$58300 - $114300 Year
Monday to Friday
Day shift
Health insurance
Paid time off
Employee discount
Dental insurance
Vision insurance
401(k)
401(k) matching
Flexible schedule
Parental Leave
Tuition reimbursement
Flexible spending account
Retirement plan
Others
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 provides 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.
Business hours are 8am-8pm EST. Employees will be required to work 5 days/week, 8 hours/day within these operating hours, including two nights/week until 8pm ET / 7pm CT / 6pm MT / 5pm PT.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Due to business hours, residency in Mountain or Pacific Time Zones is preferred.
Primary Responsibilities:
Facilitate member education and involvement of caregiver in the delivery of interventions
Provide advocacy and support to member and family members, including caregiver support & appropriate referral to applicable / needed resources
Ensure that members understand treatment options and are effectively linked to treatment resources
Promote health, wellness, and optimal psychosocial functioning for member (identify caregiver gaps, facilitate education, and respite support)
Consider the member’s needs holistically to identify gaps in care requiring intervention
Exhibit excellent customer service in engaging providers in collaborative planning
Create and maintain appropriate clinical records
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
Conducts condition specific research to meet member needs
Maintain success stories which can be utilized to promote program
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
Explanation of authorization process
Complete discharge follow-up & if needed, discharge planning / support
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.
Communication
Leadership
Teamwork
Interpersonal
Learning/adaptability
Self-management
Organizational
Computer
Problem solving
Open mindedness
Strong work ethic
technology
Others
2+ years of post-licensure experience in a related mental health environment
1+ years of case management experience
Medical/Behavioral setting experience
Discharge planning experience
Experience consulting with facility and/or hospital staff to coordinate treatment plans
Experience working in community/county mental health
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 with government funded programs
Health care
4
Remote