Manager, Behavioral Health Services - Telephonic

Social Work Manager

Optum Home & Community Care, part of the Optum family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere. As a team member of our Optum Care at Home team, together in an interdisciplinary care environment, we help patients navigate the health care system and connect them to key support services.

This preventive care can help patients stay well s life-changing work adds a layer of support to improve access to care. We're connecting care to create a seamless health journey for patients across care settings.

The Optum Dual Special Needs Plan (DSNP) Care at Home program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of members in their place of residence. The DSNP program combines Optum trained clinicians providing intensive interventions customized to the needs of each individual, in collaboration with the Interdisciplinary Care Team (ICT), which includes the Optum clinician, the member's Primary Care Provider, other providers, and other professionals.

Optum providers serve people in their own homes through annual evaluations, ongoing visits for higher risk members, care coordination during transitions from the hospital or nursing home and ongoing care management.

Reporting to the Director of Clinical Operations, the Social Work Manager (SWM) serves as the social work leader for designated Care at Home markets within an assigned region, partnering closely with local Market Leadership Teams to develop strategies, drive performance, and achieve desired outcomes. This role collaborates closely with the Social Work and Behavioral Health Leadership Teams to ensure alignment with the national vision and strategy for social work and behavioral health interventions, case management activities, and clinical excellence across markets.

In addition to the SWM, the Care at Home ICT includes, but not limited to, physicians, nurse practitioners, physician assistants, nurse care managers, behavioral health clinicians, social workers, pharmacists, care coordinators, patients and/or caregiver and family.

You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

• Set team direction, resolve problems, and provide guidance to members of own team
• Oversee work activities of social work staff
• Adapt departmental plans and priorities to address business and operational challenges
• Influence and/or provide input to forecasting and planning activities

• Plan, organize, and direct the work of master's prepared social workers
• Provide individual supervision to assigned team members
• When appropriate, provide clinical supervision to eligible social workers
• Participate in interviewing, hiring, evaluating and coaching of assigned staff
• Participate in targeted shared visits with assigned team members in market(s) and region(s) as well as targeted comprehensive chart reviews to provide coaching and clinical supervision
• Prepare for and lead regular meetings with applicable team members
• Participate in all leadership meetings as directed by the market, region / division leadership team.
• Provide coverage for applicable assigned team members based on staffing needs

• Act as the subject matter expert for the market / region for all social work and behavioral health initiatives as directed by the Social Work and Behavioral Health Leadership Team
• Act as a subject matter expert for the delivery of case management interventions
• Improve and refine workflows regarding social work and behavioral health referral processes specific to meet the need of market(s)
• Fulfill key role of improving collaboration across team members including those that provide clinical and non-clinical patient facing interventions that support the team

• Enforce and ensure standardization of workflows through oversight of the delivery of case management interventions to include feedback on objective measures and delivery of appropriate interventions
• Monitor and hold clinical team accountable for Model of Care documentation
• Utilize Complex Population Management performance tools that hold the clinical team accountable for role-based metrics and performance standards

• Monitor performance metrics to identify opportunities for process improvements and / or staff education to produce optimal outcomes
• Analyze and understand reports; identify reasons for performance gaps and identify opportunities for improved performance

• Participate as an active member of the local ICT
• Participate as an active member Health Plan and…