Health Care Manager Jobs in Rio Rancho, NM (NOW HIRING)

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.

In this position, you will be responsible for care management of behavioral health and substance abuse member cases. You'll have a direct impact on the lives of our members as you manage the treatment needs of assigned cases. The schedule for this position is Monday - Friday, 8 am - 5 pm. Clinical licensure and residency in New Mexico are required. If you are located in New Mexico, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Engage members that may be transitioning through various levels of behavioral health care
• Complete member assessments and educate on resources and services available to members
• Coordinate and collaborate with providers and treatment teams
• Strategize and solution for any barriers preventing care or delaying services
• Identify ways to add value to treatment plans and consult with facility staff or outpatient care providers on those ideas
• Work from an Integrated Care Management Model to ensure high-risk members receive evidenced-based care and medically necessary services
• Join weekly Interdisciplinary Team Rounds to collaborate with cross-functional teams on high-risk members

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.

Required Qualifications:

• Master's or Doctoral Degree in Psychology, Social Work, Counseling, Marriage and Family Therapy, or a related behavioral health field
• One of the following licenses in New Mexico; must be active and unrestricted
  • Licensed Psychologist (LP)
  • Licensed Clinical Social Worker (LCSW)
  • Licensed Marriage and Family Therapist (LMFT)
  • Licensed Professional Clinical Counselor (LPCC)
• 2 years of experience in a related mental health environment
• 1 years of experience working with community resources in New Mexico
• Proficient in MS Office Suite; i.e., Word, Outlook, Excel, Teams
• Dedicated in-home workspace with secure, high-speed internet
• Reside in New Mexico

Preferred Qualifications:

• Experience working at a managed care organization (MCO) or health insurance company
• Community mental health experience
• Inpatient facility experience
• Case management / care coordination experience
• Dual diagnosis experience with mental health and substance abuse
• Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
• Demonstrated knowledge of insurance benefits, including Medicaid and Medicare

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.    

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.