1+ months

Field Based Health Care Advocate Medicaid DSNP Hawaii or Oahu

HI
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  • Job Code
    859734

You have high standards. So do we. Here at UnitedHealth Group, this includes offering an innovative new standard for care management. It goes beyond counseling services and verified referrals to programs integrated across the entire continuum of care. That means you'll have an opportunity to make an impact on a huge scale - as part of an incredible team culture that's defining the future of behavioral health care.


The overall purpose of the Field Care Advocate (FCA) role is to help individuals live their lives to the fullest by promoting recovery and resiliency via coordination and collaboration with multiple internal and external partners including consumers and their families/caregivers, medical, behavioral health and clinical network teams.

  

Field Care Advocates work with complex and high-risk needs with a goal of engaging the consumer in the treatment process, decreasing their reliance on higher levels of care, helping them to access appropriate community services, and assisting them in improving community tenure.  FCAs work to increase stabilization and help consumers to improve life satisfaction.

 

These are field based positions and we are looking for someone to work on the Big Island Hawaii and another for Oahu. Hours for this role would be 8am - 5pm Hawaii local time.

 

Primary Functions

  • Utilize advanced clinical skills to engage and motivate Consumers via a recovery, health and wellness-oriented approach.
  • Assist consumers and their families/caregivers with connections to appropriate psychiatric, medical, and psychosocial referrals and services.
  • Identify and remove barriers to procurement, delivery, participation in and success of services.
  • Provide supportive follow-up, monitoring and education as indicated.
  • Meet with consumers in-person at facilities, provider offices, and in homes as appropriate for market.
  • Serve as OBHS liaison and subject matter expert for applicable UnitedHealth Care Medical Partners; establish and foster positive relationships with medical team, participate in medical-behavioral integration activities and discussions.
  • Identify high-risk, co-morbid needs of consumers.
  • Accept referrals via designated processes, collaborate in evaluating available services, and coordinate necessary psychiatric and community referrals as needed.
  • Contribute to treatment plan discussions; routinely attend clinical rounds and other meetings with medical partner or external entities when applicable.
  • Partner with internal Optum Behavioral Health Services Teams to coordinate a seamless transition for consumers from an inpatient setting to community based services.
  • Coordinate with teams early in admission on cases stratified as having complex and high-risk needs.
  • Participate jointly in rounds, discussions, supervision and staffings as needed
  • Assist in the development of a relevant and consumer-specific aftercare plan.
  • Comply with all policies, procedures and documentation standards in appropriate systems, tracking mechanisms and databases.
  • For specific markets, conduct focused facility-based or outpatient clinical utilization review activities.
  • Establish a cooperative relationship with Optum Behavioral Network Services and the Provider community in order to improve access to services and ensure that consumers are served within proper standards of care.
  • Identify new programs, services and gaps in market; share information with network teams.
  • Maintain knowledge of provider availability and barriers to access.
  • Collaborate with providers to determine acuity of mental health concerns, barriers and progress; coordinate appropriate services.
  • Conduct provider networking visits or attend consumer care conferences as determined by market.
  • Attend state, professional and association and conference call meetings as needed.
  • Other activities as assigned, including but not limited to:
  • Partnership with Account Management and Sales departments to provide best level of customer service to market accounts.
  • Participate in committees, educational opportunities and trainings.
  • Maintain approved workload and support metrics and outcomes.

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.

 

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Posted: 2020-01-04 Expires: 2020-03-06

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Field Based Health Care Advocate Medicaid DSNP Hawaii or Oahu

UnitedHealth Group
HI

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