23 days old

Telephonic Behavioral Care Advocate Lake Oswego Oregon

Lake Oswego, OR 97034
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  • Job Code
    869975

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 Behavioral Health Advocate is responsible for engaging high risk BH members, via telephonic outreach to complete Transitional Case Management for Providence Health Plan members, as well as engaging health plan members with complex BH. This position integrates medical and behavioral health in a collaborative process which assesses plans, implements, coordinates, monitors, and evaluates options and services to meet the member's health needs, using education, communication and all available resources to promote quality, cost-effective outcomes.
 
Primary Responsibilities:
  • Screens and identifies members with high-risk, long term chronic conditions who will benefit from care management services. Monitors utilization as needed. Referrals for cases may originate from various sources
  • Performs member evaluations telephonically and provides feedback on planned interventions and outcomes of the plan of care
  • Performs comprehensive assessments, identifies and assists members with high-risk symptoms/diagnoses and/or members with multiple co-morbidities who will benefit from intervention and engaging in care management services, information is collected from the patient, caregiver(s), health care providers and other relevant parties as needed
  • Documents findings and develops individualized care plans in a concise/comprehensive manner compliant with documentation requirements and regulations
  • Utilizes advanced clinical skills to make effective decisions to meet the member's health, behavioral health and psychosocial needs, providing coaching, patient education, communication, and all available resources to promote quality and cost-effective outcomes
  • Documents patient/family status, diagnosis, medications, treatment plan, goals, interventions, evaluation results, observations and progress in electronic medical record/proprietary database in a timely and accurate manner
  • Advocates for members and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team
  • Integrates a collaborative approach by attending interdisciplinary team meetings with nurses, physicians and patient care coordinators regarding patient care as needed; Collaborates with providers to determine acuity of behavioral health concerns and refer members to appropriate community resources
  • Utilizes professional knowledge and critical thinking skills to facilitate MD consultation on complex and/or complicated cases
  • Applies Nursing/Counseling/Social Work theory, knowledge, professional ethics, methods, and interventions to improve member health and psychosocial functioning within the scope of licensure and job function
  • Manages assigned case load in an efficient and effective manner

Hours for this role would be Monday - Friday daytime hours (8:30 am - 5:30pm Pacific) with the possibility of working 1 or 2 days per week from 10:30 am to 7pm.  


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: 2020-05-15 Expires: 2020-06-14

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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Telephonic Behavioral Care Advocate Lake Oswego Oregon

UnitedHealth Group
Lake Oswego, OR 97034

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