, and timely delivery of non-waiver and waiver services for Star+Plus members. Remote flexibility is offered within a commutable distance.

The role requires leadership, strong communication, and hands-on experience with Star+Plus, LTSS, and managed care operations, with travel up to 40% of the time.

Qualifications

• Graduate of an accredited school of nursing.
• Current unrestricted RN license in Texas.
• 7+ years of healthcare experience with 2+ years in managed care.
• 3+ years of management or supervisory experience in managed care.
• Hands-on experience with STAR+PLUS and LTSS program operations and service delivery.
• Experience with electronic charting and review.
• Proficiency with Windows environment including Word, Excel, Outlook.
• Fluent in English and Spanish (written and verbal).
• Ability to travel locally up to 40%.
• Driver's license and reliable transportation.

Responsibilities

• Provide supervision and oversight of service coordination staff.
• Participate in interdepartmental meetings representing service coordination needs across departments.
• Facilitate orientation and training of staff and evaluate progress.
• Establish performance standards goals for service coordinators.
• Provide ongoing training and development of staff to achieve standards.
• Identify problems and opportunities for intervention; revise plans as needed.
• Analyze and report to ensure compliance with HHSC, TDI, UMCC and URAC standards.
• Manage field staff productivity, member satisfaction and outcomes measures.
• Conduct ride-alongs and telephonic audits to support evaluation and monitoring.
• Develop and maintain corrective action plans as identified.

Skills

Bilingual English/Spanish

Leadership

Communication

Analytical thinking

Education

Bachelor's degree in Nursing

Tools

Electronic charting

Microsoft Word/Excel/Outlook

Job description

UnitedHealth Group in El Paso, TX seeks an experienced Service Coordination Manager, RN, to oversee service coordination staff and drive policy, process improvements, and timely delivery of non-waiver and waiver services for Star+Plus members. Remote flexibility is offered within a commutable distance.

The role requires leadership, strong communication, and hands-on experience with Star+Plus, LTSS, and managed care operations, with travel up to 40% of the time.