Behavioral Field Care Advocate - New Castle County DE - Full-time / Part-time

You're looking for something bigger for your career. How about inventing the future of health care? Optum is offering an innovative new standard for care management. We're going beyond counseling services and verified referrals to behavioral health programs integrated across the entire continuum of care. Our growth is fueling the need for highly qualified professionals to join our elite team. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. Join us. Take this opportunity to start doing your life's best work.(sm) 

The overall purpose of the Field Care Advocate (FCA) is to improve the enrollee's ability to remain stable in the community and out of the hospital. The FCA 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.

***This is a telecommuter position; Candidate must live in Delaware and work in New Castle County***

Primary Responsibilities:

• 
  
  Receives referrals from medical plan partners or UBH for high risk enrollees


• 
  
  Is United Behavioral Health (UBH) liaison and subject matter expert for medical partner with goal to work toward holistic needs of the member


• 
  
  Assists enrollees with appointments, if needed


• 
  
  Follows up with enrollees to determine any obstacles to making scheduled appointments


• 
  
  Provides subsequent member follow-up telephonically and face-to-face 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 and community resources/programs


• 
  
  Attends clinical rounds with health plan as needed to review high risk cases


• 
  
  Assists with medication refills or other service gaps as needed


• 
  
  Reviews treatment progress and facilitates care coordination via contact with BH provider


• 
  
  Coordinates with IP Care Advocate to discuss treatment needs and aftercare planning for the member


• 
  
  Attends clinical rounds with BH staff and is able to appropriately provide case input as well as escalate any identified issues to Clinical Manager or MD


• 
  
  Meets with members in the community to complete BH specific assessments and plan of care. May go to facility to meet with treatment team if needed, to coordinate care and assist in development of a successful aftercare plan


• 
  
  With member permission, includes the member's family/guardian in the coordination process to ensure that aftercare/continued care is successful and gaps/barriers are removed as much as possible


• 
  
  Attends state, professional, and association meetings as needed


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

Required Qualifications:

Preferred Qualifications:

• 
  

  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



• 
  

  Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients



• 
  

  Experience working with low-income populations



• 
  

  Experience working with the aged, blind or disabled



• 
  

  Clinical training experience

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, 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: CS, LPCMH, LMFT, Psychiatric RN, community mental health, field based work, managed care, Medicaid, telecommuter, Delaware, DE, New Castle County, Delaware City, New Castle, Newark, Wilmington