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　　The United Healthcare at Home program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of members in their place of residence. The DSNP program combines UHC trained clinicians providing intensive interventions customized to the needs of each individual, in collaboration with the Interdisciplinary Care Team. United providers serve patients’ in their own homes through annual comprehensive assessments, ongoing visits for higher risk members, care coordination during transitions from the hospital or nursing home and ongoing care management. The program’s interdisciplinary care team approach provides needed care in person and through telephonic interventions in collaboration with the members Primary Care Provider and other members of the interdisciplinary care team.

　　The Behavioral Health Case Manager is responsible for case management primarily of behavioral health and substance abuse services along with medical comorbidities. This position provides case management services through review and evaluation of inpatient and outpatient behavioral health treatments for medical necessity, emergency status, and quality of care.

　　Work schedule is Monday to Friday 8:00 AM EST to 5:00 PM EST.

　　Primary Responsibilities:

　　Make patient assessments in home setting and determining appropriate levels of behavioral care needed

　　Obtain information from providers on outpatient requests for treatment

　　Determine if additional clinical treatment sessions are needed

　　Manage behavioral health cases throughout the entire treatment plan

　　Administer benefits and review treatment plans in collaboration with interdisciplinary care team

　　Assist in coordinating Medicaid/Medicare benefits and transitions between various areas of care

　　Communicate with members who have complex medical needs and may have communication barriers

　　Identify ways to add value to treatment plans and consulting with facility staff or outpatient care providers on those ideas

　　Focus on whole person care model for psychiatric and chemical dependency patients

　　Build relationships and work with a variety of populations within the community

　　Ability to work with low - income populations with complex social and medical needs including adults with serious mental illness and emotional disturbances, members with substance use disorders, and members with other complex or multiple chronic conditions

　　You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

　　Required Qualifications:

　　Master’s degree in Social Work

　　2+ years of experience in long-term care, home health, hospice, public health or assisted living

　　1+ years of clinical or case management experience

　　Experience working with MS Word, Excel and Outlook

　　Access to reliable transportation

　　Preferred Qualifications:

　　Experience with electronic charting

　　Experience with arranging community resources

　　Field based work experience

　　Experience working with complex family systems and dynamics

　　Experience in Crisis Intervention

　　Experience working in Duals (DSNP) and/or Medicaid environment

　　Background in managing populations with complex medical or behavioral needs

　　Knowledge of both Medical and Behavioral Health Diagnosis and terminology

　　Knowledge of symptom identification and intervention, associated with Behavioral Health and Substance Use disorders

　　Knowledge of EPS reporting processes

　　Knowledge of resources to address SDOH

　　Understanding of health disparities among various membership, based on their race or ethnicity; religion; socioeconomic status; sexual orientation; gender, gender identity; age; mental health; cognitive, sensory or physical disability; geographic location or other characteristics historically linked to discrimination and exclusion

　　Excellent written and verbal communication and relationship building skills

　　Planning and organizational skills

　　Ability to work independently as well as a member of a team

　　Bilingual English/Spanish

　　Connecticut Residents Only: The salary range for Connecticut residents is $58,300 to $114,300 annually. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

　　At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

　　Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

　　OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.