Field Behavioral Health Case Manager in Arkansas

Field Behavioral Health Case Manager in Arkansas at Optum summary:
As a Field Behavioral Health Case Manager at Optum Home & Community Care, I coordinate comprehensive care for patients facing physical, mental, and social challenges in their home environment. My role involves conducting assessments, managing treatment plans, and ensuring effective communication within an interdisciplinary care team to enhance patient support and care transitions. With a focus on serving low-income populations and those with complex needs, I work to mitigate health disparities and improve overall health outcomes for vulnerable community members.

$2,500 Sign-on Bonus for External Candidates with a 1 year commitment

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs – helping patients access and navigate care anytime and anywhere.

As a team member of our Optum At Home product, together with an interdisciplinary care team we help patients navigate the health care system, and connect them to key support services. This preventive care can help patients stay well at home.

We're connecting care to create a seamless health journey for patients across care settings. Join us to start

Caring. Connecting. Growing together.

The Optum at Home program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of members in their place of residence. The DSNP program combines UHC trained clinicians providing intensive interventions customized to the needs of each individual, in collaboration with the Interdisciplinary Care Team. United providers serve patients in their own homes through annual comprehensive assessments, ongoing visits for higher risk members, care coordination during transitions from the hospital or nursing home and ongoing care management. The program's interdisciplinary care team approach provides needed care in person and through telephonic interventions in collaboration with the members Primary Care Provider and other members of the interdisciplinary care team.

The Behavioral Health Case Manager is responsible for case management and utilization review of behavioral health and substance abuse services. The case management includes authorization, concurrent review, and coordination and assurance of appropriate levels of care to members. This position provides case management services through review and evaluation of inpatient and outpatient behavioral health treatments for medical necessity, emergency status, and quality of care.

Primary Responsibilities:
Make patient assessments in home setting and determining appropriate levels of behavioral care needed
Obtain information from providers on outpatient requests for treatment
Determine if additional clinical treatment sessions are needed
Manage behavioral health cases throughout the entire treatment plan
Administer benefits and review treatment plans in collaboration with interdisciplinary care team
Assist in coordinating Medicaid/Medicare benefits and transitions between various areas of care
Communicate with members who have complex medical needs and may have communication barriers
Identify ways to add value to treatment plans and consulting with facility staff or outpatient care providers on those ideas
Focus on whole person care model for psychiatric and chemical dependency patients
Build relationships and work with a variety of populations within the community
Ability to work with low - income populations with complex social and medical needs including adults with serious mental illness and emotional disturbances, members with substance use disorders, and members with other complex or multiple chronic conditions

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:
Master Degree in Social Work or Licensed Mental Health Worker
2+ years of experience in long-term care, home health, hospice, public health or assisted living
1+ years of clinical or case management experience
Experience working with MS Word, Excel and Outlook
Willing or ability to travel at 50%

Preferred Qualifications:
Experience with electronic charting
Experience with arranging community resources
Field-based work experience
Experience working with complex family systems and dynamics
Experience in Crisis Intervention
Experience working in Duals (DSNP) and/or Medicaid environment
A background in managing populations with complex medical or behavioral needs
Knowledge of both Medical and Behavioral Health Diagnosis and terminology
Knowledge of symptom identification and intervention, associated with Behavioral Health and Substance Use disorders
Knowledge of APS reporting processes
Knowledge of resources to address SDOH
Understanding of health disparities among various membership, based on their race or ethnicity; religion; socioeconomic status; sexual orientation; gender, gender identity; age; mental health; cognitive, sensory or physical disability; geographic location or other characteristics historically linked to discrimination and exclusion
Proficient with Microsoft Word, Excel, Outlook, PowerPoint
Proven excellent written and verbal communication and relationship building skills
Proven p

lanning and organizational skills
Demonstrated ability to work independently as well as a member of a team

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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Keywords:
behavioral health, case management, mental health services, substance abuse, integrated care, patient navigation, community services, health disparities, home health, Medicaid

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