Health Service Manager - Quality - Southfield, MI

Careers at Landmark, part of the Optum and UnitedHealth Group family of businesses. At Landmark, we work to deliver high quality, comprehensive care to chronically ill patients wherever they reside and whenever they need it. We focus on doing what s right for the people we serve, even when it s not easy. This is your opportunity to be part of a compassionate team that is setting out to change health care for complex, chronic patients. We re looking for driven people like you because changing the status quo takes dedication. Here, we ll invest in your personal and professional growth while giving you a unique opportunity to make a difference. Helping people feel their best is a rewarding part of doing your life s best work.(sm)

Do you want to make a difference in healthcare?

Landmark Health was created to transform how healthcare is delivered to the most medically vulnerable members in our community. Our medical group provides home-based medical care to chronically ill patients, many of whom are ill-equipped to navigate our overwhelming healthcare system.

Because many of our patients are frail and elderly, we deliver care primarily in the comfort of their home. Our Program is also offered to eligible patients at no incremental financial cost to them. We are not a fee-for-service practice; we benefit economically only if we deliver high-quality patient outcomes and satisfaction. As a result, our clinical teams can spend quality-time caring for a smaller number of patients, giving all patients the space, respect, compassion and care they deserve.

At Landmark, our interdisciplinary teams collaboratively manage our complex patient panels. These teams are led by Physicians, Nurse Practitioners, and Physician Assistants, with supporting care provided by RN Nurse Care Managers, Social Workers, Pharmacists, Behavioral Health, and other employed team members.

Join Landmark to be part of a growing company full of purpose-driven, action-oriented, and compassionate team members working to dramatically transform healthcare for our communities.

OBJECTIVE
The Manager of Health Services is the nursing leader for a specific Landmark market, and partners closely with the local Regional Medical Director and General Manager, or Executive Director, to formulate market-level strategy and generate outcomes.

Primary Responsibilities:
The Manager reports directly to the General Manager, or Executive Director. In addition, the Manager has a dotted reporting line to the Clinical Operations team, which is a shared function across all Landmark markets.

• Oversees the office-based telephonic care management team, which is comprised of RN Nurse Care Managers; LPN Nurse Care Advocates; Social Workers and other allied clinical staff
• Directs the care management team who are responsible for core clinical processes, such as effective care planning, transitions of care management, quality, and care collaboration with health plans and community providers
• Oversees administrative staff, with responsibilities for scheduling, on-call schedule management, medical records management, and tactical care coordination
• Leads quality initiatives for the market, and represents the market on the company s Quality Management Committee
• Interfaces with health plan leadership by reporting on key clinical initiatives and outcomes, and through clinical case reviews

COMPETENCY
To perform the job successfully, an individual should demonstrate the following competencies:

• Problem Solving - Identifies and resolves problems in a timely manner; gathers and analyzes information skillfully; develops alternative solutions; works well in group problem solving situations; uses reason even when dealing with emotional topics
• Technical Skills - Assesses own strengths and weaknesses; pursues training and development opportunities; strives to continuously build knowledge and skills; shares expertise with others
• Customer Service - Manages difficult or emotional customer situations; responds promptly to customer needs; solicits customer feedback to improve service; responds to requests for service and assistance; meets commitments
• Interpersonal Skills - Focuses on solving conflict; maintains confidentiality; listens to others; keeps emotions under control and overcomes resistance when necessary; remains open to new ideas
• Oral Communication - Speaks clearly and persuasively in positive or negative situations; listens and seeks clarification; responds openly to questions. Must be able to deal with frequent change, delays, or unexpected events
• Attendance/Punctuality - Is consistently at work and on time; ensures work responsibilities are covered when absent; arrives at meetings and appointments on time
• Dependability - Follows instructions, responds to management direction; takes responsibility for own actions; keeps commitments; commits to long hours of work when necessary to reach goals; completes tasks on time or notifies appropriate person with an alternate plan
• Initiative - Volunteers readily; undertakes self-development activities; seeks increased responsibilities; takes independent actions and calculated risks; looks for and takes advantage of opportunities; asks for and offers help when needed; generates suggestions for improving work and workflow

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:

• Current unrestricted Michigan RN License
• BSN required, MBA or Business experience preferred
• 5+ years of clinical practice in a hospital, clinic, home care, or nursing home setting
• 3+ years of increasing supervisory or management experience in a health care setting
• Experience with performance improvement, quality, policy, and using data to drive strategic planning

Preferred Qualifications:

• Case management experience strongly preferred
• Excellent communication and organizational skills, flexibility, and ability to work with all levels of staff and leadership
• Disease management experience
• Utilization management experience
• Health Plan and/or Medicare Advantage experience preferred

PHYSICAL DEMANDS
Below are the physical requirements which are representative of those that must be met by the employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

• Regular requirement to sit; use hands to touch, handle or feel
• Regular requirement to talk and listen
• Occasional requirement to stand; walk and reach with hands and arms
• Occasional requirement to lift and/or move up to 10 pounds
• Vision abilities include close vision, peripheral vision, depth perception and ability to adjust focus

WORK ENVIRONMENT
Below is a description of the work environment that the employee will encounter while performing the essential functions of the job.

• Noise level is usually moderate

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment

Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.

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.