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UnitedHealth Group Behavioral Health Director - Telecommute, MA in Waltham, Massachusetts

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

You push yourself to reach higher and go further. Because for you, it’s all about ensuring a positive outcome for patients. In this role, you’ll work in the field and coordinate the long-term care needs for patients in the local community. And at every turn, you’ll have the support of an elite and dynamic team. Join UnitedHealth Group and our family of businesses and you will use your diverse knowledge and experience to make health care work better for our patients.

One Care is a fully integrated Medicare and Medicaid product that serves individuals between the ages of 21 and 64 who have physical and intellectual disabilities.

This position has overall responsibility for managing a behavioral health, field-based Care Management team located in Massachusetts. Responsibilities include training, management and ongoing development of a clinical team serving dual-eligible members. The Manager will ensure the timeliness and appropriateness of the services provided by the Care Managers and that all services provided are conducted in accordance with care management processes and guidelines. This position will oversee compliance of all Federal and State requirements and regulations. Work assignments may be received with little or no technical instruction and require the selection of a course of action and resolution of complex or unique problems with considerable latitude for independent judgment to develop procedures and systems.

If you are located in Massachusetts, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

  • Provides clinical direction, administration and leadership for a field-based behavioral health Care Management team

  • Monitors the performance of clinical staff to ensure standards and targets are being met

  • Facilitates team meetings, attends clinical rounds with the Optum Behavioral Health UM Team, UM Manager, Care Management team and Medical Director as part of the supervisory process to help ensure appropriate treatment and support resources for members

  • Maintains master schedule of care management staff to ensure availability for all necessary direct care management functions as well as coordination of some after hours on-call coverage

  • Works with the Quality Assurance Specialist and Reporting and Technology Manager to identify reporting needs and review weekly reports to prompt clinical individual and team-based interventions

  • Conducts internal team record audits and prepares and/or monitors the preparation of documentation required for desk reviews and onsite audits

  • Represents health plan in various administrative meetings with state and county officials and other entities involved in the provision and monitoring of services

  • Maintains knowledge of current legislation and State and Federal administrative codes

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:

  • Licensed Psychiatric APRN or other APRN license with behavioral health experience

  • Active, unrestricted State of Massachusetts professional license

  • 5+ years of experience in the Behavioral Health field

  • 2+ years of leadership experience

  • Proficiency in Microsoft applications

Preferred Qualifications:

  • Demonstrated competence in clinical care management, strong leadership and organization skills

  • Interpretation of State and federal laws and regulations relevant to the mental health program area

  • Experience in the CMS and State of MA mental health and substance abuse services delivery

  • Knowledge of principles and practices of public and commercial mental health service delivery systems

  • Knowledge of evidence-based, best and promising practice methods and procedures and strong customer service orientation

  • Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

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.

Job Keywords: Behavioral Health, APRN, UHC, UnitedHealth Care, Spanish, UHG, UnitedHealth Group, Telecommute, Telecommuting, Telecommuter, Remote, Work From Home, Worcester, Boston, Waltham, MA, Massachusetts

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