For those who want to invent the future of health care, here's your opportunity. We're going beyond counseling services and verified referrals to behavioral health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm) The Alert Clinical Program Manager Public Sector will fulfill a key formal management and oversight function on this fast-growing team. Our team works with new and existing state Medicaid and Dual (Medicare + Medicaid) plans to review a wide variety of Outpatient and Intensive Outpatient services. Primary Responsibilities: Provides direct oversight to a team of Care Advocates on the Public Sector Outpatient and IOP UM Team Responsible for day-to-day management of the team including problem solving, providing guidance and direction, root-cause analysis of and response to complaints, handling escalated calls, creating and maintaining team scripts, templates, and workflows, maintaining team metrics, completing chart and call audits, communicating monthly metric and audit feedback, ongoing performance management, year-end performance evaluations, addressing employee issues, interfacing with HR partners, hiring and training of new staff Monitor and consistently meet departmental quality and performance standards for clinical staff Accountable for ensuring that the team meets or exceeds metric goals and utilization management targets Responsible for consulting on the production and use of data, reporting, and analytics for successful team performance and productivity Responsible for collaboration with peer functional leaders to ensure effective, interactive workflows and support for the consumer Accountable for maintaining and improving team Vital Signs scores, Employee Engagement scores, and working towards increasing ALERT customers' Net Promoter Scores Accountable for development and application of ALERT processes and workflows across a variety of markets, each with its own complex set of services and requirements Adapts departmental plans and priorities to address business and operational challenges Responsible for ensuring implementation of 'best practices' within the levels of care managed by the team, as well as ongoing adherence to these best practices Responsible for ensuring recovery and resiliency principles are utilized, translating these into meaningful processes and offerings for consumers Oversight and implementation of disaster recovery response in the event of critical vendor, system, or facility outages Accountability with Director and VP for effective collaboration with Market Leaders to ensure performance targets are supported through functional team activity
Required Qualifications:Master degree in Psychology, Social Work, Counseling, or Marriage and Family Counseling OR Ph.D or PsyD in Psychology Must be fully licensed 3+ years post licensure experience 2+ years of experience in a leadership rolePreferred QualificationsStrong operational focus with demonstrated project management, change management, and execution skills Self-motivated and able to work with little direct supervision and drive results with disciplined follow-though The ideal candidate must have a background or knowledge of behavioral therapy techniques for children, specifically Applied Behavior Analysis Candidates must possess very strong verbal and written communication skills Advanced Microsoft Excel, Word, and PowerPoint SkillsCareers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm) 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: Alert Clinical Program Manager Public Sector, Glendale, CA, California, Psychology, Social Work, Counseling, or Marriage and Family Counseling
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.