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in Miami, FL

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Hours Full-time, Part-time
Location Miami, FL
Miami, Florida

About this job

The overall purpose of the Field Based Care Advocate is to improve the enrollee's ability to remain stable in the community and out of the hospital. The role is to engage the person in the treatment process and then assist his/her to access the appropriate community services so they can pursue their treatment goals in the community and avoid institutionalization.

 

The Field Based Care Advocate position is also designed to be a direct clinical liaison between health plan staff and the clinical network.  The program fosters a collegial and mutually beneficial relationship between the providers and payers of medical and behavioral health services.  This position reports directly to the Clinical Program Manager located in Sunrise FL.

 

**Field based travel throughout assigned region is required**

** Positions available in Miami/Dade regions**

 

Responsibilities are as follows but are not limited to:

 


  • Identifies needed services and matches with available services in area

  • Assists enrollees with appointments

  • Provides subsequent member follow-up as determined by individual member needs

  • Works with enrollees to identify gaps in care or obstacles to care and problem solves for successful connection to needed services

  • Liaison with other case managers and UM staff to help coordinate services and treatment

  • Travel throughout assigned region up to 75%of the time

  • May go to facility to meet with treatment team to develop a successful aftercare plan

  • Manages the aftercare follow-up of identified high risk enrollees (manages follow-up calls/outreach and documentation)

  • Meets with community providers/facilities as company liaison to foster good rapport and relationships and to identify new programs

  • Attends rounds with clinical team

  • May pick up influx of queue calls or UM function when needed

OptumHealth helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their health care needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.

At OptumHealth, you will perform within an innovative culture that's focused on transformational change in the health care system. You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact that's greater than you've ever imagined.

Requirements

Requirements:


  • Master's degree in Psychology, Social Work, Counseling or Marriage or Family Counseling, or a BSN RN with 2+ more years of experience in psychiatric nursing

  • Independent Mental Health License to include LCSW, LMHC, LMFT or RN in the state of FL

  • Licenses must be active and unrestricted

  • 5+ years' experience in a related mental health environment

  • Current  driver's license and means to travel throughout assigned regions       

  • Proficient computer skills and good working knowledge of Microsoft Word

Preferred Assets:


  • Medical/Behavioral setting experience (i.e. hospital, managed care organization, or joint medical/behavioral outpatient practice)

  • Dual diagnosis experience with mental health and substance abuse HIGHLY preferred

  • Experience working with FL state Medicaid population

  • Familiarity with community resources and field based work

 

Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V



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.