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 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. Primary Responsibilities:Utilize advanced clinical skills to engage and motivate Consumers via a recovery, health and wellness-oriented approachAssist consumers and their families/caregivers with connections to appropriate psychiatric, medical, and psychosocial referrals and servicesIdentify and remove barriers to procurement, delivery, participation in and success of servicesProvide supportive follow-up, monitoring and education as indicated, in-person and telephonicallyMeet with consumers in-person at facilities, provider offices, and in homes as appropriatePartner with designated external providers, programs, entities to address the needs, gaps in care, and recovery goals of complex and high risk consumersIdentify 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 improvementsPartner 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 MA UHC SCO Establish and foster positive relationships with medical team, participate in medical-behavioral integration activities and discussionsIdentify high-risk, co-morbid needs of consumersAccept referrals via designated processes, collaborate in evaluating available services, and coordinate necessary psychiatric and community referrals, as neededContribute 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 servicesMeet all contractual requirements; collaborate early and frequently with other teams in the management of cases stratified as having intensive, complex, and high-risk needsAssist in the development of a relevant and consumer-specific aftercare planComply 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 careCollaborate with providers to determine acuity of mental health concerns, barriers and progress; coordinate appropriate servicesConduct provider networking visits or attend consumer care conferences
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 your state of residence2+ years experience in a related mental health settingComputer / typing proficiency to enter / retrieve data in electronic clinical records; experience with email, internet research, use of online calendars and other software applicationsAccess to high speed internet from homeReliable transportation and the ability to travel as needed within the designated service delivery area (up to 50%)Preferred Qualifications:Experience in an inpatient setting Dual diagnosis experience with mental health and substance abuse Experience in a community mental health settingExperience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients Previous experience in a managed care environmentExperience with the Medicaid/Medicare populationBilingual skills (fluency in Spanish/English)Careers 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: case manager, care coordination, care advocate, social worker, therapist, counselor, mental health, behavioral health, field, community mental health, managed care, substance abuse, inpatient, Medicare, Medicaid, LP, LCPC, LCP, LCSW, RN, registered nurse, Massachusetts, Boston, MA
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.