Medicaid Mental Health Care Manager - LCSW/LMHC - Field-Based Manhattan Job at Optum Health/United Healthcare
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 overall purpose of this role is to improve the enrollee's ability to remain stable in the community and out of the hospital. The role is to engage the person in the treatment process and then assist him/her to access the appropriate community services so they can pursue their treatment goals in the community and avoid institutionalization. This position requires field visits going into hospitals, clinical facilities and in the community. You will be in the field most of the time.
The position is also designed to be a direct clinical liaison between health plan staff and the clinical network. The program fosters a collegial and mutually beneficial relationship between the providers and payers of medical and behavioral health services.
This position is primarily field based in Manhattan or Brooklyn, NY. 80% of the week is spent in the community meeting with members. 20% of the week is spent working from home. The schedule is Monday - Friday, 8 am to 5 pm.
Primary Responsibilities:
- Identify and provide community service linkage
- Assist enrollees with aftercare appointments
- Provide subsequent member follow-up as determined by individual member needs
- Work with enrollees to identify gaps in care or obstacles to care and problem solve for successful connection to needed services
- Review IP Census each day to determine which enrollees on the census are re-admits within the last 12 months
- Go to facility meetings with treatment team to develop a successful aftercare plan
- Manage the aftercare follow-up of identified high risk enrollees (manage follow-up calls/outreach and documentation)
- Meet with community providers/facilities as company liaison to foster good rapport and relationships and identify new programs
Required Qualifications:
- One of the following: Master's degree in a Behavioral Health related field
- Active, unrestricted, independent license the State of New York as a Licensed Mental Health Counselor (LMHC) Licensed Marriage & Family Therapist (LMFT)Licensed Clinical Social Worker (LCSW)Licensed Psychologist (LP)Registered Nurse (RN) with 10+ years of Behavioral Health experience
- 2+ years of experience in a related mental health environment
- 2+ years of children / adolescent experience in a behavioral health setting
- Proficient computer skills and good working knowledge of Excel spreadsheets
- Access to install secure, high-speed internet and a dedicated, distraction-free workspace at home
- Must reside in Manhattan or Brooklyn, NY
- Ability to work in the field throughout the Manhattan or Brooklyn area every day
- 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:
- Experience with foster care, first episode psychosis, HCBS, CFTSS providers in the local communities
- 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
- Case Management experience
- Field based experience
- Experience working with low-income populations
- Experience working with the aged, blind, or disabled
- Working knowledge of city and state agencies and practices to include APS, ACS, AOT, ACT, Health Home, Forensic and others
Job Type: Full-time
Pay: $85,000.00 - $88,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Professional development assistance
- Retirement plan
- Tuition reimbursement
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Supplemental pay types:
- Bonus pay
- Signing bonus
Application Question(s):
- Do you have active, independent licensure in New York in one of the following categories (LCSW, LMFT, LMHC, LP)?
Work Location: Hybrid remote in New York, NY 10026
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