Behavioral Care Advocate - Colorado Telecommute

UHG Denver, CO

About the Job

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)
 
As a Behavioral / Mental Health Care Advocate you will be responsible for case management and utilization review of behavioral health and substance abuse cases. You'll have a direct impact on the lives of our members as you recommend and manage the appropriate level of care throughout the entire treatment plan.

What makes your clinical career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You will work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.
 
If you are located in Colorado, you will have the flexibility to telecommute* as you take on some tough challenges.
 
Primary Responsibilities:
  • Focus on initial inpatient admission for psychiatric and chemical dependency patients
  • Make patient assessments and determining appropriate levels of care
  • Obtain information from providers on outpatient requests for treatment
  • Determine if additional clinical treatment sessions are needed
  • Manage inpatient and outpatient mental health cases throughout the entire treatment plan
  • Administer benefits and review treatment plans
  • Coordinate benefits and transitions between various areas of care
  • Identify ways to add value to treatment plans and consulting with facility staff or outpatient care providers on those ideas
  • Focus of Case Management is to engage the consumer in their own recovery process and to empower them to access services within the community to increase their community tenure
  • Identify and examine gaps and other determinants of readmission to higher levels of care facility
  • Develop and implement recovery plans with consumers focusing on strengths and personal goals; identify gaps in care and provide referrals to resources to address those gaps
  • Assist consumers by answering questions, providing program information and education about case management program services, network and community resources and coverage determination guidelines
  • Identify available resources and promote use of educational materials and web - based information including liveandworkwell.com 
  • As appropriate consult with family members, employers, health plan, existing providers, and primary care physicians regarding patients' treatment needs and goals and to provide proper coordination of care
  • Collaborate with providers and consumers to define precipitants, symptoms, recovery and resiliency needs, desired outcomes and interventions, and discuss appropriate levels of care placement based on clinical presentation and risk factors
  • Support outcome - focused, evidenced - based best practices and guidelines with providers 

 

 

 

 

 



 


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 with a behavioral / mental health focus
  • Independent licensure 
  • Licenses must be active and unrestricted for the State of Colorado
  • 3+ years of hands-on clinical experience in a related mental health environment
  • Proficient Microsoft skills (Word, Excel, Outlook)
  • Candidate must reside in Colorado
Preferred Qualifications:
  • Inpatient experience
  • 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
  • Medicaid experience
  • Ability to learn and navigate multiple proprietary software applications.
  • Proficient typing skills
  • Ability to effectively adapt to a changing environment
  • Ability to multitask between different software systems and cases
  • Strong interpersonal and critical thinking skills; ability to negotiate and make quick effective and efficient decisions to resolve cases and issues
  • Strong organizational and problem solving skills, and the ability to prioritize and work independently
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.
  
 
Job Keywords: LP, LPC, LCSW, LICSW, LMFT, LMHC, RN, Behavioral, Care Advocate, Medicare, insurance, healthcare, Colorado, CO