Licensed Behavioral Health Case Manager - St. Louis MO - Remote - Full-time / Part-time

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. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. 

This Case Manager will provide support, telephonically and in the field (the member’s home, provider office, hospital, community center, etc.), for both direct referrals and data identified referrals.  This requires clinical expertise and ability to negotiate the complexities involved with special needs conditions such as substance use, suicidality/homicide, major depression, ADHD, eating disorders, and any severe mental illness.

This role is based out of the employee's home* but will be required to see members in the field throughout St. Louis, MO up to 30% of the time.

This role is required to be licensed in and reside in the state of Missouri.  The required schedule is Monday - Friday: 8:00am to 5:00pm.  

Primary Responsibilities:

• Facilitate member education and involvement of caregiver in the delivery of interventions
• Provide advocacy and support to member and family members, including caregiver support & appropriate referral to applicable / needed resources
• Ensure that members understand treatment options and are effectively linked to treatment resources
• Promote health, wellness and optimal psychosocial functioning for member (identify caregiver gaps, facilitate education and respite support)
• Consider the member’s needs holistically to identify gaps in care requiring intervention
• Exhibit excellent customer service in engaging providers in collaborative planning
• Create and maintain appropriate clinical records
• Participate as directed in clinical rounds with other members of the team and other external health care management organizations / vendors, as applicable. Also participate in advancing the Quality Improvement Program
• Conducts condition specific research to meet member needs
• Maintain success stories which can be utilized to promote program
• Provide case management support for individuals who meet diagnostic requirements including engagement of member and/ or family making available support throughout the entire continuum of treatment
• Explanation of authorization process
• Complete discharge follow-up & if needed, discharge planning / support

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 Behavioral Health, Bachelor's degree in Nursing, Associate's degree in Nursing with ten years of Behavioral Health experience, or a Doctorate-degreed Psychologist
• Independent Behavioral/Mental Health License or RN License in the state of Missouri
• 2+ years of demonstrated experience (post licensure) in a related mental health environment
• 1+ years of case management experience
• Proficient computer skills and good working knowledge of Microsoft Word
• Solid computer skills at the intermediate level, proficiency with MS Office to include Teams, Excel
• Access to high-speed internet from home (Broadband Cable, DSL, Fiber) and a dedicated workspace from home
• Available to meet with members in the field (member’s home, provide office, hospital, community center, etc.) up to 30% of the time
• Access to reliable transportation to travel to meet with members in the field (member’s home, provide office, hospital, community center, etc.)

Preferred Qualifications:

• Discharge planning experience
• Chart review experience
• Experience consulting with facility and/or hospital staff to coordinate treatment plans
• Experience working in community/county mental health
• Dual diagnosis experience with mental health and substance abuse
• Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
• Experience with government funded programs

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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.

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