Behavioral Health (BH) Manager ($5,000 SIGN-ON BONUS)
Health Care that Starts with You!
Join a truly mission-driven organization! Independent, nonprofit UCare is recognized as one of the Minnesota's leading health plans. We provide more than 225,000 members across Minnesota and western Wisconsin with the health coverage plans and services they need to maintain and improve their health. The innovative coverage we create makes a difference for Medicare-eligible individuals, individuals and families enrolled in Minnesota Health Care Programs, such as MinnesotaCare and Medical Assistance, and disabled adults with special health care needs. UCare is growing in size, membership, products, geographic coverage, and employees. We're an organization that's going places. Be part of a team that cares about you, be part of UCare.
ABOUT UCARE At UCare, we deliver high-quality health coverage and services to help members of all ages maintain and improve their health. It's a big job that takes innovative ideas, strategic partnerships, and a commitment to doing the right thing. Above all, it takes a compassionate team that is dedicated to making a real difference in the lives of our members and our communities. WORKING AT UCAREWorking at UCare is more than just a career; it's a mission. A mission that defines us as professionals, unites us as an organization, and shapes how we interact with our members and each other. Our values of integrity, community, quality, flexibility, and respect permeate every aspect of our organization - from who we are and how we act, to what we do and how we do it. We owe our continued success to our employees who proudly embody our mission and values in everything they do. BEHAVIORAL HEALTH (BH) MANAGER ($5,000 SIGN-ON BONUS) Position DescriptionThis position is responsible to oversee the operational aspects of behavioral health services including oversight of staff. Collaborate with BH Associate Director and other UCare departments to improve daily operations that enable staff to better serve our members and providers. Responsibilities include coordination of operational interfaces, facilitation of cross-department initiatives, support of development and planning initiatives, issue resolution, process improvement and development of policies and procedures. Collaborate with peers across departments and serve as the behavioral health representative on both internal and external committees and/or work groups as assigned by the BH Associate Director. Interpret and apply state and federal regulatory mandates in performing operational assessments. Specific duties and responsibilities include: Oversee the development, implementation, and ongoing assessment of UCare's BH functions with a focus on utilization management. Ensure that behavioral health services meet or exceed requirements set by regulatory agencies, including the Minnesota Department of Health, Minnesota Department of Health, Centers for Medicaid and Medicare Services, and the Minnesota Department of Commerce. Collaborate with the BH leaders to establish UCare's behavioral health strategies and work within the organization to develop a work plan to execute on behavioral health strategies.Develop BH policies, procedures, staff matrix and training, and performance standards. Provide leadership and direction to staff in the department including mentoring and coaching as appropriate. Monitor the performance of behavioral health services (BH dashboard) and oversee the identification and evaluation of initiatives responding to utilization patterns and behavioral services costs (BH Utilization Management Workgroup). Maintain a comprehensive knowledge of new and existing products relative to behavioral health functions, and ensure behavioral health services are integrated into new products.Represent UCare BH services in internal and external behavioral health work groups or initiatives as assigned by BH Associate Director.Partner with clinical and behavioral health leaders to organize and maintain behavioral health related training materials for external customers, including product information and updates, care coordination manuals, BH newsletters, etc.Facilitate behavioral health related projects as assigned. Prepare and implement project plan, statement of work, and/or process flow related to different projects, and prepare basic results analysis as needed.Collaborate with Clinical Services, Quality Management, and other departments to develop integrated care model(s).Support the values of UCare by fostering enthusiasm and employee engagement among staff for community involvement, collaboration with other departments, and active participation on UCare's various committees and work groups.Other projects and duties as assigned. EducationBachelor's or Associate Degree or Diploma prepared RN. Current and unrestricted Minnesota State Board of Nursing license required.
Required ExperienceFour years experience in behavioral health clinical management in a health plan, managed care organization, clinical setting, or other related experience. Preferred ExperienceUtilization review experience. Leadership experience. Knowledge of Medicaid or Medicare managed care programs. THE UCARE DIFFERENCEUCare is proud to be a recognized Star Tribune Top Workplace for the 9th consecutive year. As a part of our collaborative team, you'll experience the rewards that come with helping others and seeing the positive results of your hard work. We value and respect each individual's ideas and contributions, and give you the freedom to grow both personally and professionally. We are centrally located, and offer onsite education, equipment and wellness resources, a myriad of volunteer activities, and a number of other rewards. If you're looking for a welcoming environment that celebrates what you have to offer, helps you build on your strengths, and gives you the opportunity to truly make a difference, we invite you to apply. As an Equal Opportunity/Affirmative Action Employer, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.
Enter a highly collaborative environment where people are truly engaged, and feedback is valued. You'll enjoy a competitive salary and benefits, as well as a host of other perks, including a nationally recognized wellness program, and a bright, open, award-winning office space in Northeast Minneapolis just minutes from major freeways and retail centers.
At UCare, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.