TRICARE Service Center Manager Honolulu, Hawaii (523437)
Location: Honolulu Hawaii
Description: UnitedHealth Group is hiring TRICARE Service Center Manager Honolulu, Hawaii (523437) right now, this position will be placed in Hawaii. For complete informations about this position opportunity please read the description below. UnitedHealthcare Military and Veterans is currently seeking a Service Center Manager. Primary functions are performed in a TRICARE Servi! ce Center (TSC) located in a Military Treatment Facility (MTF), 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 for the MTF regarding TSC operations, enrollment, network adequacy/availability, and referral/authorization issues. Works with the Vice President of Hawaii Market Operations (VPMO) and Field Clinical Coordinator to assist in building and maintaining relationships between MTF staff and civilian providers and facilities; supports MTF Optimization initiatives.
Primary Responsibilities:
Manages TSC and staff operations at five (5) Hawaii TSC locations
Tripler Army Medical Center (physical location)
Naval Health Clinic Hawaii, Makalapa (Pearl Harbor)
Naval Health Clinic Hawaii, Marine Corps Base Hawaii (Kaneohe)
15th Medical Group (Hickam)
U.S. Army Health Clinic, S! chofield Barracks
Conducts ongoing TSC staff developm! ent activities, including routine performance feedback and counseling.
Ensures implementation and compliance with UnitedHealthcare Military & Veterans (UHC M&V) policies, procedures and performance standards.
Maintains close communications with the VPMO regarding TSC operations, communications, MTF issues, local network, and Hub.
Actively participates in meetings and communications with MTF staff.
Assists the VPMO in planning meetings and participates in those meetings.
Ability to deliver a variety of prepared presentations about the TRICARE program to small and large groups.
Facilitates special coordination of beneficiary care issues between the UHC M&V Corporate resources
Participates in meetings, studies, and training as directed by the VPMO
Maintains ongoing communications with the MTF Hawaii Referral 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 VPMO, 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 Medical Management 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 VPMO as needed
Job Key words: Honolulu, HI, Hawaii, Call Center Manager,Call Center, Manager, UM, CM, Case Management, Supervisor, Supervisory, Customer Service, Cust! omer Service Manager, Tripler Army Medical Center, Naval Health Clinic ! Hawaii , U.S. Army Health Clinic
Requirements
Requirements:
High School Diploma/GED
3 + years of documented supervisory experience
2 + years of documented experience working in customer service (phone or face-to-face) environments (i.e. direct contact with customers)
Valid driver’s license; access to a registered vehicle
United States Citizenship
Ability to obtain favorable adjudication following submission of Department of Defense form SF86 NAC form SF86.
Assets:
Thorough knowledge of TRICARE and the Military Health System is strongly desired
5 + years of clinical nursing experience is preferred
Current and unrestricted Nursing license in the State Of Hawaii is a plus
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 submiss! ion of Department of Defense form SF86 http://www.opm.gov/forms/pdf_fill/sf86.pdf, (the National Agency Check or â€Å"NACâ€Â). 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.
Careers at UnitedHealthcare Military & Veterans. When it comes to their health care, the men and women who help keep the peace deserve the greatest peace of mind. That’s why UnitedHealthcare is the organization that’s called on to serve them and their loved ones. We’re all about finding better ways to h! elp improve their lives no matter where life may take them. So our care! er opportunities take challenge to a higher level. If you have a commitment to quality that mirrors our commitment to the men and women of the armed forces, take time to learn more about the career paths available here. It’s a genuine opportunity to do your life’s best work.
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 position, please email us your resume, with salary requirements and a resume to UnitedHealth Group.
If you interested on this position just click on the Apply button, you will be redirected to the official website
This position starts available on: Fri, 31 May 2013 04:28:41 GMT
Apply TRICARE Service Center Manager Honolulu, Hawaii (523437) Here
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