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) As a Field Based Targeted Case Manager you will be responsible for providing support and assistance to adults with a serious mental illness including medical, social, educational, vocational, and other necessary services as relates to the members mental health needs, in addition to utilization management, utilization review, or concurrent review (telephonic inpatient care management). You will review current inpatient services and intensive Mental Health and Substance Abuse services to determine medical appropriateness. You will use established medical guidelines to ensure the best possible health outcomes, both mentally and physically. Here you will work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. Primary Responsibilities: Performing care management activities to ensure that patients move through the continuum of care efficiently and safely Assessing and interpreting customer needs and requirements Reviews cases and analyzes clinical information in conjunction with Medical Directors to determine the appropriateness of hospitalization Performing Clinician to Physician interaction to acquire additional clinical information or discuss alternatives to current treatment plans Escalates cases to the Medical Director for case discussion or peer-to-peer intervention as appropriate Performs anticipatory discharge planning in accordance with the patient's benefits and available alternative resources Collaborates with Medical peers on consideration of discharge planning needs Refers patients to disease management or case management programs Assists with the development of treatment plans Documents activities according to established standards Identifies solutions to non-standard requests and problems Solves moderately complex problems and/or conducts moderately complex analyses Works with minimal guidance; seeks guidance on only the most complex tasks Provides explanations and information to others on difficult issues Acts as a resource for others with less experience Works with less structured, more complex issues Develop plans and supportive services for patients to achieve stability and adaptive functioning to become independent Support mental services and integrated substance abuse treatment, supporting medication management, symptoms management, rehabilitation, crisis stabilization and psychosocial education on an outpatient basis Perform administrative duties related to a client's care including applications for services It is essential for this position to work with members at various locations, such as the streets, shelter, group home, provider's offices, facilities and other community locations
Required Qualifications: A Licensed social worker, Masters in Social Work, Marriage Family Therapist OR LPN with 2+ years of experience in behavioral healthLicensure must be current and unrestricted2+ years of behavioral health clinical experience in an inpatient/acute setting or outpatient settingProblem solving skills; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of actionAbility to convey complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from othersIntermediate computer skills (Microsoft Word, Outlook and Internet) with the ability to navigate a Windows environment and to create, edit, save and send documents utilizing Microsoft WorkAbility to work in an ever changing work environmentReliable Transportation Preferred Qualifications: Knowledge of Level of Care Guidelines (i.e. Milliman, Interqual etc.)Prior Utilization Review experiencePrior Case Management experienceExperience with social security and disability servicesExperience in discharge planning and/or chart review Experience in acute long term care, acute rehabilitation, or skilled nursing facilities A background that involves utilization review for an insurance company or in a managed care environment Previous experience in a telephonic, office based role 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: 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: LSW, MFT, LMSW, LPN, MSW, behavioral health, mental health, substance abuse, case manager, United Health Group, Las Vegas, NV, Nevada, social worker, counselor, therapist, psychology
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.