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We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM

 

Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com

 

Job Category:

Behavioral

Country:

US

Approximate Salary:

Not Specified

Position Type:

Full Time

Behavioral Health Home Consultant - Telecommute from Tennessee

UHG - Nashville, Tennessee

Posted: 12/12/2018

The Behavioral Health Home Consultant (BHHC) is responsible for the ongoing clinical management and quality oversight of Optum’s Behavioral Health Homes (BHH).  The BHHC will be responsible for developing relationships with the BHH agencies and driving a quality improvement process to improve quality, improve clinical outcomes, increase efficiency and reduce overall benefit expense. The BHHC will monitor BHH performance and compliance with contractual obligations, provide tools to assist with performance and compliance, and is accountable for driving BHH performance improvement.  As the single point of clinical contact for a practice, the BHHC will be responsible for communicating progress towards achievement of targeted goals to Senior Leadership both within Optum and the BHH.

 

The BHHC must demonstrate strong clinical and analytic skills, strong oral and written communication skills and must be comfortable working closely with senior leaders at high volume facilities/groups and/or providers.   This BHHC will work closely with Care Advocacy Operations, Affordability, Network Management teams and other relevant departments to affect desired outcomes with the Integrated Health Homes as it relates to treatment for our membership.

 

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

Primary Responsibilities:

  • Build and effectively maintain relationship with the BHH leadership and key clinical staff
  • Regularly facilitate oversight meetings with the BHH to monitor, present, and discuss performance
  • Monitoring BHH performance on program metrics, quality outcomes and adherence to  contract requirements
  • Conduct BHH program audits and provide feedback and results
  • Identify performance improvement opportunities through analysis of operational data, clinical outcome data and utilization/claims data
  • Communicate with BHH agencies to initiate interventions focused on improvement of clinical outcomes and efficiency, as well as compliance with contractual obligations
  • Initiate and monitor Performance Improvement  Plans to drive performance
  • Monitor and report effectiveness of interventions
  • Modify interventions as appropriate
  • Support those high performing Integrated Health Homes such that performance remains at a high level
  • Provide clinical and care coordination support
  • Deliver education and training
  • Interface with other OHBS departments including Care Advocacy, Affordability, Clinical Network Services, Program and Network Integrity, and Quality Improvement

Required Qualifications:
  • Licensed master's degree-level clinician in psychology, social work, counseling, or marriage and family counseling, Licensed Ph.D. / Psy.D. Level Psychologist or Registered Nurse
  • Licenses must be active and unrestricted in the state of Tennessee
  • Experience interpreting and utilizing clinical data analytics, outcomes measurement in healthcare and use of that data to drive change
  • Experience identifying performance improvement opportunities and influencing quality metrics
  • Demonstrated experience leading groups and strong presentation skills
  • Intermediate proficiency level with MS Office
  • Ability to balance contractual and clinical considerations
  • Willingness to travel approximately 25% for face to face meetings
Preferred Qualifications:
  • 3+ years of Managed Care and/or Utilization Review experience in a Managed Care setting is highly preferred with experience working with facility/group based care advocacy
  • 3+ years (POST - LICENSURE) direct behavioral health clinical experience
  • Working knowledge of Public Sector benefit plans
  • Excellent time management and prioritization skills 
  • Strong relationship building and influencing skills
  • Strong written and verbal communication skills
 
Careers 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)
 
*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, Practice Specialist, Consultant, Quality, RN, Nurse, Tennessee, TN, Nashville, Memphis, Telecommute, Psychologist, LCSW, LPC, LMFT, Social Work, Counseling or Marriage or Family Counseling, Licensed Ph.D., Psy.D.

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