Behavioral Health Care Advocate
2 weeks ago
As a Behavioral Health Care Advocate at UnitedHealth Group, you will play a critical role in promoting recovery and resiliency for individuals with complex and high-risk needs. Your primary responsibilities will include:
- Engaging and motivating consumers through a recovery-oriented approach
- Assisting consumers and their families/caregivers with connections to psychiatric, medical, and psychosocial referrals and services
- Identifying and removing barriers to service procurement, delivery, and success
- Providing supportive follow-up, monitoring, and education as indicated
- Partnering with external providers and programs to address consumer needs and gaps in care
- Identifying and addressing the needs of high-utilizing members through case conferences and informal communications
- Participating in standing meetings to review performance and identify areas for improvement
- Establishing and fostering positive relationships with medical teams and participating in medical-behavioral integration activities
- Identifying high-risk, co-morbid needs of consumers
- Accepting referrals and collaborating in evaluating available services and coordinating necessary referrals
- Contributing to treatment plan discussions and attending clinical rounds and other meetings as applicable
- Meeting contractual requirements and collaborating with other teams in managing cases with intensive, complex, and high-risk needs
- Complying with policies, procedures, and documentation standards
- Establishing a cooperative relationship with Optum Behavioral Network Services and the Provider community
To be successful in this role, you will need:
- A licensed Master's degree in Psychology, Social Work, Counseling, or Marriage and Family Counseling, or a Licensed Ph.D., or an RN with 2+ years of experience in behavioral health
- An active, independent, and unrestricted license in Texas
- 2+ years of experience in a related mental health setting
- Proven computer/typing proficiency and experience with electronic clinical records, email, internet research, and online calendars
- Access to high-speed internet from home and reliable transportation for travel within the designated service delivery area
While not required, the following qualifications are preferred:
- 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
- Experience with the Medicaid/Medicare population
- Bilingual skills (fluency in Spanish/English)
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