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Hours Full-time, Part-time
Location Duluth, MN
Duluth, Minnesota

About this job

For those who want to invent the future of health care, here's your opportunity. We're going beyond counseling services and verified referrals to behavioral health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)


Work Monday through Friday, 8:00am to 5:00pm and Telecommute in Northern or Eastern Minnesota


 


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


 




  • Provide telephonic case management in a fast-paced, technology enabled, call center environment.


  • Apply dynamic clinical expertise to support a wide range of medical conditions.


  • Use critical thinking skills to prioritize high impact behavior changes that maximize consumer's ability to address gaps in treatment and successfully leverage the health care system.


  • Care to act and be a transformational force in health care


  • Management and authorization of behavioral health services, including crisis assessment and intervention


  • Integrates a collaborative process which assesses, plans, implements, coordinates, monitors, and evaluates the options and services to meet the enrollee's health needs, using education, communication, and all available resources to promote quality, cost-effective outcomes


  • Completes a Health Risk Assessment on each member as well as an individualized Care Plan to address the member's needs


  • Community visits with members to determine/coordinate treatment or resources to address the member's complex needs


  • Discharge planning or management of transitions between care settings to ensure the appropriate services/resources are in place for quality outcomes


  • Management of medical and behavioral care coordination for all complexity levels


  • Coordinates and authorizes medically appropriate services for members to facilitate cost-effective member outcomes in a timely manner


  • Make outreach calls to members and/or providers for coordination of behavioral and medical services


  • Assist consumers by screening, answering questions, providing program information and education about care coordination program services, network and community resources, and coverage determinations in an accurate and courteous manner


  • Attend/participate in all required Medica facilitated meetings and/or trainings and if a Care Coordinator does not attend, they are responsible to review all materials presented

This professional will be on the fast track to becoming a relevant contributor in a consumer centric driven health care environment and experience career growth and opportunities. Some of the advantages include the following:




  • Professional development: Motivational Interviewing coaching skills, advanced certification, ongoing CEUs


  • Act with autonomy as an independent practitioner


  • Career advancement across the enterprise

 



Requirements

Requirements:



  • Independently Licensed in the state of Minnesota as an LP, LPC, LICSW, LPCC, LMFT or as an RN with 2 or more years of experience in behavioral health


  • Licenses must be active and unrestricted


  • 3+ years of post-graduate clinical experience

Assets:



  • Experience working in a strength base recovery model


  • Experience with motivational interviewing


  • Case Management experience managing a large case load


  • Familiar with utilization review


  • Experience working in programs or higher levels of care


  • Knowledge of common medical conditions and services such as diabetes, asthma, etc.

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.SM

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.