Manage a team of 20 or more direct reports of facility-based UM Care Advocates to ensure operational efficiency and effectiveness Ensure compliance with DMHC regulatory requirements and accreditation standards related to UM Develop and implement UM strategies to maximize quality of care Monitor and analyze data re: UM metrics to identify trends and opportunities for optimization Collaborate with internal teams to streamline and enhance processes and communication Meet with direct reports for mon... more details
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 a culture guided by diversity and inclusion, 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.
Youll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Manage a team of 20 or more direct reports of facility-based UM Care Advocates to ensure operational efficiency and effectiveness
- Ensure compliance with DMHC regulatory requirements and accreditation standards related to UM
- Develop and implement UM strategies to maximize quality of care
- Monitor and analyze data re: UM metrics to identify trends and opportunities for optimization
- Collaborate with internal teams to streamline and enhance processes and communication
- Meet with direct reports for monthly 1:1
- Lead weekly team meetings to provide workflow updates, training on new processes, and to promote engagement
- Participate in leadership meetings, workgroups, manager meetings and MD Collaboration meetings
- Shared responsibility with Team Lead to complete monthly call audits for direct reports
Youll 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:
- Master's degree in Psychology, Social Work, Counseling or Marriage or Family Counseling OR Licensed Ph.D. / PsyD, or an RN with psychiatric experience
Independently licensed to practice in California - 5+ years of experience in a related mental health environment
- 2+ years of experience as Team Lead or Supervisor
- Demonstrated proficient level of experience with MS Word and Excel, with the ability to type and navigate a Windows environment, ability to multi-task
- California resident (Non-California residents may be considered on an exception basis only)
Preferred Qualifications:
- Dual diagnosis experience with mental health and substance abuse
- Experience working in an environment that requires coordination of benefits and utilization of multiple groups and resources for patients
- Experience with Utilization Management and/or a call center environment
- Experience in a MCO (Managed Care environment)
- Experience supervising a fully remote team
- Experience working in a fast- paced environment
- Solid PowerPoint skills
- Solid communication skills, both written and verbal
*All employees working remotely will be required to adhere to UnitedHealth Groups 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 $88,000 to $173,200 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, youll find a far-reaching choice of benefits and incentives.
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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.
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At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves 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: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
