You're looking for something bigger for your career. How about inventing the future of health care? UnitedHealthcare 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 Rhode Island 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. ***This is a field based role in the state of Rhode Island requiring travel to local hospitals and Community providers.*** 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, as appropriatePartner with designated Rhode Island Integrated Health Homes (IHH) to address the needs, gaps in care, and recovery goals of complex and high risk consumers, in the context of care delivery through Iowa Integrated Health Homes Provide current care alerts, information on medication adherence, updates on referral results and other priority issues to HHs / IHHs on members in care Identify and address the needs of members who are consistently high utilizers of services through case conferences and informal communications Participate in standing meetings with Integrated Health Homes to review performance, identify areas of opportunity, and oversee course for improvements Serve as Consultant and facilitate monthly meetings, including weekly 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 Iowa Children's Mental Health Waiver and habilitation services Coordinate the development of comprehensive support system for children with serious emotional disturbance to promote the goal of children remaining in their own homes and communities Partner with parents, family and natural community supports to enable children to receive services while remaining in their homes and communitiesServe as an Optum behavioral health liaison and subject matter expert for Rhode Island 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 applicablePartner 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 Participate in rounds, discussions, supervision and staffing 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 databasesEstablish a cooperative relationship with Optum Behavioral Network Services and the Provider community in order 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 Attend state, professional and association and conference call meetings as neededOther 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
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 or more years of experience in behavioral health Licenses must be active and unrestricted in Rhode Island 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 Current, unrestricted driver's license and access to reliable transportation Ability to travel within designated region of Rhode Island as needed to meet with consumers, providers, etc.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 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 skillsCareers 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: Licensed Master's degree in Psychology, Social Work, Counseling, Marriage, Family Counseling, or Licensed Ph.D. behavioral health, Rhode Island, RI
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.