Behavioral Health Clinical Program Manager (Case Management) - Remote in MO
Optum · St Louis, MO · 1 mo ago
Project Management$92k–$164k/yrFull-time
Primary 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
- 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
- Absorb work activities of other supervisors as needed
Required Qualifications
- 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)
- Experience 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
- Proven solid customer service orientation
Pay and Benefits
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. 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.