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Supervisor, Behavioral Health Case Management - PST work hours - Remote

UnitedHealth Group

RemoteLas Vegas, NVEntry$72.8k – $130k/yr
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Location
Las Vegas, NV
Work model
Remote
Level
Entry
Salary
$72.8k – $130k/yr

About this role

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together The Supervisor, Behavioral Health Case Management provides day-to-day clinical and operational leadership to the Behavioral Health Case Management team while maintaining a small, manageable caseload. This role supports staff performance, quality, compliance, and member outcomes through coaching, case consultation, documentation audits, workload oversight, and direct case management services. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities

Staff supervision and daily operations: Provide day-to-day leadership for case managers and care coordination staff, including work assignments, coverage planning, workload monitoring, schedule support, and timely resolution of operational concerns Clinical consultation and difficult-case staffing: Lead individual and team case consultations for complex, high-risk, or difficult cases. Help staff identify barriers, clarify next steps, strengthen care plans, coordinate escalations, and connect members with appropriate clinical, medical, and community resources Direct case management: Maintain a caseload based on operational needs. Complete assessments, develop individualized care plans with measurable goals, conduct member outreach and follow-up, coordinate care across providers and settings, address barriers, support transitions between levels of care, and document all activities within required timeframes Care coordination and member support: Assist members and caregivers with behavioral health and medical navigation, resource connections, treatment engagement, self-management education, safety planning, discharge follow-up, and continuity of care while maintaining appropriate case management scope Quality auditing and compliance: Complete routine audits of case files, care plans, outreach, follow-up, and documentation for accuracy, timeliness, quality, and compliance with internal standards, NCQA requirements, Medicaid requirements, contractual expectations, and applicable policies Audit follow-up and corrective action: Communicate audit findings, identify trends, provide targeted coaching or education, monitor remediation, and support corrective action plans. Assist with internal and external audits by preparing documentation and responding to case-related questions Program and workflow oversight: Support implementation and maintenance of case management programs, standard work, procedures, templates, reports, and quality-improvement activities. Identify workflow gaps and recommend practical solutions that improve consistency, efficiency, and member outcomes Training and onboarding: Support orientation, mentoring, and ongoing education for new and existing staff, including documentation standards, care planning, member engagement, crisis resources, care transitions, and use of case management systems Collaboration and representation: Partner with utilization management, providers, health plan departments, community organizations, and other stakeholders. Participate in departmental and health plan meetings and provide case management updates or reports to relevant committees as assigned Professional responsibilities: Maintain required professional licensure, certifications, and continuing education. Protect confidential information and follow organizational, state, federal, and accreditation requirements ***Candidates must be available to work Monday - Friday 8:00 am - 5:00 pm PST.*** You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction

Listing verified . Applications go through the company's official careers site.

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