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Behavioral Health Care Advocate - Harris Cty - Houston, TX

UnitedHealth Group

Houston, TX
Job Code:
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Job Details

Behavioral Health Care Advocate - Harris Cty - Houston, TX(Job Number:727017)

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 goal of the Behavioral Care Advocate role is to help members and their families live their lives to the fullest by promoting recovery and resiliency via coordination and collaboration with multiple internal and external partners including members and their families / caregivers, medical, behavioral health and clinical network teams.  Behavioral Health Advocates work with complex and high - risk needs members, with a goal of engaging the member and their family as applicable to assist in members realization of their goals 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.


This role is a telecommuting opportunity in Texas and the Harris County (Houston) area is preferred


Primary Responsibilities:

  • Utilize advanced clinical skills to engage and motivate Members and their families via a recovery, health and wellness, family – holistic and member centric oriented approach
  • Assist members 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, telephonically and facilities
  • Meet with members and their families in - person at facilities, provider offices, and in homes as appropriate
  • Partner with in the context of complex care internal teams and community and external providers to address the needs, gaps in care, and recovery goals of complex and high risk members and their families, in the context of care coordination within a holisitic interdisciplinary approach
  • Provide current care alerts, information on medication adherence, updates on referral results and other priority issues to community providers, as indicated
  • Identify and address the needs of those who are high utilizers of services through case conferences and informal communications
  • Participate in meetings, as needed, with providers to review clinical performance, identify areas of clinical opportunity, and oversee course for improvements
  • Serve as Consultant and facilitate as needed meetings, including telephonic contacts with onsite visits as needed, with community - based organizations, practice and hospital leaders to report progress on high risk members
  • Participate in the ongoing identification of members who may qualify for ancillary services
  • Coordinate the development of comprehensive support system for members with serious emotional disturbance to promote the goal of children remaining in their own homes and communities
  • Serve as an Optum behavioral health liaison and subject matter expert for Texas UnitedHealth Care Medical Partners; establish and foster positive relationships with medical team, participate in medical - behavioral integration activities and discussions
  • 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
  • Partner with internal Optum Behavioral Health Services Teams to coordinate a seamless transition for members from an inpatient setting to community based services
  • 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
  • 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.
  • Other activities as assigned, including but not limited to:
    • Participate in committees, educational opportunities and training
    • Maintain workload and support business needs to meet metrics

Job Care Advocacy
Primary Location US-TX-Houston
Other Location 
Organization Optum Ops-PHM Medicaid
Schedule Full-time
Number of Openings 2
Apply on the Company Site

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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