Behavioral Health Clinical Program Manager - NEW YORK

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 remotely* as you take on some tough challenges.

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 disorders Manages and is accountable for professional employees and supervisors Sets team direction, resolves problems, and provides guidance to members of team May oversee work activities of other supervisors Adapts departmental plans and priorities to address business and operational challenges Influences or provides input to forecasting and planning activities Oversight of new product implementations Initiating process for state initiatives and directives Updating and creation of Quick Reference Guides Oversight and coordination of care with internal and external partners Experience interfacing with regulatory agencies Interview, hire and onboard new employees Review reports to insure team member adherence to established benchmarks Cover for management team as needed Foster relationship with leadership and medical directors 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.