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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

Children’s Behavioral Health Initiative Program Manager - Boston, MA

UHG - Boston, Massachusetts

Posted: 12/10/2018

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)
 
Children’s Behavioral Health Initiative (CBHI) Program Manager will have oversight with the Community Service Agencies (CSA) and will act as the main point of contact for program administration questions and issues, especially related to case management and utilization review of behavioral health and substance abuse services. The CBHI Program Manager will be the liaison with state agencies who are involved in care coordination of members as necessary.
 
 If you are located in Boston or Somerville, MA, you will have the flexibility to telecommute* as you take on some tough challenges.
 
Primary Responsibilities:
  • Resolves problems and provides guidance to internal clinical operations and external CSA’s and state agencies
  • Adapts departmental plans to address business and operational challenges
  • Responsible for driving recovery and resiliency principles into the care coordination function within team and external agencies, translating these into meaningful processes and offerings for consumers
  • Facilitate resolution of member issues and concerns
  • Accountable for uniform and consistent application of care coordination processes / workflows within team and books of business, as well as effective implementation and management of alternate workflows where required by contract or state regulation
  • Accountable for meeting or exceeding both performance and productivity metric goals as they relate to care coordination function within Care Advocacy Center.
  • Responsible for informing, consulting on the production of, and using data, reporting, and analytics for successful performance and productivity of the care coordination team.
  • Responsible for collaboration with peer functional leaders (e.g., Facility-Based Care, Assessment & Triage, Intake / Customer Service, Appeals, Peer Review) to ensure effective, interactive workflows and support for the goals/targets of other functional teams, as well as seamless processes for the consumer
  • Ensure that Community Service Agencies’ (CSAs) Providers’ staff participate in state-required CBHI training, coaching and mentoring provided by EOHHS’s CBHI training vendor, including on-site activities, distance learning, and Quality Improvement activities recommended by the training vendor. The Contractor shall ensure that Providers’ staff completes the CBHI training, coaching and mentoring tasks assigned by the training vendor, and utilizes their new skills in service delivery. If the Provider is not participating in the training vendor’s activities, the Contractor shall engage in Provider Network Management activities to increase participation;
  • Ensure that each CSA develops and coordinates a local Systems of Care Committee to support each CSA’s efforts to establish and sustain collaborative partnerships among families and community stakeholders in its geographic area.
  • Participate in the local Systems of Care Committees as agreed to in collaboration with all MassHealth managed care entities and shall attend monthly meetings of the committees for the first year of the CSA implementation;
  • Collaborate with case management on member assignment to CSAs

Required Qualifications:

  • Registered psychiatric nurse; independently licensed masters level mental health professional or licensed Ph.D. License must be unrestricted in Massachusetts
  • Strong knowledge of CBHI program and processes in the state of Massachusetts
  • Demonstrated leadership in the clinical and operational areas, preferably Care Coordination
  • Strong analytic skills
  • Reside in state of Massachusetts
  • Ability to be onsite in Somerville, MA as needed

Preferred Qualifications:

  • 5 years of post-licensure diversified clinical experience in a direct services setting. Acute psychiatric, chemical dependency or outpatient therapy experience, with an emphasis in differential diagnosis
  • 2 years of successful clinical and administrative management in a managed care environment
  • Previous experience in a field based position
  • Experience in a position where training was the main focus of your job
  • Previous experience in a Program Manager role

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: Massachusetts, Somerville, Boston, MA, Psychiatric Nurse, RN, Social Worker, Therapist, Counselor, CBHI, Children’s Behavioral Health Initiative, Program Manager, Project Manager, Manager, Chemical Dependency, Mental Health, Behavioral Health, Substance Abuse, Training, Trainer

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