Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
The goal of the Behavioral Health Care Advocate (BHA) 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. Behavioral Health 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.
Primary Responsibilities:
Utilize advanced clinical skills to engage and motivate Consumers via a recovery, health and wellness-oriented approach
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, in-person and telephonically
Meet with consumers in-person at facilities, provider offices, and in homes as appropriate
Partner with designated external providers, programs, entities to address the needs, gaps in care, and recovery goals of complex and high risk consumers
Identify and address the needs of members who are consistently high utilizers of services through case conferences and informal communications
Participate in standing meetings to review performance, identify areas of opportunity, and oversee course for improvements (Supervision)
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 rounds and other meetings with medical partner or external entities, when applicable
Meet all contractual requirements; collaborate early and frequently with other teams in the management of cases stratified as having intensive, complex, and high-risk needs
Comply with all policies, procedures and documentation standards in appropriate systems, tracking mechanisms and databases
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
Collaborate with providers to determine acuity of mental health concerns, barriers and progress; coordinate appropriate services
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
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+ years of experience in behavioral health
Active, independent, and unrestricted license in Texas
2+ years of experience in a related mental health setting
Proven computer/typing proficiency to enter/retrieve data in electronic clinical records; experience with email, internet research, use of online calendars and other software applications
Access to high-speed internet from home
Access to reliable transportation and the ability to travel as needed within the designated service delivery area (up to 50%)
Preferred Qualifications:
Experience in an inpatient setting
Dual diagnosis experience with mental health and substance abuse
Experience in a community mental health setting
Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
Previous experience in a managed care environment
Experience with the Medicaid/Medicare population
Bilingual skills (fluency in Spanish/English)
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
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.