The Behavioral Health Practice Management Specialist must demonstrate strong clinical and analytic skills, strong oral and written communication skills and must be comfortable working closely with facilities, large behavioral health practice groups as well as individual clinicians. The Behavioral Health Practice Specialist will be responsible for the development of relationships with behavioral health facilities and practitioners in order to improve and monitor their clinical effectiveness and efficiency, as well as compliance with contractual obligations. This Specialist will work closely with Care Advocacy Operations and Network Management teams to ensure coordination, effectiveness, and efficiency.
Position can be located at any UHG office location in the U.S.Primary Responsibilities will include:
Communicate with facilities and outpatient behavioral health practitioners and practice groups to initiate appropriate interventions focused on improvement of clinical outcomes and efficiency, as well as compliance with care advocacy processes and contractual obligations
Identify facility and practitioner outliers through analysis of clinical outcomes data, utilization/claims data, complaints, and compliance with care advocacy protocols
Effectively administer intervention protocols based on group size and composition, and level of clinical effectiveness and efficiency
Measure improvement of practitioner performance over time
Monitor and report effectiveness of interventions
Modify interventions as appropriate
Interface with other OHBS departments including: Care Advocacy, Clinical Network Services, and Quality Improvement.
UnitedHealth Group - 20 months ago
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