Job Title

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.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. UM is performed via an inbound telephonic queue and requires team members to work a holiday rotation. Case managers work directly with members both telephonically and in the field.  The schedule is Monday - Friday, 8a - 5p EST and may include working some holidays.If you are located in New York, you will have the flexibility to work remotelyas you take on some tough challenges. Primary Responsibilities:Oversight of utilization management of adults, adolescents and children as well as dual eligible Medicare/Medicaid populations with SMI, SUD, co-occurring physical health, co-occurring disorders of MH and SUD, and co-occurring mental health and/or substance use disordersManages and is accountable for professional employees and supervisorsSets team direction, resolves problems, and provides guidance to members of teamMay oversee work activities of other supervisorsAdapts departmental plans and priorities to address business and operational challengesInfluences or provides input to forecasting and planning activitiesOversight of new product implementationsInitiating process for state initiatives and directivesUpdating and creation of Quick Reference GuidesOversight and coordination of care with internal and external partnersExperience interfacing with regulatory agenciesInterview, hire and onboard new employeesReview reports to insure team member adherence to established benchmarksCover for management team as neededFoster relationship with leadership and medical directorsYou'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 Clinician in the State of New York with one of the following licensures. Licenses must be active and unrestricted.Licensed Clinical Social Worker (LCSW)Licensed Mental Health Counselor (LMHC)Licensed Psychologist (LP)Registered Nurse (RN) with 5+ years of Behavioral Health experience6+ years of Behavioral Health experience including Mental Health and Substance Use Disorders (SUD)5+ years of experience working with Children / Adolescents3+ years of management experience in a Behavioral Health setting3+ years of experience with New York public and commercial mental health and substance abuse services delivery systemExperience overseeing documentation in Electronic Medical Records (EMR)Experience with Medicare and NY Medicaid regulationsIntermediate proficiency in Microsoft Office Suite, including MS ExcelAbility to work holidays based on business needsDedicated, distraction-free workspace and access to high-speed internet in homeResidency in New YorkPreferred Qualifications:Experience working in a Managed Care Organization (MCO)Experience working with the New York provider networkExperience managing clinical and non-clinical phone queuesKnowledge of evidence-based practices and proceduresSolid customer service orientationFamiliarity with prior authorizations, concurrent reviews, and appeal processesFamiliarity with case management servicesDemonstrated competence in clinical care management, solid leadership and organization skills, interpretation of State and federal laws, and regulations relevant to the mental health program areaAll employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.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. 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, or protected veteran status, or any other characteristic protected by 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.