Field Behavioral Health Case Manager in Arkansas
Company: Optum
Location: Alma
Posted on: February 7, 2025
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Job Description:
$2,500 Sign-on Bonus for External Candidates with a 1 year
commitment
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Optum Home & Community Care, part of the UnitedHealth Group family
of businesses, is creating something new in health care. We are
uniting industry-leading solutions to build an integrated care
model that holistically addresses an individual's physical, mental
and social needs - helping patients access and navigate care
anytime and anywhere.
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As a team member of our Optum At Home product, together with an
interdisciplinary care team we help patients navigate the health
care system, and connect them to key support services. This
preventive care can help patients stay well at home.
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We're connecting care to create a seamless health journey for
patients across care settings. Join us to start -Caring.
Connecting. Growing together.
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The Optum 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.
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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.
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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 conditions
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You'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 or Licensed Mental Health Worker
Clinical licensure in AR
2+ years of experience in long-term care, home health, hospice,
public health or assisted living
1+ years of clinical or case management experience
Experience working with MS Word, Excel and Outlook
Willing or ability to travel at 50%
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Preferred Qualifications:
Experience with electronic charting
Experience with arranging community resources
Field-based work experience
Experience working with complex family systems and dynamics
Experience in Crisis Intervention
Experience working in Duals (DSNP) and/or Medicaid environment
A 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 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
Proficient with Microsoft Word, Excel, Outlook, PowerPoint
Proven excellent written and verbal communication and relationship
building skills
Proven planning and organizational skills
Demonstrated ability to work independently as well as a member of a
team
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At UnitedHealth Group, 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.
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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.
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UnitedHealth Group is a drug-free workplace. Candidates are
required to pass a drug test before beginning employment.
Keywords: Optum, Fort Smith , Field Behavioral Health Case Manager in Arkansas, Executive , Alma, Arkansas
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