What are the responsibilities and job description for the Behavioral Health Care Advocate - CM (Residence in Oahu) position at The Job Network?
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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
The overall purpose of the Field Care Advocate (FCA) role is to help individuals live their lives to the fullest by promoting recovery and resiliency via coordination and collaboration with multiple internal and external partners including consumers and their families/caregivers, medical, behavioral health, and clinical network teams.
Field Care Advocates work with complex and high-risk needs with a goal of engaging the consumer in the treatment process, decreasing their reliance on higher levels of care, helping them to access appropriate community services, and assisting them in improving community tenure.
FCAs work to increase stabilization and help consumers to improve life satisfaction.
If you are located near Oahu, HI, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities: Utilize advanced clinical skills to engage and motivate Consumers via a recovery, health, and wellness-oriented approachAssist consumers and their families/caregivers with connections to appropriate psychiatric, medical, and psychosocial referrals and servicesIdentify and remove barriers to procurement, delivery, participation in and success of servicesProvide supportive follow-up, monitoring and education as indicatedMeet with consumers in-person at facilities, provider offices, and in homes as appropriate for marketServe as OBHS liaison and subject matter expert for applicable UnitedHealth Care Medical Partners; establish and foster positive relationships with medical team, participate in medical-behavioral integration activities and discussionsIdentify high-risk, co-morbid needs of consumersAccept referrals via designated processes, collaborate in evaluating available services, and coordinate necessary psychiatric and community referrals as neededContribute to treatment plan discussions; routinely attend clinical rounds and other meetings with medical partner or external entities when applicablePartner with internal Optum Behavioral Health Services Teams to coordinate a seamless transition for consumers from an inpatient setting to community-based servicesCoordinate with teams early in admission on cases stratified as having complex and high-risk needsParticipate jointly in rounds, discussions, supervision and staffingAssist in the development of a relevant and consumer-specific aftercare planComply with all policies, procedures, and documentation standards in appropriate systems, tracking mechanisms and databasesFor specific markets, conduct focused facility-based or outpatient clinical utilization review activitiesProvide face-to-face outreach to members admitted to an acute IP facility near the time of and throughout admission and then on the day of discharge to ensure adequate OP follow-up after hospitalization.
Continue follow-up with members after discharge to reinforce follow-up with outpatient BH providers, PCPs and other specialists as neededEstablish a cooperative relationship with Optum Behavioral Network Services and the Provider community to improve access to services and ensure that consumers are served within proper standards of careIdentify new programs, services, and gaps in market; share information with network teamsMaintain knowledge of provider availability and barriers to accessCollaborate with providers to determine acuity of mental health concerns, barriers and progress; coordinate appropriate servicesConduct provider networking visits or attend consumer care conferences as determined by marketAttend state, professional and association and conference call meetings as neededDevelop and sustain collaborative partnerships with community social service and health care providers which provide support for members within our communityProvide ongoing clinical and case consultation regarding shared members, and assist with coordinating medical services and support from the health planPartner in providing clinical trainings to support integration of best practices to improve the quality of services received by members in the communityActively participate in community events which promote recovery and resiliency efforts and services for membersOther activities as assigned, including but not limited to:Partnership with Account Management and Sales departments to provide best level of customer service to market accountsParticipate in committees, educational opportunities, and trainingsMaintain approved workload and support metrics and outcomes
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: 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 healthLicenses must be active and unrestricted in the status of Hawaii2 years of experience in a related mental health environment working in the local community
Demonstrated ability to use a PC in a Windows environment, including email and Microsoft Office applicationsAble to function independently and responsibly with minimal supervisionMaintain direct and open communication with all levels of the organizationAble to handle sensitive issues with peer, members, and providers in a confidential mannerDemonstrate initiative in achieving individual, team, and organizational goals and objectivesAbility and flexibility to assume responsibilities and tasks in a constantly changing work environment Solid oral and written communication skills - specifically telephone skillsCurrent, unrestricted driver’s license in Oahu, HI and access to reliable transportationResidence in Oahu, HI
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 Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patientsExperience working with low-income populationsExperience working with the aged, blind or disabledClinical training experienceManaged care and utilization management experienceExcellent customer service, interpersonal and problem-solving skillsSolid team player and team building skills
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.
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. PandoLogic.
, Location: Honolulu, HI - 96848
The overall purpose of the Field Care Advocate (FCA) role is to help individuals live their lives to the fullest by promoting recovery and resiliency via coordination and collaboration with multiple internal and external partners including consumers and their families/caregivers, medical, behavioral health, and clinical network teams.
Field Care Advocates work with complex and high-risk needs with a goal of engaging the consumer in the treatment process, decreasing their reliance on higher levels of care, helping them to access appropriate community services, and assisting them in improving community tenure.
FCAs work to increase stabilization and help consumers to improve life satisfaction.
If you are located near Oahu, HI, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities: Utilize advanced clinical skills to engage and motivate Consumers via a recovery, health, and wellness-oriented approachAssist consumers and their families/caregivers with connections to appropriate psychiatric, medical, and psychosocial referrals and servicesIdentify and remove barriers to procurement, delivery, participation in and success of servicesProvide supportive follow-up, monitoring and education as indicatedMeet with consumers in-person at facilities, provider offices, and in homes as appropriate for marketServe as OBHS liaison and subject matter expert for applicable UnitedHealth Care Medical Partners; establish and foster positive relationships with medical team, participate in medical-behavioral integration activities and discussionsIdentify high-risk, co-morbid needs of consumersAccept referrals via designated processes, collaborate in evaluating available services, and coordinate necessary psychiatric and community referrals as neededContribute to treatment plan discussions; routinely attend clinical rounds and other meetings with medical partner or external entities when applicablePartner with internal Optum Behavioral Health Services Teams to coordinate a seamless transition for consumers from an inpatient setting to community-based servicesCoordinate with teams early in admission on cases stratified as having complex and high-risk needsParticipate jointly in rounds, discussions, supervision and staffingAssist in the development of a relevant and consumer-specific aftercare planComply with all policies, procedures, and documentation standards in appropriate systems, tracking mechanisms and databasesFor specific markets, conduct focused facility-based or outpatient clinical utilization review activitiesProvide face-to-face outreach to members admitted to an acute IP facility near the time of and throughout admission and then on the day of discharge to ensure adequate OP follow-up after hospitalization.
Continue follow-up with members after discharge to reinforce follow-up with outpatient BH providers, PCPs and other specialists as neededEstablish a cooperative relationship with Optum Behavioral Network Services and the Provider community to improve access to services and ensure that consumers are served within proper standards of careIdentify new programs, services, and gaps in market; share information with network teamsMaintain knowledge of provider availability and barriers to accessCollaborate with providers to determine acuity of mental health concerns, barriers and progress; coordinate appropriate servicesConduct provider networking visits or attend consumer care conferences as determined by marketAttend state, professional and association and conference call meetings as neededDevelop and sustain collaborative partnerships with community social service and health care providers which provide support for members within our communityProvide ongoing clinical and case consultation regarding shared members, and assist with coordinating medical services and support from the health planPartner in providing clinical trainings to support integration of best practices to improve the quality of services received by members in the communityActively participate in community events which promote recovery and resiliency efforts and services for membersOther activities as assigned, including but not limited to:Partnership with Account Management and Sales departments to provide best level of customer service to market accountsParticipate in committees, educational opportunities, and trainingsMaintain approved workload and support metrics and outcomes
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: 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 healthLicenses must be active and unrestricted in the status of Hawaii2 years of experience in a related mental health environment working in the local community
Demonstrated ability to use a PC in a Windows environment, including email and Microsoft Office applicationsAble to function independently and responsibly with minimal supervisionMaintain direct and open communication with all levels of the organizationAble to handle sensitive issues with peer, members, and providers in a confidential mannerDemonstrate initiative in achieving individual, team, and organizational goals and objectivesAbility and flexibility to assume responsibilities and tasks in a constantly changing work environment Solid oral and written communication skills - specifically telephone skillsCurrent, unrestricted driver’s license in Oahu, HI and access to reliable transportationResidence in Oahu, HI
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 Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patientsExperience working with low-income populationsExperience working with the aged, blind or disabledClinical training experienceManaged care and utilization management experienceExcellent customer service, interpersonal and problem-solving skillsSolid team player and team building skills
- All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
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.
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. PandoLogic.
, Location: Honolulu, HI - 96848
Salary : $58,300 - $114,300
