About UHG

Careers at UnitedHealth Group


We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM


Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com


Job Category:

Medical and Clinical Operations



Approximate Salary:

Not Specified

Position Type:

Full Time

Manager of Case Management - Telecommute anywere in TN

UHG - Clarksville, Tennessee

Posted: 11/12/2018

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. Join us and help people live healthier lives while doing your life's best work.(sm)
In the Health and Social Services Manager role, you will lead a team of Health and Social Services Coordinators, while overseeing day-to-day clinical operations and participating in business development activities. You will manage a program or region, including team and performance management, process improvement, and standardized execution of clinical decision processes, and implementation of new program initiatives. Complying with contractual requirements and ensuring member needs are met.

This position allows for you to telecommute from anywhere in the state of TN. You must reside in the state in order to be considered for this role.


Primary Responsibilities:
  • 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
  • Ensures standardized execution of workflow processes, including conducting performance audits, quality reviews, and compliance adherence
  • Acts as regional interface with other departments to coordinate workflow processes and implementation plans    

Required Qualifications: 

  • Associates degree
  • Unrestricted RN licensure in the state of TN
  • 5+ years of experience working within the community health setting or in a health care role
  • Management and/or supervisory experience
  • Intermediate level of experience with Microsoft Word, with the ability to navigate a Windows environment

Preferred Qualifications:

  • Master’s degree
  • 3+ year of leadership experience
  • 3+ years of case Management experience
  • Certified Case Manager (CCM)
  • 2+ years’ experience with managed care and/or working within a health plan
  • Experience with LTSS
  • Experience working with Medicare and/or DSNP
  • Experience working with Medicaid
  • Experience/exposure with discharge planning
  • Experience in utilization review, concurrent review and/or risk management
  • Experience managing employees virtually

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:Manager, Management, manage, supervise, supervisory, Supervisor, RN, registered nurse, nurse, Long-Term Services and Support, LTSS, Medicaid, Choices, Long term care, Behavior Support, Intellectual Disability, Developmental Disability, IDD, ID, Case Management, care coordination, Home and Community-Based Services, HCBS, Social Services, home health, hospice, public health, assisted living, CCM, Medicare, DSNP, D-SNP, telephonic, managed care, health plan, Nashville, Memphis, Knoxville, Chattanooga, Clarksville, Jackson, Murfreesboro, TN, Tennessee

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