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Licensed Behavioral Health Case Manager - Portland, OR

UnitedHealth Group


Location:
Portland, OR
Date:
09/05/2017
2017-09-052017-10-04
Job Code:
1771845
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Job Details


Licensed Behavioral Health Case Manager - Portland, OR(Job Number:724719)
Description

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 Integrated Complex Case Manager is a direct clinical liaison between OBS health plan customers, and the clinical network.   This position integrates a collaborative process which assesses, plans, implements, coordinates, monitors and evaluates the options and services to meet the enrollee’s health needs, using education, communication and all available resources to promote quality, cost-effective outcomes.

 

Primary Responsibilities:

  • Identifies high-risk enrollees, creates care plans to address problems while maintaining quality of care. (Information is collected from the patient, caregiver(s), health care providers and other relevant parties)
  • Utilizes advanced clinical skills to make effective decisions to meet the enrollee’s health needs, using education, communication, and all available resources to promote quality, cost-effective outcomes
  • Screens and identifies high-risk/cost, catastrophic, long term chronic cases which will benefit from care management services.  Referrals for such cases may originate from various departments within the company
  • Integrates a collaborative process which assesses, plans, implements, coordinates, monitors, and evaluates the options and services to meet the enrollee’s health needs, using education, communication, and all available resources to promote quality, cost-effective outcomes
  • Collaborates with the Optum and health plan staff to ensure proper resource allocation and utilization to facilitate quality cost-effective patient outcomes
  • Collaborates with providers to determine acuity of mental health concerns and refer enrollees to appropriate community resources
  • Participates in joint rounds with the HP
  • Provides training to the Medical Care Team on Behavioral Health issues
  • Identifies Behavioral Health cases with unmet medical needs and makes referral to the medical care team
  • Co-manages Behavioral Health members with co-morbidities

Job Care Advocacy
Primary Location US-OR-Portland
Other Location 
Organization Optum Ops-PHM Medicare
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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