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Field Care Advocate, Telecommute - Southaven, Olive Branch, Hornlake, MS - Full-time / Part-time
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Tupelo, MS Tupelo, Mississippi |
About this job
The overall purpose of the Field Care Advocate (FCA) role is to help individuals live their lives to the fullest by promoting recovery and resiliency via coordination and collaboration with multiple internal and external partners including consumers and their families/caregivers, medical, behavioral health and clinical network teams.
Field Care Advocates work with complex and high-risk needs with a goal of engaging the consumer in the treatment process, decreasing their reliance on higher levels of care, helping them to access appropriate community services, and assisting them in improving community tenure. FCAs work to increase stabilization and help consumers to improve life satisfaction.
Primary Responsibilities:
- Utilize advanced clinical skills to engage and motivate consumers via a recovery, health and wellness-oriented approach.
- Manage a caseload of high risk consumers who may have instances of over/under utilization of services, episodes of symptomology breakthrough and pharmacologic issues
- Meet with consumers and/or caregivers in-person at facilities, provider offices, and in homes as appropriate for market
- Assist consumers and their families/caregivers with connections to appropriate psychiatric, medical, and psychosocial referrals and services
- Identify and remove barriers to procurement, delivery, participation in and success of services
- Provide supportive follow-up, monitoring and education as indicated
- Complete disease based assessment(s) and develop plan(s) of care based on member/caregiver identified holistic goals
- Engage outpatient providers in the consumer's treatment goals to promote recovery
- Serve as OptumHealth Behavioral Solutions (OHBS) liaison and subject matter expert for applicable UnitedHealth Care Medical Partners; establish and foster positive relationships with medical team, participate in medical-behavioral integration activities and discussions.
- Identify high-risk, co-morbid needs of consumers
- Accept referrals via designated processes, collaborate in evaluating available services, and coordinate necessary psychiatric and community referrals as needed
- Contribute to treatment plan discussions; routinely attend clinical interdisciplinary rounds and other meetings with medical partner or external entities when applicable
- Document recommendations of interdisciplinary team and discuss recommendations with consumer
- Partner with internal OHBS teams to coordinate a seamless transition for consumers from an inpatient setting to community based services.
- Coordinate with teams early in admission on cases stratified as having complex and high-risk needs
- Participate jointly in rounds, discussions, and supervision
- Assist in the development of a relevant and consumer specific aftercare plan
- Comply with all policies, procedures and documentation standards in appropriate systems, tracking mechanisms and databases
- For specific markets, conduct focused facility-based or outpatient clinical utilization review activities
- Meet with consumers and/or caregivers in-person at facility as appropriate for market
- Update plan of care and assessments in documenting system and engage outpatient providers in the consumer's care
- Establish a cooperative relationship with Optum Behavioral Network Services and the Provider community in order to improve access to services and ensure that consumers are served within proper standards of care.
- Identify new programs, services and gaps in market; share information with network teams
- Maintain knowledge of provider availability and barriers to access
- Collaborate with providers to determine acuity of mental health concerns, barriers and progress; coordinate appropriate services
- Conduct provider networking visits or attend consumer care conferences as determined by market
- Attend state, professional and association and conference call meetings as needed
- Other activities as assigned, including but not limited to:
- Partnership with Account Management and Sales departments to provide best level of customer service to market accounts
- Participate in committees, educational opportunities and trainings
- Maintain approved workload and support metrics and outcomes
Requirements
Required Qualifications:
- Licensed Master's degree in Psychology, Social Work, Counseling or Marriage or Family Counseling, or Licensed Ph.D., or an RN with 2 or more years of experience in behavioral health
- Licenses must be active and unrestricted
- 2 years experience in a related mental health environment working in the local community
- Demonstrated ability to use a PC in a Windows environment, including email and Microsoft Office applications
- Customer service, interpersonal and problem-solving skills
- Team player and team building skills
- Able to function independently and responsibly with minimal supervision
- Maintain direct and open communication with all levels of the organization
- Able to handle sensitive issues with peer, members and providers in a confidential manner
- Demonstrate initiative in achieving individual, team, and organizational goals and objectives
- Ability and flexibility to assume responsibilities and tasks in a constantly changing work environment
- Oral and written communication skills - specifically telephone skills
- Current, unrestricted driver's license and access to reliable transportation
- Reside in the state of Mississippi near the South Haven, Horn Lake, Olive Branch, MS area
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
- Managed care and utilization management 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: Field Case Manager, Field Care Advocate, RN, registered nurse, Social Worker, LCSW, LPC, Behavioral Health, work from home, telecommuter, Southaven, MA, Horn Lake, MS, Olive Branch, MS, Mississippi