[Hiring] Behavioral Health Clinical Program Manager @UnitedHealth Group

Role Description

The Clinical Program Manager (CPM) must oversee a remote team of Behavioral Health Advocates responsible for case management (CM) of inpatient and outpatient Behavioral Health services in MO, WI, and KY for our C&S markets. Case managers may work directly with members both telephonically and in the field.

The work schedule is Monday – Friday, 8:00am – 5:00pm CST, and may include working a few holidays, but not all holidays.

The CPM and Case Managers will have the flexibility to work remotely. Missouri licensure and residency are required.

• Oversee behavioral health care managers for diverse populations, including adults, adolescents, children, and dual-eligible Medicare/Medicaid members with mental health disorders and substance use disorders (SUD), and other co-occurring behavioral and physical health conditions.
• Manage and be accountable to professional employees, team leader, and Director.
• Set team direction, resolve problems, and provide guidance to members of team.
• Adapt departmental plans and priorities to address business and operational challenges.
• Influence or provide input to forecasting and planning activities.
• Oversee new product implementations.
• Initiate processes for state initiatives and directives.
• Update and create Quick Reference Guides as needed.
• Oversee and coordinate care with internal and external partners.
• Interface with regulatory agencies and respond to audit findings.
• Interview, hire, and onboard new employees.
• Review reports to ensure team member adherence to key metrics.
• Ensure established benchmarks are met for all C&S markets supported.
• Assist with the creation of action plans as needed for remediation.
• Foster relationships with internal and external leadership and medical directors.
• Cover for management team as needed.
• May oversee work activities of other supervisors.

Qualifications

• You must possess one of the following credentials:
  • Mental Health Clinical Nurse Specialist
  • Mental Health Nurse Practitioner
  • Missouri-licensed Psychologist
• Missouri licensure and residency.
• 5+ years of Behavioral Health experience including Mental Health and Substance Use Disorders working across all age groups.
• Experience managing people in a Behavioral Health setting (i.e., hospital, MCO, mental health clinic, or other), conducting staff performance reviews.
• Experience with public and commercial mental health and substance abuse services delivery system.
• Experience overseeing documentation in Electronic Medical Records (EMR).
• Experience with Medicare and Medicaid products and regulations.
• Experience interfacing with regulators during audits.
• Intermediate proficiency in Microsoft Office Suite, including MS Excel.
• Dedicated, distraction-free workspace and access to high-speed internet in home.

Preferred Qualifications

• Experience working in a Managed Care Organization (MCO), government agency, community-based services, non-profit.
• Experience working with the MO Behavioral facilities and providers.
• Experience managing clinical and non-clinical phone queues.
• Experience managing a remote team.
• Experience or familiarity with case management services.
• Knowledge of evidence-based practices and procedures.
• Demonstrated competence in clinical care management, solid leadership and organization skills, interpretation of State and federal laws, and regulations relevant to the mental health program area.
• Proven solid customer service orientation.

Requirements

• *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Benefits

• 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
  • 401k contribution (all benefits are subject to eligibility requirements)
• 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.