Behavioral Health Care Manager - Field Based in Florida

Company: UnitedHealth Group
Location: Lake Helen
Posted on: May 26, 2023

Job Description:

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 Behavioral Health Care Advocate is to coordinate care with members in order improve the member's ability to remain stable in the community and out of the hospital. This coordination includes intensive coordination, discharge coordination, and care coordination for members. The Behavioral Health Care Advocate role is to engage the person in the treatment process and then assist his/her to access the appropriate community services so they can pursue their treatment goals in the community and avoid institutionalization. This position focuses on members with high needs, high utilization, and in need of complex Behavioral Health Care Coordination and works closely with members, providers, State stakeholders, Utilization Management, and Peer Support.

The Behavioral Health Care Advocate position is also designed to be a direct clinical liaison between providers and the health plan and works in conjunction with the Quality and Network team to assist providers with technical support, including education in clinical managed care and education in clinical best practices.

This position includes up to 25% field work in the local community meeting in-person with members. The remaining time is spent working from home. Due to business needs, residency in or near Daytona or Orlando, FL is required. The schedule for this position is Monday through Friday, 8am - 5pm with some flexibility.

Primary Responsibilities:

• Perform care management activities to ensure that patients move through the continuum of care efficiently and safely
• Assess and interpret customer needs and requirements
• Review cases and analyze clinical information in conjunction with Medical Directors to determine the appropriateness of hospitalization
• Perform Clinician to Physician interaction to acquire additional clinical information or discuss alternatives to current treatment plans
• Escalate cases to the Medical Director for case discussion or peer-to-peer intervention as appropriate
• Perform anticipatory discharge planning in accordance with the patient's benefits and available alternative resources
• Collaborate with Medical peers on consideration of discharge planning needs
• Refer patients to disease management or case management programs
• Assist with the development of treatment plans
• Document activities according to established standards
  
  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:
  • Master's degree in Psychology, Social Work, Counseling, or Marriage or Family Counseling; Doctorate-degreed Psychologist; or RN with 2+ years of behavioral health experience
  • An active, unrestricted license to practice independently in the state of Florida:
    • Licensed Psychologist (LP)
    • Licensed Clinical Social Worker (LCSW)
    • Licensed Marriage and Family Therapist (LMFT)
    • Licensed Mental Health Counselor (LMHC)
    • Registered Nurse (RN)
    • 2+ years of experience in a dedicated behavioral health setting
    • Proficiency with Microsoft Office Suite programs (Word, Outlook, Internet)
    • Access to install secure, high-speed internet and a dedicated workspace at home
    • Reliable transportation and the ability to travel as needed within the designated service delivery area (up to 25%)
    • Reside in or near Daytona or Orlando, FL
    • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation.
      
      Preferred Qualifications:
      • Inpatient experience
      • Experience working in an environment that required coordinating benefits and utilizing multiple groups and resources for patients
      • Experience working with the Medicaid patient population
      • Dual diagnosis experience with mental health and substance abuse
      • Knowledge of Level of Care Guidelines (i.e., Milliman, InterQual, etc.)
        
        If the hired individual resides in Florida (office based or telecommuting) this position requires the AHCA Level II background check (fingerprinting) by the State of Florida for all clinicians that have direct face to face contact with members OR employees who will have access to confidential patient data and will require renewal every five years.
        
        To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.
        
        Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.
        
        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.
        
        

Keywords: UnitedHealth Group, Deltona , Behavioral Health Care Manager - Field Based in Florida, Executive , Lake Helen, Florida