Service Center Manager (TRICARE) - Ft Leavenworth, KS occupation at UnitedHealth Group in

UnitedHealth Group is looking of Service Center Manager (TRICARE) - Ft Leavenworth, KS on Thu, 28 Mar 2013 07:43:35 GMT. Position Description: Primary responsibilities are performed in a TRICARE Service Center (TSC) located in a Military Treatment Facility (MTF), most often on a military installation. Manages the activities of the TSC to ensure compliance with contractual requirements and maintenance of customer service standards. Serves as the primary liaison between the MTF regarding TSC operations, network...

Service Center Manager (TRICARE) - Ft Leavenworth, KS

Location: Kansas

Description: UnitedHealth Group is looking of Service Center Manager (TRICARE) - Ft Leavenworth, KS right now, this occupation will be placed in Kansas. Detailed specification about this occupation opportunity please give attention to these descriptions. Position Description:
Primary responsibilities are performed in a TRICARE Service Center (TSC) located in a Military Treatme! nt Facility (MTF), most often on a military installation. Manages the activities of the TSC to ensure compliance with contractual requirements and maintenance of customer service standards. Serves as the primary liaison between the MTF regarding TSC operations, network adequacy/availability, and referral/authorization issues. Clinical advisor to the Director of Market Operations (DMO), assisting in building and maintaining relationships between MTF staff and civilian providers and facilities; supports MTF Optimization initiatives.

Primary Responsibilities:
Conducts ongoing TSC staff development activities, including routine performance feedback and counseling.
Acts as clinical resource for Director of Market Operations and non-clinical TSC staff regarding beneficiary care issues.
Provides operational and clinical support to other TSCs within the Operations Area, as warranted.
Ensures implementation and compliance with UnitedHealthcare Militar! y & Veterans (UMV) policies, procedures and performance standa! rds.
Maintains close communications with the DMO regarding TSC operations, communications, MTF issues, local network, and Hub.
Actively participates in meetings and communications with MTF staff.
Assists the Director of Market Operations in planning meetings and participates in those meetings.
Delivers a variety of prepared presentations about the TRICARE program to small and large groups.
Facilitates special coordination of beneficiary care issues between the MTF, UMV Corporate resources.
Participates in meetings, studies, and training as directed by the Director of Market Operations
Maintains ongoing communications with the MTF Referral Management Center and/or MTF TRICARE Operations staff to resolve identified referral and authorization issues.
Identifies and reports potential risk management and quality of care issues to the Director of Market Operations, Regional CEO and/or medical management staff as indicated.
Provides information ! to the MTF on the availability of local area healthcare resources and programs.
Participates in performance improvement activities.
Participates as a team member with Health Care Services regarding Referral Processing, Utilization Management (UM), Case Management (CM), and Integrated Behavioral Health (IBH) initiatives.
Collaborates with the MTF staff to identify and refer patients for potential CM, DM or other services, as indicated.
Performs other duties as assigned
Regular and reliable attendance is required
Responsibilities will include acting on behalf of the Director of Market Operations as needed

Requirements:
High School Diploma/GED
R.N. degree required
3+ years of documented supervisory experience
Excellent written and verbal communication skills
U.S. Citizenship required.
Ability to obtain favorable adjudication following submission of Department of Defense form SF86 NAC form SF86.
Current and unr! estricted license in the State of KS.

Assets:
Knowl! edge of TRICARE and MHS is strongly desired.
Clinical Nursing experience is preferred.

As a requirement of UnitedHealth Group’s contract with the Department of Defense, this position requires U.S. citizenship and proof of favorable adjudication following submission of Department of Defense form SF86 http://www.opm.gov/forms/pdf_fill/sf86.pdf, (the National Agency Check or â€Å"NAC”). Successful completion of the NAC process is a requirement for continued employment in this role. NAC processing will be initiated by our TRICARE Security Officer post-offer, and can take 3-6 months for a final decision communication from the Department of Defense. Candidates will be allowed to begin employment with UnitedHealth Group in this role based on an interim clearance, and final results will be communicated as they are received. Failure to obtain final NAC approval will result in termination from this role

UnitedHealthcare Military & Veterans is part! of the family of companies that make UnitedHealth Group one of the leaders across the US health care system.
We serve those who serve our nation, providing quality health care services to millions of military beneficiaries across the (list region post award).

Our commitment to helping people live healthier lives, and to continue the honor, satisfaction, and quality of the TRICARE military health benefit program is greater than ever. Our efforts complement the Military Health System to demonstrate the best blend of public and private health care solutions.

It's not just business as usual. It is one of our proudest endeavors.

If you're ready to help make health care work better for those who serve our nation. If you are smart, creative, and committed. If you want to make a difference. Consider being part of the elite team at UnitedHealth care Military & Veterans.

This is an opportunity to share in something special; a chance for all of! us to serve, to excel, and to know that we've made a difference for th! ose families who have made our nation stronger.

Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
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If you were eligible to this occupation, please email us your resume, with salary requirements and a resume to UnitedHealth Group.

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This occupation starts available on: Thu, 28 Mar 2013 07:43:35 GMT

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