Behavioral Health Case Management RN - Hybrid Telecommute Gainesville/Tampa, FL
Job description
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm)
The NorthStar Behavioral Health Advocate (BHA) works in partnership with other members of the Interdisciplinary Care Team (ICT) to provide clinical support focused on closing medical and behavioral gaps in care. In this role, you will provide clinical insights to address member specific concerns, identify needs that require escalation to the Medical Director for review, and provide treatment recommendations focused on improving the member’s quality of life and community tenure. Your behavioral and medical expertise will be essential to your success in this role and your ability to impact the lives of our members.
This is a hybrid remote position that includes up to 25% field work in the local community. The schedule is Monday through Friday, 8am – 5pm. If you are located in or near Gainesville or Tampa, FL, you will have the flexibility to work remotely* as you take on some tough challenges. Residency in one of these two areas is required due to business needs.
Primary Responsibilities:
- Collaborate with a multidisciplinary ICT to develop care plans, provide treatment and provider level insights, and connect members to community-based providers based on their individual needs, preference, and objectives
- Assist with team development of Motivational Interviewing techniques to help members identify and understand intrinsic goals and engage in intentional behavior change to meet their goals
- Provide education and consultation to a multidisciplinary team on medical, behavioral, and ancillary services available to members to address complex and comorbid health needs
- Develop relationships with local consumer-operated organizations to engage difficult to reach members
- Serve as member of internal and/or external treatment and care teams as needed or requested to facilitate access to and transition between services and providers
- Provide support to members, caregivers, or authorized representatives to schedule and/or attend appointments as needed
- Provide support to, and advocate on behalf of, members, caregivers, and families while working with internal matrix partners, community agencies, and providers to ensure effective collaboration and improved clinical outcomes that are aligned with the member’s needs
Required Qualifications:
- Bachelor’s degree
- Licensed Registered Nurse (RN) in the State of Florida with Behavioral Health experience
- 3+ years of experience providing direct clinical care in a medical and/or behavioral health treatment setting with emphasis on assessment, case management, and crisis intervention
- Dual diagnosis experience with medical and behavioral health
- Community behavioral health experience
- Demonstrated knowledge of Medicaid benefits
- Ability to listen, collect relevant information, build rapport quickly, respond compassionately, work independently, adapt to change, and interact with internal and external customers in a variety of environments
- Access to install secure, high-speed internet and a dedicated, distraction-free workspace at home
- Reliable transportation and the ability to travel as needed within the designated service delivery area (up to 25%)
- Reside in or near Gainesville or Tampa, FL
- Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation
Preferred Qualifications:
- Inpatient psychiatric experience
- Intermediate level of proficiency with Microsoft Office (Word, Excel, and Outlook)
- Bilingual in Spanish
If the hired individual resides in Florida (office based or telecommuting) this position requires the AHCA Level II background check (fingerprinting) by the State of Florida for all clinicians that have direct face to face contact with members OR employees who will have access to confidential patient data and will require renewal every five years.
XJ6
jackharris.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, jackharris.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, jackharris.com is the ideal place to find your next job.