Social Worker OR RN Telephonic Utilization Management - Full-time / Part-time

Behavioral Health careers at UnitedHealth Group. The days when people only connected with health care when they were sick are over. Today, we're leading the behavioral health revolution with a growing array of proactive, holistic tools and resources to encourage total well-being for millions of our customers. When you work to better people's lives, one of those lives will always be yours. 
Join us.
Change your life by doing your life's best work.(sm)

This is an office based opportunity in Columbus, OH.
Work 8 - 5 Monday - Friday!

There are so many incredible reasons to choose a career with UnitedHealth Group, but the most important things you need to know are, that in this role, you will:

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  Provide telephonic care and case management to highly vulnerable Medicare patients, and the dually eligible Medicare/Medicaid population


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  Offer members health and disease education, and empower them to actively participate in their care


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  Consult with members on their medications, review their care plans, address their home care needs and connect them to community resources


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  Collaborate with providers, such as primary care physicians or home care providers to ensure there are no gaps in care


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  Use strong communication and organizational skills to educate members, and prevent costly gaps in service

• Master's degree behavioral health OR


• Bachelor's Degree Nursing (BSN) OR Associate's Degree in Nursing with ten years of behavioral health experience OR


• Doctorate-degreed Psychologist


• An active, unrestricted State of Ohio professional license in one of the following:
  A.      Licensed Professional Clinical Counselor; or
  B.      Independent Marriage & Family Therapist; or
  C.      Licensed Independent Social Worker; or
  D.      Licensed Independent Chemical Dependency Counselor; or
  E.      Licensed Psychologist; or
  F.      Registered Nurse


• Minimum of 2 years of experience in a related mental health environment


• Minimum 1 year experience working with Medicaid population


• Minimum 1 year Community Mental Health experience


• Proficient computer skills and good working knowledge of Microsoft Word 

Additional Preferred Assets

• Inpatient experience


• 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 working with either the Medicaid or Medicare population

We are pleased to introduce UnitedHealthcare Connected – which will be available as of March 1, 2014, to individuals who are eligible for both Medicare and Medicaid in:  Columbiana, Cuyahoga, Geauga, Lake, Lorain, Mahoning, Medina, Portage, Stark, Summit, Trumbull and Wayne counties.

UnitedHealthcare Connected is a partner in the state of Ohio's new integrated care delivery system for Medicare-Medicaid eligible enrollees (MMEs) called MyCare Ohio. UnitedHealthcare Connected  is dedicated to improving the quality and efficiency of care for members through a person-centered, seamless approach, and lessening administrative burdens for providers through assistance with higher acuity patients and claims simplification.

Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.

Job Keywords: social worker, case manager, care coordination, medical social work, psychology, medicaid, medicare, telecommute, work from home, LPCC, IMFT, LISW, LICDC, BSN, RN, Registered Nurse, utilization management