Medical Behavioral Integration Specialist

18 hours ago

Ogden, Utah, United States Optum Full time
Medical Behavioral Integration Nurse Job Description

Job Summary:

We are seeking a highly skilled Medical Behavioral Integration Nurse to join our Optum Care Management Team. As a Medical Behavioral Integration Nurse, you will play a critical role in integrating medical and behavioral health services to improve patient outcomes.

Key Responsibilities:

  • Screen and identify members with high-risk, long-term chronic conditions who will benefit from care management services.
  • Perform comprehensive assessments, identify, and assist members with high-risk symptoms/diagnoses and/or members with multiple co-morbidities who will benefit from intervention and engaging in care management services.
  • Develop individualized care plans in a concise/comprehensive manner compliant with documentation requirements and Center for Medicare and Medicaid Services (CMS) regulations.
  • Utilize advanced clinical skills to make effective decisions to meet the member's health, behavioral health, and psychosocial needs, providing coaching, patient education, communication, and all available resources to promote quality and cost-effective outcomes.
  • Advocate for members and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team.

Requirements:

  • Licenses must be active and unrestricted.
  • 3+ years of RN experience in a hospital setting, acute care, direct care, or as a telephonic Case Manager for an insurance company.
  • Proficient computer skills and good working knowledge of Microsoft Word.
  • Proven ability to function independently and responsibly with minimal supervision.
  • Proven ability to maintain direct and open communication with all levels of the organization.
  • Proven ability to handle sensitive issues with members and providers in a confidential manner according to HIPAA guidelines.

Preferred Qualifications:

  • BSN.
  • Licensed RN with 3+ years of experience.
  • Certified Case Manager (CCM).
  • 3+ years of experience in a related mental health environment.

About Optum:

At Optum, 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.

Equal Employment Opportunity:

Optum 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.

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