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Hours Full-time, Part-time
Location Phoenix, AZ
Phoenix, Arizona

About this job

Talk about meaningful work.  Talk about an important role.  Let's talk about your next career move.  Our UnitedHealthcare Military & Veterans organization has been selected to provide quality health care services for those who serve our nation.  This is an opportunity to share in something special; an opportunity for all of us to serve those families who have made our nation stronger. It's an inspiring role and it can inspire your career.  Find out more about these opportunities to do your life's best work.(sm)
 

UnitedHealthcare Military and Veterans is currently seeking a Pediatric Care Advocate/ Behavioral Health Case Manager (CM). As a behavioral health case manager, you will be responsible for working with a multidisciplinary team providing clinical case management activities across the continuum of care from assessing and planning to implementing, coordinating, monitoring and evaluating. This position provides telephonic case management and education in support of TRICARE beneficiaries. 
 
Candidate must be able to work at the 2222 W. Dunlap Ave, Phoenix, AZ office; Telecommute considered only if proven experience working from home office.
 
Primary Responsibilities:


Educating and supporting the individual and their family through telephonic assessment and expert clinical management interventions

Evaluating delays in care and arranging for alternative care services to facilitate timely and appropriate discharge

Documenting all clinical information in accordance with UnitedHealthcare Military & Veterans policies and procedures in the member's electronic medical record

Assess and interprets beneficiary needs, gaps, and requirements related to his / her disease condition

Develops CM care plan in collaboration with beneficiary / caregiver / provider in order to promote optimal health

Collaborates with specialists, physicians, and medical directors to provide the necessary care and cost efficient care for the beneficiary related to their condition

Assesses the effectiveness and quality of services provided related to clinical, functional, and outcomes

Consulting and collaborating with Medical Surgical CM colleagues on Bio / Psycho / Social assessments and service plans in a multidisciplinary team

Adheres to all ethical, legal / regulatory and accreditation standards
 
 

Requirements

Required Qualifications:


Current, unrestricted RN, LCSW, LPC or LMFT license in your state of residence

3 years of experience in Behavioral Health working with children or adolescents in an acute inpatient, residential or office setting

3 years of Case Management experience

Intermediate experience with Microsoft Word, with the ability to navigate a Windows environment

Ability to communicate complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others

United States Citizenship

Ability  to obtain favorable adjudication following submission of Department of Defense eQuip Form SF86
 
Preferred Qualifications:


CCM Certification or able to obtain in 18 month period

Careers at UnitedHealthcare Military & Veterans. When it comes to their health care, the men and women who help keep the peace deserve the greatest peace of mind. That's why UnitedHealthcare is the organization that's called on to serve them and their loved ones. We're all about finding better ways to help improve their lives no matter where life may take them. So our career opportunities take challenge to a higher level. If you have a commitment to quality that mirrors our commitment to the men and women of the armed forces, take time to learn more about the career paths available here. It's a genuine 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: Registered Nurse, Nurse, RN, LCSW, LPC, LMFT, Licensed Clinical Social Worker, Licensed Practical Counselor, Licensed Marriage Family Therapist, Pediatric, children, Pediatrics, NICU, Behavioral Health, BH, Case Management, CM, CCM, Phoenix, AZ, Arizona