Introduction to Optum Home & Community Care
Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is pioneering a new approach to healthcare by integrating industry-leading solutions to address the physical, mental, and social needs of individuals. Our mission is to provide seamless care that helps patients access and navigate the healthcare system, connecting them to essential support services and enabling them to stay well at home. As a key member of our team, you will play a vital role in achieving this mission and making a meaningful difference in the lives of our patients.
About the Role
We are seeking an experienced MSW Behavioral Health Case Manager to join our team in New Hyde Park, NY. As a Behavioral Health Case Manager, you will be responsible for providing case management and utilization review of behavioral health and substance abuse services. This will involve conducting patient assessments in home settings, determining appropriate levels of behavioral care, and managing cases throughout the entire treatment plan. You will work closely with our interdisciplinary care team to administer benefits, review treatment plans, and coordinate Medicaid/Medicare benefits and transitions between various areas of care.
Key Responsibilities
- Conduct patient assessments in home settings to determine appropriate levels of behavioral care needed
- Obtain information from providers on outpatient requests for treatment and determine if additional clinical treatment sessions are needed
- Manage behavioral health cases throughout the entire treatment plan, ensuring that patients receive comprehensive and coordinated care
- Administer benefits and review treatment plans in collaboration with our interdisciplinary care team, including primary care providers and other healthcare professionals
- Assist in coordinating Medicaid/Medicare benefits and transitions between various areas of care, ensuring that patients receive seamless and continuous care
- Communicate with members who have complex medical needs and may have communication barriers, providing empathetic and patient-centered care
- Identify ways to add value to treatment plans and consult with facility staff or outpatient care providers on those ideas, driving innovation and excellence in care
- Focus on whole person care model for psychiatric and chemical dependency patients, addressing the physical, emotional, and social needs of our patients
- Build relationships and work with a variety of populations within the community, including low-income populations with complex social and medical needs
Requirements and Qualifications
To be successful in this role, you will need to possess a Master's Degree in Social Work (MSW) and have at least 2 years of experience in long-term care, home health, hospice, public health, or assisted living. You should also have at least 1 year of clinical or case management experience and be proficient in MS Word, Excel, and Outlook. The ability to travel in designated territory within New York state is also required.
Preferred Qualifications
- Experience with electronic charting and arranging community resources
- Experience working with complex family systems and dynamics, as well as crisis intervention
- Experience working in Duals (DSNP) and/or Medicaid environment
- Field-based work experience and 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 and resources to address SDOH
- Background in managing populations with complex medical or behavioral needs
- 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 planning and organizational skills
- Proven ability to work independently as well as a member of a team
Career Growth and Development
At UnitedHealth Group, we are committed to helping our employees grow and develop in their careers. As a Behavioral Health Case Manager, you will have access to a range of training and development opportunities, including mentorship programs, workshops, and conferences. You will also have the opportunity to work with a talented and diverse team of healthcare professionals who are passionate about delivering high-quality patient care.
Work Environment and Company Culture
Our company culture is built on a foundation of integrity, compassion, and innovation. We believe in creating a work environment that is supportive, inclusive, and empowering, where our employees can thrive and grow. As a field-based role, you will have the flexibility to work remotely and autonomously, with regular check-ins and support from our team. You will also have access to a range of resources and tools to help you succeed in your role, including electronic health records, care management software, and ongoing training and development opportunities.
Compensation and Benefits
We offer a competitive salary range of $58,300 to $114,300 annually, depending on experience and qualifications. In addition to your salary, you will also be eligible for a range of benefits, including a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution. We also offer a range of perks and discounts, including discounts on health insurance, fitness programs, and employee assistance programs.
Conclusion
If you are a passionate and experienced MSW Behavioral Health Case Manager looking for a new challenge, we encourage you to apply for this exciting opportunity. As a key member of our team, you will have the opportunity to make a meaningful difference in the lives of our patients, while also growing and developing in your career. Don't miss out on this chance to join a talented and diverse team of healthcare professionals who are dedicated to delivering high-quality patient care. Apply now and take the first step towards a rewarding and challenging career with UnitedHealth Group!
How to Apply
Ready to join us? The first step is easy. Click apply now and we'll be in touch soon! You can also visit our website to learn more about our company culture, benefits, and career opportunities.
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