Behavioral Health Care Advocate - Somerville, MA

UHG Boston, MA

About the Job

For those who want to invent the future of health care, here's your opportunity. We're going beyond counseling services and verified referrals to behavioral 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)
 
In this position you will serve as a member of the behavioral health case management team, providing case management for members who have special and complex health needs.  Case management will be provided in a holistic, person and family centered way, striving to improve member outcomes by integrating social, behavioral health, and physical health needs.
 
This position will be located onsite in Somerville, MA 1-2 days per week.  You will be telecommute, work from home the other days of the week.  This is a Monday - Friday schedule.    
 

If you are located in Greater Somerville, MA area, you will have the flexibility to telecommute* as you take on some tough challenges.

 
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
  • 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

Required Qualifications:
  • Independently / clinically 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 Massachusetts
  • 2+ years experience in a related mental health setting
  • Computer / typing proficiency to enter / retrieve data in electronic clinical records; experience with email, internet research, use of online calendars and other software applications
  • Ability to work onsite in the office in Somerville, MA office 1 -2 days per week.
 
Preferred Qualifications:
  • Experience in an inpatient setting
  • Dual diagnosis experience with mental health and substance abuse
  • Experience in a community mental health setting
  • Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
  • Previous experience in a managed care environment



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)

 

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy


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.

 

 

Key Words: 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, Licensed Psychologist, LICSW, Licensed Independent Clinical Social Worker, LMFT, Licensed Marriage and Family Therapist, LMHC, Licensed Mental Health Counselor, PCNS, Psychiatric Clinical Nurse Specialist, RN, Registered Nurse, Massachusetts, Somerville, MA