[Hiring] Telephonic Behavioral Health Case Manager @UnitedHealth Group

Role Description

The Behavioral Health Case Manager coordinates behavioral health services and supports across medical, behavioral, and community settings. Responsibilities include:

• Conduct telephonic behavioral health assessments
• Support individuals with serious mental illness, substance use disorders, co-occurring conditions, chronic illnesses, and complex social needs
• Develop and manage individualized care plans for high-risk members
• Collaborate with behavioral health providers to obtain clinical information and support treatment planning and care coordination activities
• Review behavioral health treatment requests and clinical documentation to support appropriate utilization, medical necessity, quality of care, and level-of-care determinations
• Assess treatment progress and collaborate with providers regarding ongoing treatment needs and service utilization
• Coordinate behavioral health, medical, substance use, and community-based services
• Educate members regarding available Medicaid and Medicare benefits and assist in accessing covered services
• Connect members to LTSS, HCBS, community-based services, and other resources that address health-related social needs
• Support members through transitions from hospitals, skilled nursing facilities, residential treatment, and other care settings
• Collaborate with providers, caregivers, and interdisciplinary team members to support integrated, whole-person care
• Provide crisis assessment, intervention, and coordination with providers and community resources when behavioral health needs escalate
• Document assessments, interventions, care plans, and member interactions in electronic systems

Qualifications

• Master’s degree in social work or related behavioral health field
• Active Washington behavioral health licensure, such as LICSW, LCSW, LMSW, or an equivalent license
• Licensed within the assigned states or ability to obtain additional licensure by start date
• 2+ years in a healthcare setting
• 1+ years of clinical or case management experience
• Experience assessing behavioral health and/or substance use conditions
• Experience with Medicaid Long Term Care, Long-term Services and Supports (LTSS), Home-and Community-Based Services, or a closely related Medicaid care management program

Requirements

• Experience supporting DSNP, Medicare Advantage, Medicaid managed care, or similar healthcare programs
• Experience providing field-based, home-based, or community-based care management
• Experience working with medically complex, high-risk, or dual-eligible populations
• Experience with crisis intervention, risk assessment, care transitions, or APS reporting
• Experience connecting members to community resources and social services

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (all benefits are subject to eligibility requirements)