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UnitedHealth Group Social Work Manager Healthcare WellMed - Telecommute in Lubbock, Texas

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care.

The Manager of Social Work is responsible for planning, organizing, and directing regional operations for Social Work activities within their region. The position directs and supervises duties with appropriate personnel to meet operational program needs. The position ensures compliance with state and federal health plan requirements, Medicare guidelines and standards; implements policy and procedure changes; updates and integrates current clinical practice guidelines. The positon provides employee counseling, performance appraisals, and oversees employee training and development for the region social work team. The Manager collaborates with the Enterprise Social Work leadership dyad, region medical directors, supported PCPs, Case Management staff, clinic operations and central medical management leadership to ensure activities are appropriately integrated into the overall execution of the WellMed care model to achieve desired patient outcomes.

You’ll enjoy the flexibility to telecommute* from anywhere within United States as you take on some tough challenges.

Primary Responsibilities:

  • Supports the regional social work operations across the continuum of care (assessing, planning, implementing, directing, monitoring, and evaluating)

  • Oversees social worker functions for the region and ensures compliance with approved standardized guidelines, government mandated regulations, and contractual agreements to include NCAQ, URAC, and CMS

  • Manages a team of licensed staff, provides direction, resolves problems and provides guidance to the team in order to deliver sound decisions and documentation

  • Monitors compliance of corporate and regional level performance metrics and cost reduction initiatives associated with social work operations (Quality, SDoH, etc.). Conducts appropriate corrective actions when targets and goals are not met

  • Serves as the social work regional representative during planned enterprise and/or strategic level engagements and provides input for situation awareness, forecasting, and planning activities

  • Adapts plans and priorities to address business and operational challenges

  • Subject matter expert for region’s community based, state, and federal services

  • Manage Social Work Program Quality and Improvement

  • Leverages clinical acumen to provide guidance and assistance to staff in navigating the medical management system

  • Oversees the team’s daily staffing requirements to meet program standards

  • Implements and interprets organizational policies and procedures; ensures staff is incorporating changes within SW work streams appropriately

  • Monitors and provides oversight while tracking trends for potential improvements with coordination of care processes

  • Monitors and provides oversight to quality objectives/metrics while tracking trends for potential improvements in the social work processes (health and psychosocial assessments, social service interventions, etc.)

  • Analyzes data and information obtained, identifying root causes or underlying issues that may create barriers for members to achieve goals within the plan of care

  • Monitors, evaluates, and disseminates social work program and productivity reports on a weekly, monthly, or as needed basis (Referral review, auditing of SW cases, etc.)

  • Engages in meetings to support care coordination activities between the providers and social work team

  • Support efforts to address and fulfill member’s Social Determinants of Health (SDoH) needs within all settings (Ambulatory, Acute, Post-Acute, and the SDoH Plan of Care Assessment) to include identifying potential vendor solutions

  • Collaborate assessment efforts with multi/interdisciplinary team members to identify member needs and team member roles

  • Serves as the regional representative for community resource data and provides updates to key stakeholders annually (minimum)

  • Provides input for Education and Training (E&T) resources that impact social work operations annually (minimum)

  • Manage Social Work Program Administration

  • Evaluates staff performance and recommends merit increases, promotions, and is responsible for documenting disciplinary actions and corrective action plans

  • Ensures employees are current with clinical licensure, certifications, and annual training

  • Responsible for interviewing and hiring staff while minimizing staff turnover

  • Mentors team members, fostering relationship with regional operations team and providing resources for vendor and provider education need

  • Provides mentorship opportunities and professional development recommendations

  • Monitors appropriate utilization of resources (overtime, supplies and mileage)

  • Performs all other related duties as assigned

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; preferable with Bachelors of Science in Social Work; or equivalent experience (18+ years of comparable work experience)

  • 5+ years of social work experience within a managed care setting, hospital setting and/or physician practice setting

  • 3+ years of demonstrated supervisory or leadership experience

  • Demonstrated experience with exploratory data analysis and statistics.

  • Intermediate level proficiency with MS Office Suite to include Word, Excel, Notes, and Outlook

  • Ability to build consensus and relationships among managers, partners, and employees

  • Strong organizational skills

Preferred Qualifications:

  • Master’s Degree or Higher

  • Active and unrestricted LCSW or LMSW license in any US state

  • Certified Case Manager (CCM) certification or proof of certification within in one year of hire date

  • Previous operations management experience in a decentralized and multi-site organization

  • Familiarity with business intelligence tools (Tableau, etc.)

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

Careers with WellMed . Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 550,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)

Colorado Residents Only: The salary range for Colorado residents is $64,800 to $116,000. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives

*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: WellMed, Healthcare, Bilingual, Manager, Case Worker, Community Services, Social Worker, SW, LSW, BSW, LMSW, Austin, San Antonio, Texas, TX