$52833 - $88285 Year
Monday to Friday
Day shift
Health insurance
Paid time off
Employee discount
Dental insurance
Vision insurance
401(k)
401(k) matching
Flexible schedule
Parental Leave
Tuition reimbursement
Flexible spending account
Retirement plan
Others
For those who want to invent the future of health care, here’s your opportunity. We’re going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.
The Behavioral Health Clinical Director is responsible for providing leadership and subject matter expertise related to behavioral health disorders for all members covered by the Integrated Managed Care contract in LA. This role will work closely with the clinical leadership within the health plan, state partner agencies and matrix partners within Optum to ensure contract requirements are met and ensure members needs are addressed. This position will report to the LA BH Executive Director and will be key to developing/maintaining a system that meets the needs of the membership.
If you are located in Louisiana, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
Responsible for ensuring contractual requirements related to the clinical system care are met
Attend local and state meetings related to administration of behavioral health services
Act in the capacity of a Subject Matter Expert (SME) for the administration of behavioral health services
Coordinate with all allied behavioral health systems
Analyze trends and provide leadership to address system gaps or other system needs/issues
Identify and examine system gaps and other determinants of readmission to higher levels of care facilities
Support outcome-focused, evidenced-based best practices and guidelines with providers
Establish and maintain professional working relations with referral sources, community resources, and care providers and be able to identify and communicate network gaps to appropriate resources
Understand benefits in compliance with plan inclusions, limitations, and State/Federal mandates
Represent United Healthcare Community Plan in various administrative meetings with state officials and other entities involved in the provision and monitoring of services
Maintains knowledge of current legislation and State and Federal administrative codes
Oversee contractual and policy changes as they relate to behavioral health in LA
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.
Communication
Leadership
Teamwork
Interpersonal
Learning/adaptability
Self-management
Organizational
Computer
Problem solving
Open mindedness
Strong work ethic
technology
Others
Master’s degree OR 7+ years of experience in managed care
3+ years of experience working within LA leadership roles
Experience administering/implementing Medicaid program
Dual diagnosis experience with mental health and substance abuse and developmental disabilities
Experience working in a Managed Care Organization (MCO)
Health care
3
Remote