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 Licensed Behavioral Health Case Manager provides support for both direct referrals and data identified referrals. This requires clinical expertise and the ability to negotiate the complexities involved with special needs conditions such as substance abuse, suicidality/homicide, major depression, ADHD, eating disorders, and any severe mental illness.Must be available to work within the hours of 8:00am to 8:00pm EST (8 hour shift)You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:
Facilitate member education and involvement of caregiver in the delivery of interventions
Provide advocacy and support to member and family members, including caregiver support & appropriate referral to applicable / needed resources
Ensure that members understand treatment options and are effectively linked to treatment resources
Promote health, wellness, and optimal psychosocial functioning for member (identify caregiver gaps, facilitate education, and respite support)
Consider the member’s needs holistically to identify gaps in care requiring intervention
Exhibit excellent customer service in engaging providers in collaborative planning
Create and maintain appropriate clinical records
Participate as directed in clinical rounds with other members of the team and other external health care management organizations / vendors, as applicable. Also participate in advancing the Quality Improvement Program
Conducts condition specific research to meet member needs
Maintain success stories which can be utilized to promote program
Provide case management support for individuals who meet diagnostic requirements including engagement of member and/ or family making available support throughout the entire continuum of treatment
Explanation of authorization process
Complete discharge follow-up & if needed, discharge planning / support
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 and Family Counseling; or Licensed Ph.D, OR a Registered Nurse with 2+ years of experience in behavioral health
Active, unrestricted, independent license in the state of residence
2+ years of post-licensure experience in a related mental health environment
1+ years of case management experience
Intermediate level proficiency in MS Office Suite including Word, Teams, and Excel
Dedicated home office space and ability to leverage existing reliable high-speed internet (Cable Broadband, DSL, or Fiber)
Ability to work an 8 hour shift within the business hours of 8am-8pm EST
Preferred Qualifications:
BSN (for RN’s)
Medical/Behavioral setting experience (i.e., hospital, managed care organization, or joint medical/behavioral outpatient practice)
Discharge planning experience
Chart review experience
Experience consulting with facility and/or hospital staff to coordinate treatment plans
Experience working in community/county mental health
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 with government funded programs
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter PolicyCalifornia, Colorado, Connecticut, Hawaii, Maryland, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $58,300 to $114,300 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.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.
