Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.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.Primary Responsibilities:
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 staffing’s
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
Provide face-to-face outreach to members admitted to an acute IP facility near the time of and throughout admission and then on the day of discharge to ensure adequate OP follow-up after hospitalization. Continue follow-up with members after discharge to reinforce follow-up with
outpatient BH providers, PCPs and other specialists as needed
Establish a cooperative relationship with Optum Behavioral Network Services and the Provider community 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
Develop and sustain collaborative partnerships with community social service and health care providers which provide support for members within our community
Provide ongoing clinical and case consultation regarding shared members, and assist with coordinating medical services and support from the health plan
Partner in providing clinical trainings to support integration of best practices to improve the quality of services received by members in the community
Actively participate in community events which promote recovery and resiliency efforts and services for members
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.Required Qualifications:
Licensed Master's degree in Psychology, Social Work, Counseling or Marriage or Family Counseling, or Licensed Ph.D., or an RN with 2+ years of experience in behavioral health
Active and unrestricted licenses n the state of HI
2+ years of experience in a related mental health environment working in the local community
Ability to travel 30-45% of the time in a month
Current, unrestricted driver’s license and access to reliable transportation
Preferred Qualifications:
Medical/Behavioral setting experience (i.e. hospital, managed care organization, or joint medical/behavioral outpatient practice)
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
Experience working with the aged, blind, or disabled
Clinical training experience
Managed care and utilization management experience
Hawaii Residents Only: The salary range for Hawaii residents is $58,300 to $114,300 annually. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.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.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.
