Behavioral Health Clinical Program Manager
Council of State and Territorial Epidemiologists, Corsicana, TX, United States
The Clinical Program Manager oversees a remote team of Behavioral Health Care Advocates responsible for utilization management (UM) and case management (CM) of inpatient and outpatient Behavioral Health services.
The schedule is Monday – Friday, 8 a.m. – 5 p.m. EST and may include working some holidays. If you are located in New York, you will have the flexibility to work remotely under UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities
Oversight of utilization management of adults, adolescents and children as well as dual‑eligible Medicare/Medicaid populations with serious mental illness (SMI), substance use disorder (SUD), co‑occurring physical health, and co‑occurring mental health and/or substance use disorders.
Manage and hold accountability for professional employees and supervisors.
Set team direction, resolve problems, and provide guidance to team members.
May oversee work activities of other supervisors.
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.
Oversee and coordinate care with internal and external partners.
Experience interfacing with regulatory agencies.
Interview, hire, and onboard new employees.
Review reports to ensure team‑member adherence to established benchmarks.
Cover for management team as needed.
Foster relationships with leadership and medical directors.
Required Qualifications
Licensed Clinician in the State of New York with one of the following active and unrestricted licensures:
Licensed Clinical Social Worker (LCSW)
Licensed Mental Health Counselor (LMHC)
Licensed Psychologist (LP)
Registered Nurse (RN) with 5+ years of Behavioral Health experience
6+ years of Behavioral Health experience including Mental Health and Substance Use Disorders (SUD).
5+ years of experience working with Children / Adolescents.
3+ years of management experience in a Behavioral Health setting.
3+ years of experience with New York public and commercial mental health and substance abuse services delivery system.
Experience overseeing documentation in Electronic Medical Records (EMR).
Experience with Medicare and NY Medicaid regulations.
Intermediate proficiency in Microsoft Office Suite, including MS Excel.
Ability to work holidays based on business needs.
Dedicated, distraction‑free workspace and access to high‑speed internet at home.
Residency in New York.
Preferred Qualifications
Experience working in a Managed Care Organization (MCO).
Experience working with the New York provider network.
Experience managing clinical and non‑clinical phone queues.
Knowledge of evidence‑based practices and procedures.
Solid customer service orientation.
Familiarity with prior authorizations, concurrent reviews, and appeal processes.
Familiarity with case management services.
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.
Benefits and Compensation
Pay is based on several factors including local labor markets, education, work experience, certifications, and more. The salary for this role will range from $91,700 to $163,700 annually for full‑time employees. In addition to salary, we offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution (subject to eligibility). All benefits are provided in accordance with applicable minimum wage laws.
Legal and Equity Statements
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic under local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug‑free workplace. Candidates are required to pass a drug test before beginning employment.
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The schedule is Monday – Friday, 8 a.m. – 5 p.m. EST and may include working some holidays. If you are located in New York, you will have the flexibility to work remotely under UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities
Oversight of utilization management of adults, adolescents and children as well as dual‑eligible Medicare/Medicaid populations with serious mental illness (SMI), substance use disorder (SUD), co‑occurring physical health, and co‑occurring mental health and/or substance use disorders.
Manage and hold accountability for professional employees and supervisors.
Set team direction, resolve problems, and provide guidance to team members.
May oversee work activities of other supervisors.
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.
Oversee and coordinate care with internal and external partners.
Experience interfacing with regulatory agencies.
Interview, hire, and onboard new employees.
Review reports to ensure team‑member adherence to established benchmarks.
Cover for management team as needed.
Foster relationships with leadership and medical directors.
Required Qualifications
Licensed Clinician in the State of New York with one of the following active and unrestricted licensures:
Licensed Clinical Social Worker (LCSW)
Licensed Mental Health Counselor (LMHC)
Licensed Psychologist (LP)
Registered Nurse (RN) with 5+ years of Behavioral Health experience
6+ years of Behavioral Health experience including Mental Health and Substance Use Disorders (SUD).
5+ years of experience working with Children / Adolescents.
3+ years of management experience in a Behavioral Health setting.
3+ years of experience with New York public and commercial mental health and substance abuse services delivery system.
Experience overseeing documentation in Electronic Medical Records (EMR).
Experience with Medicare and NY Medicaid regulations.
Intermediate proficiency in Microsoft Office Suite, including MS Excel.
Ability to work holidays based on business needs.
Dedicated, distraction‑free workspace and access to high‑speed internet at home.
Residency in New York.
Preferred Qualifications
Experience working in a Managed Care Organization (MCO).
Experience working with the New York provider network.
Experience managing clinical and non‑clinical phone queues.
Knowledge of evidence‑based practices and procedures.
Solid customer service orientation.
Familiarity with prior authorizations, concurrent reviews, and appeal processes.
Familiarity with case management services.
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.
Benefits and Compensation
Pay is based on several factors including local labor markets, education, work experience, certifications, and more. The salary for this role will range from $91,700 to $163,700 annually for full‑time employees. In addition to salary, we offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution (subject to eligibility). All benefits are provided in accordance with applicable minimum wage laws.
Legal and Equity Statements
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic under local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug‑free workplace. Candidates are required to pass a drug test before beginning employment.
#J-18808-Ljbffr