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Medical Behavioral Integration Specialist - MBIS - SLC, Utah

UnitedHealth Group


Location:
Salt Lake City, UT
Date:
11/21/2017
2017-11-212017-12-20
Job Code:
716348
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Job Details

716348 Medical Behavioral Integration Specialist MBIS SLC Utah and Dallas Forth Worth TX

Medical Behavioral Integration Specialist - MBIS - SLC, Utah (716348)

Position 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

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 or more years of experience in behavioral health
  • Licenses must be active and unrestricted
  • 2 years of experience in a related mental health environment  
  • Proficient computer skills and good working knowledge of Microsoft Word
  • Excellent customer service skills
  • Excellent interpersonal and problem-solving skills
  • Function independently and responsibly with minimal supervision
  • Strong team player and team building skills
  • Strong interpersonal skills
  • Able to function independently and responsibly with minimal supervision
  • Maintain direct and open communication with all levels of the organization
  • Able to handle sensitive issues with members and providers in a confidential manner
  • Demonstrates initiative in achieving individual, team, and organizational goals and objectives
  • Ability and flexibility to assume responsibilities and tasks in a constantly changing work environment
  • Strong oral and written communication skills - specifically telephone skills

Preferred Qualifications:

  • Medical/Behavioral setting experience (i.e. hospital, managed care organization, or joint medical/behavioral outpatient practice)
  • Dual diagnosis experience with mental health and substance abuse
  • Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
  • Experience working with low-income populations
  • Experience working with the aged, blind or disabled
  • Clinical training experience

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

 


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.

 

 

Job Keywords: SLC, Salt Lake City, Utah, UT, Dallas, Fort Worth, Texas, behavioral, Medicare, psychology, social work, PhD, RN, LMSW, LMFT, LCSW, mental health, medical, high risk, utilization, referrals, care advocate, clinical, United Health Group, UHG

Job Details

  • Contest Number716348
  • Job TitleMedical Behavioral Integration Specialist - MBIS - SLC, Utah
  • Job FamilyBehavioral
  • Business SegmentOptum Consumer Solutions Group

Job Location Information

  • Salt Lake City, UT
    United States
    North America
  • Other LocationsDallas, TX
    Fort Worth, TX

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelYes, 75 % of the Time
  • Telecommuter PositionNo
  • Overtime StatusExempt

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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