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 Behavioral Health Case Manager LMSW LCSW - IRVING, Texas, United States

   
Job information
Posted by: UnitedHealth Group 
Hiring entity type: Insurance 
Work authorization: Existing work authorization required for United States
Position type: Direct Hire, Full-Time 
Compensation: ******
Benefits: See below
Relocation: Not specified 
Position functions: Administrative - Receptionist/Secretarial
Customer service & support
Insurance
 
Travel: Minimal 
Accept candidates: from anywhere 
Languages: English - Fluent
Spanish - Fluent
 
Minimum education: See below 
Minimum years experience: See below 
Resumes accepted in: English
Cover letter: No cover letter requested
Job code: 875131 / Latpro-3741826 
Date posted: May-21-2020
State, Zip: Texas, 75014

Description

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm)


The Clinically Integrated Network (CIN) Behavioral Health Case Manager (BHCM) is a participant in the collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s and family’s comprehensive health needs. This process includes medical, social, developmental, behavioral, financial, and educational intervention with focus on quality and cost effective outcomes.


Primary Responsibilities:

  • Engage and provide care management to commercial patient populations identified from the Health Plan, clinical meetings, outlier reports, plan specific insights, and predictive modeling
  • Complete Transition of Care follow up and assessment post Hospital Discharge or Observation discharge
  • Provide care management telephonically
  • Complete required assessments
  • Create a personalized care plan for each patient involved in care management to resolve barriers to care, close quality gaps in care, build additional education or contingency planning and engage with social support systems as appropriate
  • Regularly interact with health plan clinical programs and clinical personnel for care coordination
  • Complete all necessary care coordination and or assessment activities as outlined in the care plan
  • As needed/requested, remotely attend clinical meetings with the health plan on assigned patients involved in care management
  • As needed/requested, participate in internal meetings for plan specific insights, best practices and intervention development
  • Follow NCQA Care Management, Person Centered Medical Home and Accountable Care Organization accreditation standards
  • Document all patient care activities into electronic database
  • Meet required Key Performance Indicators
  • Pass Quality Audit metrics
  • Perform other duties as assigned
  • Coordinate and cooperate with other members of the care management team

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.



Requirements

Required Qualifications:

  • Master's degree in Psychology, Social Work, Counseling
  • Current unrestricted Texas LMSW or LCSW
  • Three to five years of post-licensure care management experience
  • Experience in completion of assessment, care plans, care coordination and issue resolution.
  • Knowledge of healthcare reimbursement, Utilization Management, discharge planning, Disease Management
  • Able to function independently and responsibly with minimal supervision
  • Case Management Certification or completion of CCM Certification within 1 year of employment

 

Preferred Qualifications:


  • Motivational Interviewing experience preferred
  • 2 years-experience in a related mental health environment preferred
  • Bilingual – Spanish/English

 

Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 380,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)
 

 

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.

  
 
Job Keywords: WellMed


 

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