Behavioral Health Clinical Program Manager (Case Management) - Remote in MO

UnitedHealth Group•St. Louis, MO

11d•$91,700 - $163,700•Remote

About The Position

Optum 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 talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. 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.

Requirements

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

Nice To Haves

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

Responsibilities

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
Adapts 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