Behavioral Health Advocate, Case Management
2 weeks ago
As a Telephonic Behavioral Health Care Advocate (BHCA) you will be responsible for case management 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. The goal of the Behavioral Health Care Advocate 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. Behavioral Health 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.
The schedule for this position is Monday through Friday during standard business hours in the local time zone.
You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Utilize advanced clinical skills and assessments to engage and motivate Consumers via a recovery, health and wellness-oriented approach
- Identify high-risk, co-morbid needs of consumers
- 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 and monitoring including psychoeducation, explanation of benefits, and navigating the behavioral health care system
- 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 regular meetings with supervisor 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
- 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
- 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
- Comply with all policies, procedures and documentation standards in appropriate systems, tracking mechanisms and databases
- Establish 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
- Collaborate with providers to determine acuity of mental health concerns, barriers and progress; coordinate appropriate services
- Collaborate with colleagues for coverage when out of office and when needed
- Regular interaction with account management to meet members' needs, requests, and overall member satisfaction
- Perform other duties as assigned
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- Licensed Master's degree in Psychology, Social Work, Counseling, or Marriage and Family Counseling; Licensed Ph.D.; or RN with 2+ years of experience in behavioral health
- Active, unrestricted license to practice independently (without supervision) in your state of residence
- 2+ years of post-master's experience in a related mental health environment
- Intermediate level of proficiency in Microsoft Office (Word, Excel, Outlook)
- Access to high-speed internet at home via cable broadband, DSL or fiber
- Access to a dedicated, distraction-free workspace at home
Preferred Qualifications:
- Experience working in an inpatient setting
- Experience working in a community mental health setting
- Experience working in a managed care environment
- Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
- Experience working with the commercial insurance population including children, adolescents, adults, and seniors
- Case management experience
- Dual diagnosis experience with mental health and substance abuse
Soft Skills:
- Proven ability to work independently and maintain good judgment and accountability
- Demonstrated ability to work well with others
- Demonstrated organizational and time management skills
- Proven ability to multi-task and prioritize tasks to meet all deadlines
- Proven ability to work well under pressure in a fast-paced environment
- Excellent demonstrated verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for this role is $58,300 to $114,300 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
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.
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