1+ months

Care Advocacy Manager - Columbia, MD

Columbia, MD 21044
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  • Job Code
    844542

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) 

 

Positions in the function are responsible for case management and clinical review of behavioral health services, specifically for Medicaid members and grant funded recipients. The manager will be able to coach, guide, and lead the team through escalated cases, case staffing's, and case inquiries.  In addition, the Care Advocacy Manager will be responsible for the supervision of care advocates on the team, including leading team meetings, case consultations, and 1:1 supervision. 


The Manager will need to be able to respond to escalated cases. The Manager will also work closely with other areas of Care Advocacy, Network management, and Claims Processing to ensure coordination, effectiveness, and efficiency. The Manager may need to consult with legal and compliance, as this team works with complaints, state mandates, and benefit determinations. The Manager is also responsible for running and interpreting ad hoc reports regarding utilization for accounts. Other monthly reports are required for management of the team involving metrics, utilization, and performance.

 

Primary Responsibilities:

  • Oversees team of professionals with experience in autism and in the delivery of Applied Behavior Analysis (ABA) services
  • Manage the delivery of all autism and ABA services provided through Optum Maryland Behavioral Health
  • Provide training and supervision to staff in delivering ABA services
  • Participate in all ABA quality initiatives and programs
  • Support provider training on delivery of ABA services and working with participants with autism
  • Manage all policies and procedures related to delivery of ABA services
  • Remain abreast of all relevant research and innovations

 


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Posted: 2019-08-28 Expires: 2019-10-28

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Care Advocacy Manager - Columbia, MD

UnitedHealth Group
Columbia, MD 21044

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