Licensed Behavioral Health Case Manager - Remote

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 Licensed Behavioral Health Case Manager will provide support for both direct referrals and data identified referrals. This requires clinical expertise and the ability to negotiate the complexities involved with special needs conditions such as substance abuse, suicidality/homicide, major depression, ADHD, eating disorders, and any severe mental illness.

The operating hours for this team Monday - Friday: 10:00am to 8:00pm ET/9:00am to 7:00pm CT/8:00am to 6:00pm MT/7:00am to 5:00pm PT. Employees will be required to work either 5 days/8 hours per day or 4 days/10 hours per day within these operating hours.

Primary Responsibilities:

• Complete discharge follow-up & if needed, discharge planning / support
• Facilitate member education and involvement of caregiver in the delivery of interventions
• Participate as directed in clinical rounds with other members of the team and other external health care management organizations / vendors, as applicable. Also participate in advancing the Quality Improvement Program
• Ensure that members understand treatment options and are effectively linked to treatment resources
• Maintain success stories which can be utilized to promote program
• Create and maintain appropriate clinical records
• Exhibit excellent customer service in engaging providers in collaborative planning
• Consider the member’s needs holistically to identify gaps in care requiring intervention
• Explanation of authorization process
• Provide case management support for individuals who meet diagnostic requirements including engagement of member and/ or family making available support throughout the entire continuum of treatment
• Conducts condition specific research to meet member needs
• Promote health, wellness and optimal psychosocial functioning for member (identify caregiver gaps, facilitate education and respite support)
• Provide advocacy and support to member and family members, including caregiver support & appropriate referral to applicable / needed resources

Required Qualifications:

• 2+ years of demonstrated experience (post licensure) in a related mental health environment
• 1+ year of case management experience
• Solid computer skills at the intermediate level, proficiency with MS Office to include Teams, Excel
• Behavioral/Mental Health License or RN in the state of residence
• Master's Degree in Behavioral Health, Bachelor's degree in Nursing, Associate's degree in Nursing with ten years of Behavioral Health experience, or a Doctorate-degreed Psychologist
• Must be able to work within the operating hours of Monday - Friday: 10:00am to 8:00pm ET/9:00am to 7:00pm CT/8:00am to 6:00pm MT/7:00am to 5:00pm PT
• Access to high-speed internet from home (Broadband Cable, DSL, Fiber) and a dedicated workspace from home
• Proficient computer skills and good working knowledge of Microsoft Word

Preferred Qualifications:

• Experience working in community/county mental health
• Discharge planning experience
• Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
• Dual diagnosis experience with mental health and substance abuse
• Medical/Behavioral setting experience (i.e. hospital, managed care organization, or joint medical/behavioral outpatient practice)
• Experience with government funded programs
• Experience consulting with facility and/or hospital staff to coordinate treatment plans
• Chart review experience

Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.

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.