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. Take this opportunity to start doing your life's best work. (sm) 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. This role is a telecommuting opportunity in Texas and the Harris County (Houston) area is preferred Primary Responsibilities: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 Assist members 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, telephonically and facilities Meet with members and their families in - person at facilities, provider offices, and in homes as appropriate Partner with in 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 holisitic interdisciplinary approach Provide current care alerts, information on medication adherence, updates on referral results and other priority issues to community providers, as indicated Identify and address the needs of those who are high utilizers of services through case conferences and informal communications Participate in meetings, as needed, with providers to review clinical performance, identify areas of clinical opportunity, and oversee course for improvements 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 Participate in the ongoing identification of members who may qualify for ancillary services 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 Serve as an Optum behavioral health liaison and subject matter expert for Texas UnitedHealth Care Medical Partners; establish and foster positive relationships with medical team, participate in medical - behavioral integration activities and discussions 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 members from an inpatient setting to community based services 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 Comply with all policies, procedures and documentation standards in appropriate systems, tracking mechanisms and databases 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. Other activities as assigned, including but not limited to: Participate in committees, educational opportunities and training Maintain workload and support business needs to meet metrics
Required Qualifications:Active, unrestricted, Licensed Master's degree - level clinician in Psychology, Social Work, Counseling or Marriage or Family Counseling OR Licensed Ph.D., OR an RN with experience in behavioral health Licenses must be active and unrestricted 2+ years' experience in a related mental health environment working in the local community Demonstrated ability to use a PC in a Windows environment, including email and Microsoft Office applications Ability to travel within designated region of Texas as needed to meet with members, providers, etc. Prefer Harris County (Houston)Preferred Qualifications: Medical / Behavioral setting experience (i.e. hospital, managed care organization, or joint medical/behavioral outpatient practice) Experience working with members across the age continuum Dual diagnosis experience with mental health and substance abuse Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients Experience working with low - income populations Managed care and utilization management experience a plus Excellent customer service, interpersonal and problem - solving skills Strong team player and team building skills Able to function independently and responsibly with minimal supervision Maintain direct and open communication with all levels of the organization Able to handle sensitive issues with peer, members and providers in a confidential manner Demonstrate initiative in achieving individual, team, and organizational goals and objectives Ability and flexibility to assume responsibilities and tasks in a constantly changing work environment Strong oral and written communication skills — specifically telephone skills being able to talk and type at the same time Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm) 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. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Job Keywords: care advocate, behavioral health, licensed clinician, medically complex, case management, Field, travel Harris County, Houston, Medicare, Medicaid, telecommute
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.