Behavioral Health Case Manager - Yakima, WA
Company: UnitedHealth Group
Location: Yakima
Posted on: May 13, 2022
Job Description:
$7,500 Sign on bonus for External CandidatesCombine two of the
fastest-growing fields on the planet with a culture of performance,
collaboration and opportunity and this is what you get. Leading
edge technology in an industry that is improving the lives of
millions. Here, innovation is not about another gadget; it is about
making health care data available wherever and whenever people need
it, safely and reliably. There is no room for error. If you are
looking for a better place to use your passion and your desire to
drive change, this is the place to be. It's an opportunity to do
-your life's best work.(sm)The United Healthcare 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
conditionsYou'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 -
- Experience working with Microsoft Word, Excel and Outlook
- Full COVID-19 vaccination is an essential requirement of this
role. Candidates located in states that mandate COVID-19 booster
doses must also comply with those state requirements. UnitedHealth
Group will adhere to all federal, state and local regulations as
well as all client requirements and will obtain necessary proof of
vaccination, and boosters when applicable, prior to employment to
ensure compliancePreferred Qualifcations:
- 1+ years of clinical or case management experience
- Experience with electronic charting -
- Experience with arranging community resources -
- Experience working with complex family systems and
dynamics
- Experience in Crisis Intervention
- Experience working in Duals (DSNP) or Medicaid/Medicare
environment
- Prior field based work experience
- 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 or the ability to find 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
- Excellent written and verbal communication and relationship
building skills
- Planning and organizational skills -
- Ability to work independently as well as a member of a teamTo
protect the health and safety of our workforce, patients and
communities we serve, UnitedHealth Group and its affiliate
companies require all employees to disclose COVID-19 vaccination
status prior to beginning employment. In addition, some roles and
locations require full COVID-19 vaccination, including boosters, as
an essential job function. UnitedHealth Group adheres to all
federal, state and local COVID-19 vaccination regulations as well
as all client COVID-19 vaccination requirements and will obtain the
necessary information from candidates prior to employment to ensure
compliance. Candidates must be able to perform all essential job
functions with or without reasonable accommodation. Failure to meet
the vaccination requirement may result in rescission of an
employment offer or termination of employmentCareers with Optum.
-Here's the idea. We built an entire organization around one giant
objective; make health care work better for everyone. So when it
comes to how we use the world's large accumulation of
health-related information, or guide health and lifestyle choices
or manage pharmacy benefits for millions, our first goal is to leap
beyond the status quo and uncover new ways to serve. Optum, part of
the UnitedHealth Group family of businesses, brings together some
of the greatest minds and most advanced ideas on where health care
has to go in order to reach its fullest potential. For you, that
means working on high performance teams against sophisticated
challenges that matter. Optum, incredible ideas in one incredible
company and a singular opportunity to do -your life's best
work.(sm)**PLEASE NOTE** -The Sign On Bonus is only available to
external candidates. Candidates who are currently working for a
UnitedHealth Group, UnitedHealthcare or a related entity in a full
time, part time, or per diem basis ("Internal Candidates") are not
eligible to receive a Sign On Bonus.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.
Keywords: UnitedHealth Group, Yakima , Behavioral Health Case Manager - Yakima, WA, Healthcare , Yakima, Washington
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