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Medical Behavioral Integration Specialist - MBIS - SLC, Utah and Dallas / Forth Worth, TX

UnitedHealth Group


Location:
Salt Lake City, UT
Date:
06/23/2017
2017-06-232017-07-22
Job Code:
1751976
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Job Details


Medical Behavioral Integration Specialist - MBIS - SLC, Utah and Dallas / Forth Worth, TX(Job Number:716348)
Description

The OBS Medical Behavioral Health Integration Specialist (MBIS) 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, monitors utilization, 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, identifies and obtains approval on 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.  For the Frail and Elderly, Functional Assessment and Treatment Plan Summary forms as completed by contracted network clinicians are used by UBH Care Advocates, in addition to the medical chart, to make utilization decisions regarding appropriate services
  • Collaborates with the UBH 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
  • Authorizes medically appropriate services for enrollees to facilitate quality cost-effective patient outcomes in a timely manner

Job Behavioral Clinical Consulting
Primary Location US-UT-Salt Lake City
Other Location US-TX-Dallas, US-TX-Fort Worth
Organization Behavioral Sol - Public Sector
Schedule Full-time
Number of Openings 2
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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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