UnitedHealthcare is excited to serve more members in Idaho and is seeking dedicated professionals to be part of our team.
Learn more about this at our upcoming Virtual Job Fair, on Tuesday, September 22nd, 12:00-2:00pm EDT .
Register to attend: https://uhg.hr/virginiaevent-sept2026
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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
In the Health and Social Services Manager role is a remote position in which you will lead a team of care managers, while oversee day-to-day clinical operations and participate in business development activities. You will manage the Home and Community Based Services program for the region you are assigned to including team and performance management, process improvement, ensure standardized execution of clinical processes, and implementation of new program initiatives. Complying with contractual requirements and ensuring member needs are met.
*While Role is Remote, for consideration candidate MUST reside within the state of VA. Candidates outside of VA will not be considered for this position. *
If you reside within the state of Virginia, you will enjoy the flexibility to telecommute* as you take on some tough challenges.
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
- 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.
- Accountable owner to deliver timely and quality state escalations for complex member situations
- Ability to work and collaborate effectively across multidisciplinary clinical teams
- Ensure compliance of your team for processes, regulations, documentation, and training
- Ability to lead change within your team to increase engagement and foster improvements
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:
- Bachelor's degree
- Registered Nurse or Licensed Clinical Social Worker (LCSW) with active and unrestricted license in the state of VA
- 3+ years of experience working within the community health setting in a health care role for HCBS LTSS Members, or complex member populations
- 1+ year of experience coaching or mentoring staff
- 1+ year of leadership experience over programs or projects with clinical team members
- Intermediate level of experience with Microsoft Word, Excel, and PowerPoint with the ability to navigate a Windows environment
- Access to reliable transportation and a valid US driver's license
- Must live within Virginia and within commutable driving distance to assigned region
Preferred Qualifications:
- Master's degree
- Certified Case Manager (CCM)
- 3+ years of leadership experience
- A background in managed care and dual eligible members in Virginia
- Case Management experience
- Experience/exposure with discharge planning
- Experience in utilization review, concurrent review and/or risk management
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 - $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
#GREEN, #RPO
Skills Required
- Bachelor's degree
- Active and unrestricted Registered Nurse or Licensed Clinical Social Worker license in Virginia
- 3+ years of experience in a community health setting or healthcare role serving HCBS LTSS members or complex member populations
- 1+ year of experience coaching or mentoring staff
- 1+ year of leadership experience over programs or projects with clinical team members
- Intermediate experience with Microsoft Word, Excel, PowerPoint, and navigating a Windows environment
- Reliable transportation and a valid United States driver's license
- Residence in Virginia and commutable driving distance to the assigned region
- Master's degree
- Certified Case Manager (CCM) certification
- 3+ years of leadership experience
- Background in managed care and dual-eligible members in Virginia
- Case management experience
- Experience or exposure to discharge planning
- Experience in utilization review, concurrent review, or risk management
What We Do
Optum, part of the UnitedHealth Group family of businesses, is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. At Optum, we support your well-being with an understanding team, extensive benefits and rewarding opportunities. By joining us, you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change, improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.
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Optum Offices
Hybrid Workspace
Employees engage in a combination of remote and on-site work.
Optum has three workplace models that balance the needs of the business and the responsibilities of each role. These models, core on‑site (5 days/week), hybrid (4 days/week) and telecommute or fully remote, vary by country, role and location.