Kansas Works Jobs

At UnitedHealthcare, 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 better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

Clinical Program Managers (CPMs) are responsible for the ongoing administration and management of clinical programs. This includes providing support to clinical teams implementing the program such as development and revision of program policies and processes, training on program requirements, consultation and program performance monitoring. The position may involve direct supervision responsibilities. CPMs may be required to travel occasionally to attend State or health plan onsite meetings.

Schedule: This is for a full-time (40 hours/week). Schedule is Monday through Friday any 8-hour or 10- hour shift to be determined by the hiring manager between the hours of 7am to 6pm Central Standard Time.

Location: Remote in the state of Kansas or within 50 miles of the border

If you reside in KS or within 50 miles of border, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• This position will be responsible for overseeing the Health Plan’s Community Care Coordination Program. This position will also assist in providing oversight to HCBS Waiver programs

• Develop and maintain program-specific policies and processes. Regularly review processes to look for CQI opportunities

• Provide training to clinical teams on program requirements

• Provide consultation to clinical teams on the application of program requirements to specific Member situations

• Act as a central point of contact with the State for the assigned program

• Apply program requirements and criteria to evaluate the appropriateness of services in collaboration with the Health Plan CMO and LTSS Medical Director

• Communicate and collaborate with service providers regarding program requirements and criteria

• Participate in quality reviews such as State contract compliance reviews, State performance reviews and NCQA accreditation reviews

• Utilize reporting and data to monitor the effectiveness of programs and lead/participate in quality improvement initiatives

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:

• Must possess one of the following:

• Master Level Social Worker

• Bachelor’s degree in one of the following:

• Social Work

• Nursing

• Rehabilitation

• Psychology

• Special Education

• Gerontology

• Related health and human services area

• Current, unrestricted independent licensure as a Registered Nurse in Kansas

• Physical or Occupational Therapist

• 3+ years of Clinical experience

• 1+ years of quality management/quality improvement experience

• Intermediate proficiency with MS Word, Excel (create, edit, save documents) and Outlook (email and calendar management) be able to use multiple web applications

• Ability to travel occasionally to State, health plan and provider meetings

• Reside in the state of Kansas or within 50 miles of the border

• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)

• Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Preferred Qualifications:

• Managed Care experience

• Program management or leadership experience

• Experience interacting with health and human service providers

• Proven advanced skills in MS Word, Excel and Outlook

Soft Skills:

• Strong oral and written communication skills

• Demonstrated effective organizational skills and scheduling skills as observed in day-to-day work

• Excellent customer service skills

• Excellent interpersonal and problem-solving skills

• Attention to detail, as observed in day-to-day work

• Excellent time management and prioritization skills

• Ability to maintain professionalism and a positive service attitude at all times

• Must demonstrate flexibility, ability to follow through on all tasks in a timely fashion, good attention to detail and a willingness to learn

• Solid team player and team building skills

• Able to handle sensitive issues with members and providers in a confidential manner

• Demonstrates initiative in achieving individual, team, and organizational goals and objectives

• Creative problem-solving skills

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe 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 experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

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.