Provides field-based behavioral health case management and care coordination for adult Medicaid members. Connects members with community services, coordinates aftercare, identifies care barriers, conducts follow-up, reviews hospital readmissions, participates in treatment-team meetings, and manages high-risk outreach. Serves as a liaison between health plan staff, providers, hospitals, and community organizations. The role is 80% field-based in Suffolk County and 20% remote, with daily travel throughout the assigned territory.
Requisition Number: 2386621
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
The overall purpose of the Behavioral Health Advocate (BHA) is to improve the enrollee's ability to remain stable in the community and out of the hospital. BHAs engage people in the treatment process and assist them to access the appropriate community services so they can pursue their treatment goals in the community and avoid institutionalization. This position is also designed to be a direct clinical liaison between health plan staff and the clinical network. The program fosters a collegial and mutually beneficial relationship between the providers and payers of medical and behavioral health services.
This is a field-based position providing case management and care coordination for adult Medicaid members in Suffolk County. You will spend 80% of the time meeting with members at hospitals, clinical facilities, community sites, and/or in their homes. The remaining 20% is spent working remotely at home.
The schedule is Monday - Friday, 8am to 5pm -- no weekends, evenings, or holidays.
Due to business needs, permanent residency in or near Riverhead is required.
If you are located in or near Riverhead, NY, you will have the flexibility to work remotely * as you take on some tough challenges.
Primary Responsibilities:
As part of your employment with Optum, you'll enjoy a robust total rewards package that includes:
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:
Preferred Qualifications:
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
The overall purpose of the Behavioral Health Advocate (BHA) is to improve the enrollee's ability to remain stable in the community and out of the hospital. BHAs engage people in the treatment process and assist them to access the appropriate community services so they can pursue their treatment goals in the community and avoid institutionalization. This position is also designed to be a direct clinical liaison between health plan staff and the clinical network. The program fosters a collegial and mutually beneficial relationship between the providers and payers of medical and behavioral health services.
This is a field-based position providing case management and care coordination for adult Medicaid members in Suffolk County. You will spend 80% of the time meeting with members at hospitals, clinical facilities, community sites, and/or in their homes. The remaining 20% is spent working remotely at home.
The schedule is Monday - Friday, 8am to 5pm -- no weekends, evenings, or holidays.
Due to business needs, permanent residency in or near Riverhead is required.
If you are located in or near Riverhead, NY, you will have the flexibility to work remotely * as you take on some tough challenges.
Primary Responsibilities:
- Identify and provide community service linkage
- Assist enrollees with aftercare appointments
- Provide subsequent member follow-up as determined by individual member needs
- Work with enrollees to identify gaps in care or obstacles to care and problem solve for successful connection to needed services
- Review IP Census each day to determine which enrollees on the census are re-admits within the last 12 months
- Go to facility meetings with treatment team to develop a successful aftercare plan
- Manage the aftercare follow-up of identified high risk enrollees (manage follow-up calls/outreach and documentation)
- Meet with community providers/facilities as company liaison to foster good rapport and relationships and to identify new programs
As part of your employment with Optum, you'll enjoy a robust total rewards package that includes:
- Competitive salaries
- Comprehensive benefits, including health insurance, 401(k) matching, and a wide range of life and wellness resources to support your overall well-being
- Paid time off and paid company holidays
- Continuing education support, including CEU and licensure reimbursement
- Mileage reimbursement for work-related travel
- Opportunities to make a meaningful impact by supporting your local community and partnering with area resources
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's or Doctoral degree in Psychology, Social Work, Counseling, Marriage and Family Therapy, or a related field
- Active, unrestricted, independent license the State of New York as an LMHC, LMFT, LCSW or LP
- 2+ years of experience in a related mental health environment
- Proficient in Microsoft Office including Word, Outlook, Excel, and Teams
- Dedicated, distraction-free home office / workspace with access to install secure, high-speed internet at home
- Valid driver's license and access to reliable transportation that will allow daily travel throughout an assigned territory to meet with enrollees
Preferred 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
- Community Mental Health experience
- Case Management experience
- Field Based experience
- Experience working with low-income populations
- Experience working with the aged, blind, or disabled
- Working knowledge of city and state agencies and practices to include APS, ACS, AOT, ACT, Health Home, Forensics, etc.
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
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