Field Based Behavioral Health Case Manager - Northwest Indiana
UnitedHealth Group
Lake County, IN, IN
behavioral health
health
manager
health
behavioral health
medical
community
mental
mental health
referrals
collaborate
coordinate
coordination
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August 31, 2022
UnitedHealth Group
Lake County, IN, IN
FULL_TIME
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)The goal of the Field-based Behavioral Health Case Manager 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 members with diagnosis of Behavioral health and SUD 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. If you are located within the Northwest Indiana region, you will have the flexibility to telecommute* as you take on some tough challenges. This role is required to travel 50%- 75%, throughout Northwest Indiana, to meet with members. 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, in-person and telephonically
- Meet with consumers in-person at facilities, provider offices, and in homes as appropriate
- Partner with designated external providers, programs, entities to address the needs, gaps in care, and recovery goals of complex and high-risk consumers
- Identify and address the needs of members who are consistently high utilizers of services through case conferences and informal communications
- Participate in standing meetings to review performance, identify areas of opportunity, and oversee course for improvements
- 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
- 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
- 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
- Collaborate with providers to determine acuity of mental health concerns, barriers and progress; coordinate appropriate services
- Master's Degree Behavioral Health OR Bachelor's Degree Nursing (BSN) OR Associate's Degree in Nursing with eight years of behavioral health experience OR Doctorate - Degreed Psychologist
- An active, unrestricted State of Indiana professional license in one of the following:
- Health Service Provider in Psychology
- Licensed Clinical Social Worker
- Licensed Marriage and Family Therapist
- Licensed Mental Health Counselor
- Registered Nurse with 8+ years of recent focus in Behavioral Health
- 2+ years of experience in a related mental health setting (post Independent Licensure)
- Computer / typing proficiency to enter / retrieve data in electronic clinical records; experience with email, internet research, use of online calendars and other software applications
- A dedicated workspace and access to high-speed internet via cable/DSL provider in your home
- Reliable transportation and the ability to travel as needed within the designated service delivery area (up to 75%)
- 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
- Medical/Behavioral setting experience (i.e. hospital, managed care organization, or joint medical/behavioral outpatient practice)
- 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 working with low-income populations
- Experience working with either Medicaid or Medicare funded programs
- Clinical training experience
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