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Behavioral Health Care Advocate - Field based and telephonic - Seattle, WA

UnitedHealth Group

Seattle, WA
Job Code:
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Job Details

Behavioral Health Care Advocate - Field based and telephonic - Seattle, WA(Job Number:721052)

You're looking for something bigger for your career. How about inventing the future of health care? UnitedHealthcare 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 schedule for this position is Monday - Friday during normal business hours.  You will be in the field up to 40% of the time in the greater Seattle, WA area and will telecommute / work from home the rest of the time.
The overall purpose of the Behavioral Health Care Advocate 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 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.  BHCAs 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
    • 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
    • Meet with consumers in - person at facilities, provider offices, and in homes as appropriate for market
  • 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
  • Coordinate a seamless transition for consumers from an inpatient setting to community based services
    • Coalesce BHCA role and relationships within context of established Care Advocacy Operating Model and customer/contractual requirements; collaborate early and frequently with other teams in the management of cases stratified as having intensive, complex, and high - risk needs
    • Participate jointly in rounds, discussions, supervision and staffing
    • 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
  • 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 training
    • Maintain approved workload

Job Care Advocacy
Primary Location US-WA-Seattle
Other Location 
Organization Optum Ops-PHM Medicaid
Schedule Full-time
Number of Openings 1
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UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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