You're looking for something bigger for your career. How about inventing the future of health care? UnitedHealthcare is offering an innovative new standard for care management. We're going beyond counseling services and verified referrals to behavioral health programs integrated across the entire continuum of care. Our growth is fueling the need for highly qualified professionals to join our elite team. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. Join us. Take this opportunity to start doing your life's best work.(sm) The Integrated Complex Case Manager is a direct clinical liaison between OBS health plan customers, and the clinical network. This position integrates a collaborative process which assesses, plans, implements, coordinates, monitors and evaluates the options and services to meet the enrollee's health needs, using education, communication and all available resources to promote quality, cost-effective outcomes. Primary Responsibilities:Identifies high-risk enrollees, creates care plans to address problems while maintaining quality of care. (Information is collected from the patient, caregiver(s), health care providers and other relevant parties) Utilizes advanced clinical skills to make effective decisions to meet the enrollee's health needs, using education, communication, and all available resources to promote quality, cost-effective outcomes Screens and identifies high-risk/cost, catastrophic, long term chronic cases which will benefit from care management services. Referrals for such cases may originate from various departments within the company Integrates a collaborative process which assesses, plans, implements, coordinates, monitors, and evaluates the options and services to meet the enrollee's health needs, using education, communication, and all available resources to promote quality, cost-effective outcomes Collaborates with the Optum and health plan staff to ensure proper resource allocation and utilization to facilitate quality cost-effective patient outcomes Collaborates with providers to determine acuity of mental health concerns and refer enrollees to appropriate community resources Participates in joint rounds with the HP Provides training to the Medical Care Team on Behavioral Health issues Identifies Behavioral Health cases with unmet medical needs and makes referral to the medical care team Co-manages Behavioral Health members with co-morbidities
Required Qualifications:Licensed Master's degree in Psychology, Social Work, Counseling or Marriage or Family Counseling, or Licensed Ph.D., or an RN with 2 or more years of experience in behavioral health Licenses must be active and unrestricted 2+ years experience in a related mental health environment Excellent computer skills and good working knowledge of Microsoft Word and Excel and electronic medical recordsPreferred Qualifications: Medical/Behavioral setting experience (i.e. hospital, managed care organization, or joint medical/behavioral outpatient practice) Dual diagnosis experience with mental health and substance abuse Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients Experience working with low-income populations Experience working with the aged, blind or disabled Clinical training experience Excellent customer service skills Excellent interpersonal and problem-solving skills Function independently and responsibly with minimal supervision Strong team player and team building skills Strong interpersonal skills Able to function independently and responsibly with minimal supervision Maintain direct and open communication with all levels of the organization Able to handle sensitive issues with members and providers in a confidential manner Demonstrates initiative in achieving individual, team, and organizational goals and objectives Ability and flexibility to assume responsibilities and prioritize tasks in a fast paced and constantly changing work environment Strong oral and written communication skills — specifically telephone skillsCareers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system 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) 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. Job Keywords: Licensed Behavioral Health Case Manager, Portland, OR, Oregon, counselor, counseling
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.