30 days old

Licensed Behavioral Health Case Manager - Telecommute in MI - 931103

Kalamazoo, MI 49007 Work Remotely
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  • Job Code
    931103

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

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You're looking for something bigger for your career. How about inventing the future of health care? Optum is offering an innovative new standard for care management. We're going beyond counseling services and verified referrals to behavioral health programs integrated across the entire continuum of care. Our growth is fueling the need for highly qualified professionals to join our elite team. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. Join us.

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The goal of the Behavioral Care Advocate role is to help members and their families live their lives to the fullest by promoting recovery and resiliency via coordination and collaboration with multiple internal and external partners including members and their families / caregivers, medical, behavioral health and clinical network teams. Behavioral Health Advocates work with complex and high - risk needs members, with a goal of engaging the member and their family as applicable to assist in members realization of their goals 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.

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If you are located in the state of Michigan area, you will have the flexibility to telecommute* as you take on some tough challenges.

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Primary Responsibilities:

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  • Utilize advanced clinical skills to engage and motivate Members and their families via a recovery, health and wellness, family-holistic and member centric oriented approach
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  • Assist members and their families/caregivers with connections to appropriate psychiatric, medical, and psychosocial referrals and services
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  • Identify and remove barriers to procurement, delivery, participation in and success of services
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  • Provide supportive follow-up, monitoring and education as indicated, telephonically and facilities
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  • Meet with members and their families in - person at facilities, provider offices, and in homes as appropriate
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  • Partner within the context of complex care internal teams and community and external providers to address the needs, gaps in care, and recovery goals of complex and high-risk members and their families, in the context of care coordination within a holistic interdisciplinary approach
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  • Provide current care alerts, information on medication adherence, updates on referral results and other priority issues to community providers, as indicated
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  • Identify and address the needs of those who are high utilizers of services through case conferences and informal communications
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  • Participate in meetings, as needed, with providers to review clinical performance, identify areas of clinical opportunity, and oversee course for improvements
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  • Serve as Consultant and facilitate as needed meetings, including telephonic contacts with onsite visits as needed, with community-based organizations, practice and hospital leaders to report progress on high risk members
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  • Participate in the ongoing identification of members who may qualify for ancillary services
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  • Coordinate the development of comprehensive support system for members with serious emotional disturbance to promote the goal of children remaining in their own homes and communities
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  • UnitedHealth Care Medical Partners: establish and foster positive relationships with medical team, participate in medical - behavioral integration activities and discussions
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  • Accept referrals via designated processes, collaborate in evaluating available services, and coordinate necessary psychiatric and community referrals, as needed
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  • Contribute to treatment plan discussions; routinely attend clinical rounds and other meetings with medical partner or external entities, when applicable
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  • Partner with internal Optum Behavioral Health Services Teams to coordinate a seamless transition for members from an inpatient setting to community-based services
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  • Meet all contractual requirements; collaborate early and frequently with other teams in the management of cases stratified as having intensive, complex, and high-risk needs
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  • Comply with all policies, procedures and documentation standards in appropriate systems, tracking mechanisms and databases
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  • Identify new programs, services and gaps in market, share information with network teams
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  • Maintain knowledge of provider availability and barriers to access
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  • Collaborate with providers to determine acuity of mental health concerns, barriers and progress; coordinate appropriate services.
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  • Other activities as assigned, including but not limited to:""
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    • Participate in committees, educational opportunities and training
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    • Maintain workload and support business needs to meet metrics
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Youll 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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Required Qualifications:

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  • Active, unrestricted, Independent Licensed Master's degree - level clinician in Psychology, Counseling or Marriage or Family Counseling OR Licensed Ph.D., OR an RN with experience in behavioral health or RN or Social Worker or 4-year degree
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  • Licenses must be active and unrestricted
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  • 4+ years of clinical experience
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  • 3+ years of experience in a related child and adolescent mental health environment working in the local community
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  • Demonstrated ability to use a PC in a Windows environment, including email and Microsoft Office applications
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  • Ability to travel within designated region of Michigan as needed to meet with members, providers, etc.
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  • Ability to type and talk simultaneously
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  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders
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Preferred Qualifications:

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  • Medical/Behavioral setting experience (i.e. hospital, managed care organization, or joint medical/behavioral outpatient practice)
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  • Peds experience
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  • Experience working with members across the age continuum
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  • Dual diagnosis experience with mental health and substance abuse
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  • Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
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  • Experience working with low-income populations
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  • Managed care and utilization management experience
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  • Bilingual (Fluent in English and Spanish)
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  • Excellent customer service, interpersonal and problem-solving skills
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  • Ability to function independently and responsibly with minimal supervision
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  • Ability to handle sensitive issues with peer, members and providers in a confidential manner
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  • Ability and flexibility to assume responsibilities and tasks in a constantly changing work environment
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  • Maintain direct and open communication with all levels of the organization
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  • Demonstrate initiative in achieving individual, team, and organizational goals and objectives
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  • Solid oral and written communication skills - specifically telephone skills being able to talk and type at the same time
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  • Solid team player and team building skills
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"Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm)

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*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy

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Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

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UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment

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Job Keywords: Behavioral, Health, Case Manager, Work From Home, Telecommute, Michigan, MI, Telecommuting, Telecommuter, Remote, Farmington Hills, Southfield, Oakland, Macomb, Livonia, MI, Michigan

Posted: 2021-06-24 Expires: 2021-08-22

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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Licensed Behavioral Health Case Manager - Telecommute in MI - 931103

UnitedHealth Group
Kalamazoo, MI 49007

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