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Telephonic Care Advocate - Telecommute from Ohio

UnitedHealth Group

Cleveland, OH
Job Code:
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Job Details

Telephonic Care Advocate - Telecommute from Ohio(Job Number:724432)

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 Telephonic 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. Telephonic 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.
This position will be a telecommute / work from home position and candidates must reside in Ohio.
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, in - person and telephonically
    • Meet with consumers in - person at facilities, provider offices, and in homes as appropriate
  • Partner with designated external providers, programs, entities to address  the needs, gaps in care, and recovery goals of complex and high risk consumers:
    • Identify and address the needs of members who are consistently high utilizers of services through case conferences and informal communications
    • Participate in standing meetings to review performance, identify areas of opportunity, and oversee course for improvements
    • Partner with parents, family and natural community supports to enable children to receive services while remaining in their homes and communities
  • Serve as an Optum behavioral health liaison and subject matter expert for Ohio UnitedHealth Care Medical Partners; establish and foster positive relationships with medical team, participate in medical - behavioral integration activities and discussions
    • Identify high - risk, co - morbid needs of consumer
    • 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 consumers 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
    • Participate 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
  • 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
    • 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 trainings
    • Maintain approved workload and support metrics and outcomes

Job Care Advocacy
Primary Location US-OH-Cleveland
Other Location US-OH-Bellaire, US-OH-Maple Heights, US-OH-DUBLIN, US-OH-University Heights, US-OH-Marietta, US-OH-Canfield, US-OH-Dayton, US-OH-Lisbon, US-OH-Columbus, US-OH-Youngstown, US-OH-BEAVERCREEK, US-OH-Toledo, US-OH-Canton, US-OH-Akron, US-OH-Cincinnati, US-OH-Kettering, US-OH-Cuyahogo Falls, US-OH-Bowling Green-Ohio, US-OH-Blue Ash, US-OH-Kent, US-OH-Westerville
Organization Optum Ops-PHM Medicaid
Schedule Full-time
Number of Openings 1
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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