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 on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications
- Active, unrestricted behavioral health clinical license (Ph.D./Psy.D., LCPC, LMFT, LCSW, and/or RN)
- Nevada state license or willingness to obtain one within 90 days of hire
- 5+ years of behavioral health experience
- 1+ years of case management experience
- Knowledge of behavioral health levels of care, community resources, care transitions, crisis and safety planning, and social drivers of health
- Demonstrated ability to supervise or lead staff, provide case consultation, and manage competing priorities
- Demonstrated solid clinical documentation, auditing, communication, organization, and problem-solving skills
- Demonstrated ability to use data, audit findings, and operational trends to guide coaching and process improvement
Preferred Qualifications
- Experience in a health plan, managed care, Medicaid, or high-acuity behavioral health environment
- Formal supervisory, team lead, preceptor, or quality-audit experience
- Familiarity with NCQA standards, regulatory audits, corrective action plans, and performance reporting
Working Supervisor Role Expectations
- Maintain a limited caseload sized to preserve availability for staff supervision, urgent consultation, auditing, and operational coverage
- Adjust direct case assignments when staffing, case complexity, audit activity, training needs, or business priorities require increased supervisory capacity
- Remain accessible during business hours for staff questions, time-sensitive case escalation, and coordination of difficult or high-risk cases
- Balance member-facing work with leadership responsibilities without allowing the supervisory, quality, or compliance functions of the role to be delayed
*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 $72,800 - $130,000 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.