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Behavioral Clinical Manager

2 months ago

Phoenix, United States UnitedHealth Group Full time

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

If you are located in mountain or pacific time zone you will have the flexibility to work remotely* as you take on some tough challenges

Primary Responsibilities:

  • Build and effectively maintain relationship with the provider leadership and key clinical staff

  • Regularly facilitate oversight meetings with the provider to monitor, present, and discuss performance

  • Monitoring provider performance on program metrics, quality outcomes and adherence to contract requirements

  • Conduct provider program audits and provide feedback and results

  • Identify performance improvement opportunities through analysis of operational data, clinical outcome data and utilization/claims data

  • Communicate with providers to initiate interventions focused on improvement of clinical outcomes and efficiency, as well as compliance with contractual obligations

  • Initiate and monitor Quality Improvement Plans to drive performance

  • Monitor and report effectiveness of interventions

  • Modify interventions as appropriate

  • Support those high performing providers such that performance remains at a high level

  • Provide clinical and care coordination support

  • Deliver education and training

  • Interface with other OHBS departments including Care Advocacy, Affordability, Clinical Network Services, Program and Network Integrity, and Quality Improvement

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Undergraduate degree in Nursing (RN)

  • Active and Unencumbered Registered Nurse Licensure single state or compact within the US. Must have behavioral health experience

  • Independently licensed behavior health clinician including: LISW, LICSW, LPC, LPCC, LMFT, PsyD or state equivalent,

  • License must be active and unrestricted in state of residence

  • Demonstrated experience in interpreting and utilizing clinical data analytics, outcomes measurement in healthcare and use of that data to drive change

  • Demonstrated experience identifying performance improvement opportunities and influencing quality metrics

  • Proven solid presentation skills; Providers, Internal Colleagues

  • Proven solid computer skills; proficiency with MS Office- Power Point and Excel

Preferred Qualifications:

  • 3+ years post licensure direct behavioral health clinical experience

  • 3+ years of Managed Care and/or Case Management experience in a Managed Care setting with experience working with facility/group based care advocacy

  • Demonstrated experience with Value-Based Programs

  • Proven working knowledge of Public Sector benefit plans

  • Demonstrated ability to balance contractual and clinical considerations

  • Proven solid relationship building and influencing skills

  • Proven solid written and verbal communication skills

  • Demonstrated excellent time management and prioritization skills

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

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $70,200 to $137,800 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission .

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment

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