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Case Manager jobs at Acadia Healthcare

- 36 jobs
  • Substance Use Counselor

    Acadia Healthcare 4.0company rating

    Case manager job at Acadia Healthcare

    Outpatient MAT Opioid Treatment Program Seeking: Substance Use Counselor CDCA, LCDC II, LCDC III, LICDC, or LICDC-CS Full-Time Hours: Monday - Friday 6 AM - 2 PM Rotating Saturdays 7 AM - 9:30 AM Our Benefits: Semi-Annual Bonus Program Medical, Dental, and Vision insurance Competitive 401(k) plan Paid vacation and sick time Employer-paid clinical supervision (free to employees) Free and unlimited access to 500+ accredited Continuing Education Units (CEUs) Employee Assistance Program (EAP) offering continued support to employee lifestyle and well-being Early morning hours offering a great work/life balance Opportunity for growth that is second to none in the industry Our Team: Canton Comprehensive Treatment Center (CTC), located in Canton, OH, is part of Acadia Healthcare's Comprehensive Treatment Centers, the leading provider of medication-assisted treatment in the nation. Our counseling team provides compassionate, high-quality counseling and therapy to patients that are seeking recovery from Opioid Use Disorder. Your Job as a Substance Use Counselor: The Substance Use Counselor is instrumental in our patient's treatment and recovery from opioid use disorder. Substance Use Counselors provide high quality, compassionate care through various mediums which include both individual and group counseling sessions. Job Responsibilities: Provide high quality, compassionate guidance in both individual and group counseling sessions. Plan, oversee, facilitate and document patient's recovery. Co-facilitate assigned group or family sessions as needed. Ensure all documentation regarding patient care, treatment, and incidents is completed timely and in a clear, concise manner. Prepare individual treatment plans for each assigned patient. Initial assessments as well as follow up assessments. Evaluate patient needs and determine if referrals to other programs or facilities are needed. May plan for aftercare for assigned patients. Provide crisis intervention to patients, as needed. Provide case management duties for patients, ensuring individualized quality care as needed. Act as a liaison between referral sources and patients, as needed. Eligible positions may qualify for student loan forgiveness through HRSA, depending on clinic site eligibility. Check your eligibility here: HRSA Eligibility Qualifications Required Education, Skills, and Qualifications: HS graduate or GED equivalent required; Prefer Bachelor's or Master's degree in social or health services field; Degree must be from an accredited college or university. Previous experience in addiction recovery or behavioral health settings, such as outpatient, residential, or correctional facilities. Previous experience with Medication-Assisted Treatment (MAT), including methadone, buprenorphine, and naltrexone. Experience conducting individual and group counseling sessions focused on substance use recovery. Knowledge of evidence-based practices, such as Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), and relapse prevention techniques. Documentation experience, including maintaining clinical notes, treatment plans, and progress updates in accordance with state and federal guidelines. Familiarity with state regulatory standards (e.g., 42 CFR Part 2, HIPAA, Joint Commission standards). Experience collaborating in a multidisciplinary team with medical staff, case managers, and peer support specialists. Required Licenses/Certifications: Position applicable to the following: CDCA, LCDC II, LCDC III, LICDC & LICDC-CS We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws. AHCTC #LI-CTC #LI-JW1
    $38k-62k yearly est. Auto-Apply 21d ago
  • Behavioral Health Case Manager - Remote in Missouri

    Unitedhealth Group 4.6company rating

    Saint Joseph, MO jobs

    The Optum family of businesses, is seeking a Behavioral Health Case Manager to join our team in Missouri. As a member of the Optum Behavioral Care team, you'll be an integral part of our vision to make healthcare better for everyone. The Behavioral Health Case Manager will provide telephonic and in-person support for both direct referrals and data identified referrals. This requires clinical expertise and the ability to negotiate the complexities involved with special needs conditions such as substance use, suicidality/homicide, major depression, ADHD, eating disorders, and severe mental illness. This position may require minimal field work to meet with members at local facilities in the future. **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 + Conduct 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 Psychology, Social Work, Counseling, or Marriage and Family Counseling or Licensed Ph.D. + Active, unrestricted clinical license to practice independently without supervision in the state of Missouri + 2+ years of post-licensure experience in a related mental health environment + 1+ years of case management experience + Proven intermediate level computer skills including proficiency with MS Office Suite + Access to high-speed internet (Broadband Cable, DSL, Fiber) and a dedicated workspace at home + Reside in Missouri **Preferred Qualifications:** + Hospital experience including intakes, assessments, discharge planning, and/or case management + Community mental health experience including case management + Experience doing chart reviews + Experience consulting with facility and/or hospital staff to coordinate treatment plans + 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 **Explore opportunities at Optum Behavioral Care.** We're revolutionizing behavioral health care delivery for individuals, clinicians and the entire health care system. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while **Caring. Connecting. Growing together.** Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. _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._ _OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
    $58.8k-105k yearly 60d+ ago
  • Behavioral Health Case Manager - Remote in Missouri

    Unitedhealth Group 4.6company rating

    Kansas City, MO jobs

    The Optum family of businesses, is seeking a Behavioral Health Case Manager to join our team in Missouri. As a member of the Optum Behavioral Care team, you'll be an integral part of our vision to make healthcare better for everyone. The Behavioral Health Case Manager will provide telephonic and in-person support for both direct referrals and data identified referrals. This requires clinical expertise and the ability to negotiate the complexities involved with special needs conditions such as substance use, suicidality/homicide, major depression, ADHD, eating disorders, and severe mental illness. This position may require minimal field work to meet with members at local facilities in the future. **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 + Conduct 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 Psychology, Social Work, Counseling, or Marriage and Family Counseling or Licensed Ph.D. + Active, unrestricted clinical license to practice independently without supervision in the state of Missouri + 2+ years of post-licensure experience in a related mental health environment + 1+ years of case management experience + Proven intermediate level computer skills including proficiency with MS Office Suite + Access to high-speed internet (Broadband Cable, DSL, Fiber) and a dedicated workspace at home + Reside in Missouri **Preferred Qualifications:** + Hospital experience including intakes, assessments, discharge planning, and/or case management + Community mental health experience including case management + Experience doing chart reviews + Experience consulting with facility and/or hospital staff to coordinate treatment plans + 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 **Explore opportunities at Optum Behavioral Care.** We're revolutionizing behavioral health care delivery for individuals, clinicians and the entire health care system. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while **Caring. Connecting. Growing together.** Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. _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._ _OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
    $58.8k-105k yearly 60d+ ago
  • Behavioral Health Case Manager - Remote in Missouri

    Unitedhealth Group Inc. 4.6company rating

    Kansas City, MO jobs

    The Optum family of businesses, is seeking a Behavioral Health Case Manager to join our team in Missouri. As a member of the Optum Behavioral Care team, you'll be an integral part of our vision to make healthcare better for everyone. The Behavioral Health Case Manager will provide telephonic and in-person support for both direct referrals and data identified referrals. This requires clinical expertise and the ability to negotiate the complexities involved with special needs conditions such as substance use, suicidality/homicide, major depression, ADHD, eating disorders, and severe mental illness. This position may require minimal field work to meet with members at local facilities in the future. 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 * Conduct 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 Psychology, Social Work, Counseling, or Marriage and Family Counseling or Licensed Ph.D. * Active, unrestricted clinical license to practice independently without supervision in the state of Missouri * 2+ years of post-licensure experience in a related mental health environment * 1+ years of case management experience * Proven intermediate level computer skills including proficiency with MS Office Suite * Access to high-speed internet (Broadband Cable, DSL, Fiber) and a dedicated workspace at home * Reside in Missouri Preferred Qualifications: * Hospital experience including intakes, assessments, discharge planning, and/or case management * Community mental health experience including case management * Experience doing chart reviews * Experience consulting with facility and/or hospital staff to coordinate treatment plans * 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 Explore opportunities at Optum Behavioral Care. We're revolutionizing behavioral health care delivery for individuals, clinicians and the entire health care system. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while Caring. Connecting. Growing together. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. 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. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
    $58.8k-105k yearly 27d ago
  • Senior Case Manager RN - Remote in Las Vegas, NV

    Unitedhealth Group 4.6company rating

    Las Vegas, NV jobs

    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start **Caring. Connecting. Growing together** If you are located in Las Vegas, NV, you will have the flexibility to work remotely* as you take on some tough challenges. **Primary Responsibilities:** + Complete IQ Initial Utilization review process within 24-48 hours of notification to the health plan in ICM under COC Inpatient Utilization Review Note + Complete IQ Concurrent Utilization review process within 72 hours of notification to the health plan in ICM under COC inpatient Utilization Review Note + Update bed day coding daily + Complete any Variances as directed by the Health Plan Medical Directors/Managers + Variances include: Delay of Service, Administrative Adverse Determinations, Medical Necessity Adverse + Determinations, Missed Opportunity, Quality of Care incident reports, & Hospital Acquired Condition assessments + May need to cross cover other facilities for UM functions & May need to physically float to other hospitals + Assess members for discharge planning & Social Determinates of Health needs within 24 hours of notification + Complete Discharge Planning Assessment note in ICM within 24 hours of notification to Health plan of admission + Complete Medicaid PCP Assessment note in collaboration with the CAC within 3 attempts + Collaborate with the member, attending physician and hospital staff to ensure the member discharges to the most appropriate level of care and needs are met for discharge planning + Coordinate discharge disposition needs (SNF, LTAC, AIR, HHC, & DME) + Ensure the CAC is aware of all Transitions of Care referral needs through tasking and appropriate communication + Collaborate with the Behavioral Health department, Nevada Behavioral Health and community health care workers for member's identified with Behavioral Health needs + Complete Discharge Planning Note within 48 hours of member being discharged from the acute inpatient hospital facility + Physically round at hospital facilities (Face to Face) with the members daily and collaborate with facility stakeholders + Attended Hospital UM Management Rounds + Serves as a resource for inpatient case managers + Anticipate customer needs and proactively develops solutions to meet them + Serves as a key resource on complex and/or critical issues + Solves complex problems and develops innovative solutions + Reviews work performed by others and provides recommendations for improvement + Forecasts and plans resource requirements + Provides explanations and information to others on the most complex issues + Motivates and inspires other team members + Leads as a preceptor to prepare nurses for the care coordination and utilization management roles 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:** + Unrestricted RN license + Managed Care experience (Previous Quality review experience preferred) **Preferred Qualifications:** + BSN or MSN *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $34.23 to $61.15 per hour based on full-time employment. We comply with all minimum wage laws as applicable. _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._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
    $34.2-61.2 hourly 8d ago
  • Behavioral Health Case Manager - Remote in Missouri

    Unitedhealth Group 4.6company rating

    Springfield, MO jobs

    The Optum family of businesses, is seeking a Behavioral Health Case Manager to join our team in Missouri. As a member of the Optum Behavioral Care team, you'll be an integral part of our vision to make healthcare better for everyone. The Behavioral Health Case Manager will provide telephonic and in-person support for both direct referrals and data identified referrals. This requires clinical expertise and the ability to negotiate the complexities involved with special needs conditions such as substance use, suicidality/homicide, major depression, ADHD, eating disorders, and severe mental illness. This position may require minimal field work to meet with members at local facilities in the future. **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 + Conduct 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 Psychology, Social Work, Counseling, or Marriage and Family Counseling or Licensed Ph.D. + Active, unrestricted clinical license to practice independently without supervision in the state of Missouri + 2+ years of post-licensure experience in a related mental health environment + 1+ years of case management experience + Proven intermediate level computer skills including proficiency with MS Office Suite + Access to high-speed internet (Broadband Cable, DSL, Fiber) and a dedicated workspace at home + Reside in Missouri **Preferred Qualifications:** + Hospital experience including intakes, assessments, discharge planning, and/or case management + Community mental health experience including case management + Experience doing chart reviews + Experience consulting with facility and/or hospital staff to coordinate treatment plans + 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 **Explore opportunities at Optum Behavioral Care.** We're revolutionizing behavioral health care delivery for individuals, clinicians and the entire health care system. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while **Caring. Connecting. Growing together.** Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. _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._ _OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
    $58.8k-105k yearly 60d+ ago
  • Behavioral Health Case Manager - Remote in Missouri

    Unitedhealth Group 4.6company rating

    OFallon, MO jobs

    The Optum family of businesses, is seeking a Behavioral Health Case Manager to join our team in Missouri. As a member of the Optum Behavioral Care team, you'll be an integral part of our vision to make healthcare better for everyone. The Behavioral Health Case Manager will provide telephonic and in-person support for both direct referrals and data identified referrals. This requires clinical expertise and the ability to negotiate the complexities involved with special needs conditions such as substance use, suicidality/homicide, major depression, ADHD, eating disorders, and severe mental illness. This position may require minimal field work to meet with members at local facilities in the future. **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 + Conduct 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 Psychology, Social Work, Counseling, or Marriage and Family Counseling or Licensed Ph.D. + Active, unrestricted clinical license to practice independently without supervision in the state of Missouri + 2+ years of post-licensure experience in a related mental health environment + 1+ years of case management experience + Proven intermediate level computer skills including proficiency with MS Office Suite + Access to high-speed internet (Broadband Cable, DSL, Fiber) and a dedicated workspace at home + Reside in Missouri **Preferred Qualifications:** + Hospital experience including intakes, assessments, discharge planning, and/or case management + Community mental health experience including case management + Experience doing chart reviews + Experience consulting with facility and/or hospital staff to coordinate treatment plans + 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 **Explore opportunities at Optum Behavioral Care.** We're revolutionizing behavioral health care delivery for individuals, clinicians and the entire health care system. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while **Caring. Connecting. Growing together.** Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. _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._ _OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
    $58.8k-105k yearly 60d+ ago
  • Behavioral Health Case Manager - Remote in Missouri

    Unitedhealth Group 4.6company rating

    Saint Louis, MO jobs

    The Optum family of businesses, is seeking a Behavioral Health Case Manager to join our team in Missouri. As a member of the Optum Behavioral Care team, you'll be an integral part of our vision to make healthcare better for everyone. The Behavioral Health Case Manager will provide telephonic and in-person support for both direct referrals and data identified referrals. This requires clinical expertise and the ability to negotiate the complexities involved with special needs conditions such as substance use, suicidality/homicide, major depression, ADHD, eating disorders, and severe mental illness. This position may require minimal field work to meet with members at local facilities in the future. **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 + Conduct 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 Psychology, Social Work, Counseling, or Marriage and Family Counseling or Licensed Ph.D. + Active, unrestricted clinical license to practice independently without supervision in the state of Missouri + 2+ years of post-licensure experience in a related mental health environment + 1+ years of case management experience + Proven intermediate level computer skills including proficiency with MS Office Suite + Access to high-speed internet (Broadband Cable, DSL, Fiber) and a dedicated workspace at home + Reside in Missouri **Preferred Qualifications:** + Hospital experience including intakes, assessments, discharge planning, and/or case management + Community mental health experience including case management + Experience doing chart reviews + Experience consulting with facility and/or hospital staff to coordinate treatment plans + 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 **Explore opportunities at Optum Behavioral Care.** We're revolutionizing behavioral health care delivery for individuals, clinicians and the entire health care system. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while **Caring. Connecting. Growing together.** Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. _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._ _OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
    $58.8k-105k yearly 60d+ ago
  • Field-Based Case Manager - Remote in Pickaway County in OH Market

    Unitedhealth Group 4.6company rating

    Circleville, OH jobs

    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start **Caring. Connecting. Growing together** As a Field-Based Case Manager (CM), you will act in a liaison role to ensure appropriate care is accessed, as well as to provide home and social assessments and member education. Case Managers work in a team based structure and spend the majority of their time in the community engaging directly with members. **If you reside within a commutable distance of Pickaway, Fairfield, Ross, Fayette or Madison Counties, OH, you will have the flexibility to work remotely* as you take on some tough challenges.** **Primary Responsibilities:** + Engage members either face to face or over the phone to assist with closing gaps in care, linking to necessary services and providing education about their health + Review available member service records and relevant documentation (e.g. utilization history, functional level, stratification information, current plan of care) + Conduct member health assessment that includes bio-psychosocial, functional, and behavioral health needs + Utilize interviewing techniques and active listening to collect and retain member information and incorporating responses as they are presented to complete assessment + Identify member service needs related to health concerns + Identify urgent member situations + Engage member to participation in the assessment process and collaboratively develop Care Plan based on individual needs, preferences, and objectives + Provide nursing oversight while collaborating with Care Guides (CGs) + Work with members to develop healthcare goals and identify potential barriers to achieving healthcare goals + Identify member support systems available and incorporate into their Care Plan + Review plan benefits and identify appropriate programs and services based on health needs and benefits + Integrate health care and services needs into a plan or recommendation for member care and service + Work collaboratively with the interdisciplinary care team to ensure an integrated tam approach + Collaborate with member to create solutions to overcome barriers to achieving healthcare goals + Identify relevant community resources available based on member needs + Refer members to appropriate programs and services + Facilitate member choice of preferred provider + Advocate for individuals and communities within the health and social service systems 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:** + State of Ohio RN License, and applicable degree + Field-based experience + Knowledge of culture and values of community + Familiarity with the resources available in the community + Resided within the local community for 2+ years + Reside or be able to commute within Jefferson County, Ohio + Ability to travel locally up to 75% of the time + Access to reliable transportation that will enable you to travel to member and/or patient sites within a designated area + Available to work Monday through Friday 8:00 AM to 5:00 PM + Have a dedicated work area established that is separated from other living areas and provides information privacy + Proven ability to keep all company sensitive documents secure + Live in a location that can receive UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service **Preferred Qualifications:** + Case Management Certification (CCM) + Care management experience + Experience working in Managed Care + Telephonic customer service experience + Knowledge of Medicaid and/or Medicare population + Knowledge and/or experience with behavioral health or substance use disorders + Employment in a medical office or other provider environment *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. \#UHCPJ _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._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
    $28.3-50.5 hourly 60d+ ago
  • Case Manager - Manager- Remote in MA

    Unitedhealth Group 4.6company rating

    Boston, MA jobs

    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start **Caring. Connecting. Growing together.** **UnitedHealthcare Community & State Senior Care Options plan** is a Fully Integrated Dual-Special Needs Plan (FIDE-SNP) serving dually eligible individuals in the Commonwealth of Massachusetts aged 65 or greater. This position reports to the Health Services Director in the Health Services Department within the Senior Care Options Plan. This position sets team direction, resolves problems and provides direction to nurse case managers. This position adapts departmental plans and priorities to address business and operational challenges such as staffing, the clinical model and inter-departmental actions and goals. 10% of expected travel within Massachusetts. If you reside near Worcester, MA, you will enjoy the flexibility to telecommute* as you take on some tough challenges." **Primary Responsibilities:** **Leadership:** + Supervises a team that varies in size based upon Capacity Plans and staffing models. Direct reports are located at same site, at home or at a remote UHC site + Hires, manages and develops new employees and proactively monitors individual and team performance by providing frequent, ongoing feedback and coaching + Implement strategies to improve operational performance, quality and delivery service to constituents + Leads regular team meetings to communicate changes, relevant operational performance information and/or to build employee engagement + Utilizes Our United Culture concepts and tools and delivers on the commitments + Demonstrates a positive leadership shadow by shaping positive behaviors in areas of influence, building integrity, influencing our values and creating a healthy, high-performance environment **Drive Effective Clinical Decisions within a Business Environment:** **Operational Performance:** + Develops and/or implements bottoms-up strategies to improve operational performance + Continually stays abreast of operational performance, identifies degradation in service levels and leads to remediation of issues + Responsible for the interview and selection decisions on new hire staffing within their own hierarchy + Accountable for a successful new hire onboarding experience + Responsible for creating a positive and meaningful onboarding experience for all employees + Delivers and documents one-on-one coaching to improve all aspects of performance and effectiveness + Completes "side-by-side" monitoring/coaching with direct reports on a regular basis + As needed, prepares, delivers and manages remediation plans + Participate in job fairs, open houses and other recruitment events as needed + Ensure compliance with Model of Care and State contractual requirements (Chart audits) + Utilize evidence-based guidelines (e.g., medical necessity guidelines, practice standards, industry standards, best practices, and contractual requirements) to make clinical decisions, improve clinical outcomes and achieve business results + Use appropriate business metrics (e.g. member/FTE, length of stay, readmission rates, STAR ratings, member engagement rates) and applicable processes/tools (e.g. cost benefit analysis, return on investment, performance, staffing calculator) to optimize decisions and clinical outcomes + Prioritize work based on business algorithms and established work processes, or in their absence, identify business priorities and build consensus to triage and deliver work (e.g. assessments, case/claim loads, previous hospitalizations, acuity, morbidity rates, quality of care follow up) + Understand and operate effectively/efficiently within legal/regulatory requirements (e.g., HIPAA, CMS, State) **Coaching & Performance Management:** + Communicate with direct reports on a regular basis through coaching sessions and by providing timely, actionable feedback + Ensures performance metrics and goals are reviewed on a regular and frequent basis, with time set aside for incidental issues + Provides purposeful and actionable development feedback to direct reports and monitors to support their performance improvement + If, after the action items of the development plan do not yield the desired positive results in the agreed upon timeframe, CAP is initiated in accordance with UHG policies and practices + Works with HRdirect on disciplinary actions or terminations and seeks manager approval on all terminations + Tracks and manages attendance and punctuality in a timely and accurate manner **Development & Employee Engagement:** + Prepares and delivers thorough and meaningful performance discussions and documents with data and fact-based examples to reduce ambiguity of ongoing expectations + Creates purposeful and actionable development plans, reviews with employees and monitors to support their performance improvement expectations and development + Engages in regular, meaningful and candid development and career discussions with direct reports + Guides employees to leverage available training and development resources + Analyzes and understands Employee experience survey results and communicates results to team members + Works to establish an action plan to address opportunity areas and improve results + Supports overall organization in employee engagement programs and communications **Communication:** + Holds consistent 1:1meetings with direct reports + Regularly leverages various communication channels, including one-on-ones and new hire class leadership interactions to foster two-way communication. Inspires employees to see the link between their position and personal performance to organizational strategy, company performance and the UHC brand **Demonstrate Business and Industry Knowledge:** + Demonstrate knowledge of computer functionality and software applications (e.g., navigating systems, troubleshooting, electronic charting, accessing intranet and record management databases) + Demonstrate knowledge of relevant state and federal guidelines (e.g., Medicare, Medicaid,) or regulatory bodies (e.g., EOHHS, HIPAA, Milliman) + Demonstrate understanding of relevant health care benefit plans + Demonstrate knowledge of applicable area of clinical specialization + Utilize resources to enhance professional practice and development based on learning gaps or new information You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Unrestricted Nursing license in the state of MA + 5+ years of care management experience and/or 5+ years of equivalent clinical knowledge and experience such as social care, healthcare coordination, quality improvement + 1+ years of experience with SharePoint and shared network drives + Intermediate level of proficiency with Microsoft Office applications, including Word, Excel and PowerPoint + Access to reliable transportation and valid US driver's license **Preferred Qualifications:** + BS / BA Degree + 3+ years of leadership experience + Proven ability to focus activities on a strategic direction and achieve targets + Time management and prioritization skills + Strong written and verbal professional communication skills + Excellent team development skills + Strong interpersonal skills + Ability to work in a self-directed manner in a fast-paced, rapidly changing environment + Demonstrated leadership abilities *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable. _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._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._ \#RPO #GREEN
    $49k-56k yearly est. 21d ago
  • Case Manager - Manager- Remote in MA

    Unitedhealth Group 4.6company rating

    Worcester, MA jobs

    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start **Caring. Connecting. Growing together.** **UnitedHealthcare Community & State Senior Care Options plan** is a Fully Integrated Dual-Special Needs Plan (FIDE-SNP) serving dually eligible individuals in the Commonwealth of Massachusetts aged 65 or greater. This position reports to the Health Services Director in the Health Services Department within the Senior Care Options Plan. This position sets team direction, resolves problems and provides direction to nurse case managers. This position adapts departmental plans and priorities to address business and operational challenges such as staffing, the clinical model and inter-departmental actions and goals. 10% of expected travel within Massachusetts. If you reside near Worcester, MA, you will enjoy the flexibility to telecommute* as you take on some tough challenges." **Primary Responsibilities:** **Leadership:** + Supervises a team that varies in size based upon Capacity Plans and staffing models. Direct reports are located at same site, at home or at a remote UHC site + Hires, manages and develops new employees and proactively monitors individual and team performance by providing frequent, ongoing feedback and coaching + Implement strategies to improve operational performance, quality and delivery service to constituents + Leads regular team meetings to communicate changes, relevant operational performance information and/or to build employee engagement + Utilizes Our United Culture concepts and tools and delivers on the commitments + Demonstrates a positive leadership shadow by shaping positive behaviors in areas of influence, building integrity, influencing our values and creating a healthy, high-performance environment **Drive Effective Clinical Decisions within a Business Environment:** **Operational Performance:** + Develops and/or implements bottoms-up strategies to improve operational performance + Continually stays abreast of operational performance, identifies degradation in service levels and leads to remediation of issues + Responsible for the interview and selection decisions on new hire staffing within their own hierarchy + Accountable for a successful new hire onboarding experience + Responsible for creating a positive and meaningful onboarding experience for all employees + Delivers and documents one-on-one coaching to improve all aspects of performance and effectiveness + Completes "side-by-side" monitoring/coaching with direct reports on a regular basis + As needed, prepares, delivers and manages remediation plans + Participate in job fairs, open houses and other recruitment events as needed + Ensure compliance with Model of Care and State contractual requirements (Chart audits) + Utilize evidence-based guidelines (e.g., medical necessity guidelines, practice standards, industry standards, best practices, and contractual requirements) to make clinical decisions, improve clinical outcomes and achieve business results + Use appropriate business metrics (e.g. member/FTE, length of stay, readmission rates, STAR ratings, member engagement rates) and applicable processes/tools (e.g. cost benefit analysis, return on investment, performance, staffing calculator) to optimize decisions and clinical outcomes + Prioritize work based on business algorithms and established work processes, or in their absence, identify business priorities and build consensus to triage and deliver work (e.g. assessments, case/claim loads, previous hospitalizations, acuity, morbidity rates, quality of care follow up) + Understand and operate effectively/efficiently within legal/regulatory requirements (e.g., HIPAA, CMS, State) **Coaching & Performance Management:** + Communicate with direct reports on a regular basis through coaching sessions and by providing timely, actionable feedback + Ensures performance metrics and goals are reviewed on a regular and frequent basis, with time set aside for incidental issues + Provides purposeful and actionable development feedback to direct reports and monitors to support their performance improvement + If, after the action items of the development plan do not yield the desired positive results in the agreed upon timeframe, CAP is initiated in accordance with UHG policies and practices + Works with HRdirect on disciplinary actions or terminations and seeks manager approval on all terminations + Tracks and manages attendance and punctuality in a timely and accurate manner **Development & Employee Engagement:** + Prepares and delivers thorough and meaningful performance discussions and documents with data and fact-based examples to reduce ambiguity of ongoing expectations + Creates purposeful and actionable development plans, reviews with employees and monitors to support their performance improvement expectations and development + Engages in regular, meaningful and candid development and career discussions with direct reports + Guides employees to leverage available training and development resources + Analyzes and understands Employee experience survey results and communicates results to team members + Works to establish an action plan to address opportunity areas and improve results + Supports overall organization in employee engagement programs and communications **Communication:** + Holds consistent 1:1meetings with direct reports + Regularly leverages various communication channels, including one-on-ones and new hire class leadership interactions to foster two-way communication. Inspires employees to see the link between their position and personal performance to organizational strategy, company performance and the UHC brand **Demonstrate Business and Industry Knowledge:** + Demonstrate knowledge of computer functionality and software applications (e.g., navigating systems, troubleshooting, electronic charting, accessing intranet and record management databases) + Demonstrate knowledge of relevant state and federal guidelines (e.g., Medicare, Medicaid,) or regulatory bodies (e.g., EOHHS, HIPAA, Milliman) + Demonstrate understanding of relevant health care benefit plans + Demonstrate knowledge of applicable area of clinical specialization + Utilize resources to enhance professional practice and development based on learning gaps or new information You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Unrestricted Nursing license in the state of MA + 5+ years of care management experience and/or 5+ years of equivalent clinical knowledge and experience such as social care, healthcare coordination, quality improvement + 1+ years of experience with SharePoint and shared network drives + Intermediate level of proficiency with Microsoft Office applications, including Word, Excel and PowerPoint + Access to reliable transportation and valid US driver's license **Preferred Qualifications:** + BS / BA Degree + 3+ years of leadership experience + Proven ability to focus activities on a strategic direction and achieve targets + Time management and prioritization skills + Strong written and verbal professional communication skills + Excellent team development skills + Strong interpersonal skills + Ability to work in a self-directed manner in a fast-paced, rapidly changing environment + Demonstrated leadership abilities *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable. _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._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._ \#RPO #GREEN
    $49k-57k yearly est. 21d ago
  • Case Manager - Manager- Remote in MA

    Unitedhealth Group Inc. 4.6company rating

    Worcester, MA jobs

    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. UnitedHealthcare Community & State Senior Care Options plan is a Fully Integrated Dual-Special Needs Plan (FIDE-SNP) serving dually eligible individuals in the Commonwealth of Massachusetts aged 65 or greater. This position reports to the Health Services Director in the Health Services Department within the Senior Care Options Plan. This position sets team direction, resolves problems and provides direction to nurse case managers. This position adapts departmental plans and priorities to address business and operational challenges such as staffing, the clinical model and inter-departmental actions and goals. 10% of expected travel within Massachusetts. If you reside near Worcester, MA, you will enjoy the flexibility to telecommute* as you take on some tough challenges." Primary Responsibilities: Leadership: * Supervises a team that varies in size based upon Capacity Plans and staffing models. Direct reports are located at same site, at home or at a remote UHC site * Hires, manages and develops new employees and proactively monitors individual and team performance by providing frequent, ongoing feedback and coaching * Implement strategies to improve operational performance, quality and delivery service to constituents * Leads regular team meetings to communicate changes, relevant operational performance information and/or to build employee engagement * Utilizes Our United Culture concepts and tools and delivers on the commitments * Demonstrates a positive leadership shadow by shaping positive behaviors in areas of influence, building integrity, influencing our values and creating a healthy, high-performance environment Drive Effective Clinical Decisions within a Business Environment: Operational Performance: * Develops and/or implements bottoms-up strategies to improve operational performance * Continually stays abreast of operational performance, identifies degradation in service levels and leads to remediation of issues * Responsible for the interview and selection decisions on new hire staffing within their own hierarchy * Accountable for a successful new hire onboarding experience * Responsible for creating a positive and meaningful onboarding experience for all employees * Delivers and documents one-on-one coaching to improve all aspects of performance and effectiveness * Completes "side-by-side" monitoring/coaching with direct reports on a regular basis * As needed, prepares, delivers and manages remediation plans * Participate in job fairs, open houses and other recruitment events as needed * Ensure compliance with Model of Care and State contractual requirements (Chart audits) * Utilize evidence-based guidelines (e.g., medical necessity guidelines, practice standards, industry standards, best practices, and contractual requirements) to make clinical decisions, improve clinical outcomes and achieve business results * Use appropriate business metrics (e.g. member/FTE, length of stay, readmission rates, STAR ratings, member engagement rates) and applicable processes/tools (e.g. cost benefit analysis, return on investment, performance, staffing calculator) to optimize decisions and clinical outcomes * Prioritize work based on business algorithms and established work processes, or in their absence, identify business priorities and build consensus to triage and deliver work (e.g. assessments, case/claim loads, previous hospitalizations, acuity, morbidity rates, quality of care follow up) * Understand and operate effectively/efficiently within legal/regulatory requirements (e.g., HIPAA, CMS, State) Coaching & Performance Management: * Communicate with direct reports on a regular basis through coaching sessions and by providing timely, actionable feedback * Ensures performance metrics and goals are reviewed on a regular and frequent basis, with time set aside for incidental issues * Provides purposeful and actionable development feedback to direct reports and monitors to support their performance improvement * If, after the action items of the development plan do not yield the desired positive results in the agreed upon timeframe, CAP is initiated in accordance with UHG policies and practices * Works with HRdirect on disciplinary actions or terminations and seeks manager approval on all terminations * Tracks and manages attendance and punctuality in a timely and accurate manner Development & Employee Engagement: * Prepares and delivers thorough and meaningful performance discussions and documents with data and fact-based examples to reduce ambiguity of ongoing expectations * Creates purposeful and actionable development plans, reviews with employees and monitors to support their performance improvement expectations and development * Engages in regular, meaningful and candid development and career discussions with direct reports * Guides employees to leverage available training and development resources * Analyzes and understands Employee experience survey results and communicates results to team members * Works to establish an action plan to address opportunity areas and improve results * Supports overall organization in employee engagement programs and communications Communication: * Holds consistent 1:1meetings with direct reports * Regularly leverages various communication channels, including one-on-ones and new hire class leadership interactions to foster two-way communication. Inspires employees to see the link between their position and personal performance to organizational strategy, company performance and the UHC brand Demonstrate Business and Industry Knowledge: * Demonstrate knowledge of computer functionality and software applications (e.g., navigating systems, troubleshooting, electronic charting, accessing intranet and record management databases) * Demonstrate knowledge of relevant state and federal guidelines (e.g., Medicare, Medicaid,) or regulatory bodies (e.g., EOHHS, HIPAA, Milliman) * Demonstrate understanding of relevant health care benefit plans * Demonstrate knowledge of applicable area of clinical specialization * Utilize resources to enhance professional practice and development based on learning gaps or new information You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Unrestricted Nursing license in the state of MA * 5+ years of care management experience and/or 5+ years of equivalent clinical knowledge and experience such as social care, healthcare coordination, quality improvement * 1+ years of experience with SharePoint and shared network drives * Intermediate level of proficiency with Microsoft Office applications, including Word, Excel and PowerPoint * Access to reliable transportation and valid US driver's license Preferred Qualifications: * BS / BA Degree * 3+ years of leadership experience * Proven ability to focus activities on a strategic direction and achieve targets * Time management and prioritization skills * Strong written and verbal professional communication skills * Excellent team development skills * Strong interpersonal skills * Ability to work in a self-directed manner in a fast-paced, rapidly changing environment * Demonstrated leadership abilities * All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #GREEN
    $49k-57k yearly est. 21d ago
  • Telephonic Case Manager RN Medical Oncology

    Unitedhealth Group 4.6company rating

    Charleston, WV jobs

    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.** We're making a solid connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that's driving the health care industry forward. As a Telephone Case Manager RN with UnitedHealth Group, you'll support a diverse member population with education, advocacy and connections to the resources they need to feel better and get well. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Apply today! The **Telephonic Case Manager RN Medical/Oncology** will identify, coordinate, and provide appropriate levels of care. The Telephonic Case Manager RN Medical/Oncology is responsible for clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating). This includes case management, coordination of care, and medical management consulting. **This is a full-time, Monday - Friday, 8am-5pm position in your time zone.** You'll enjoy the flexibility to work remotely* as you take on some tough challenges. **Primary Responsibilities:** + Make outbound calls and receive inbound calls to assess members current health status + Identify gaps or barriers in treatment plans + Provide patient education to assist with self-management + Make referrals to outside sources + Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction + Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. Solid computer and software navigation skills are critical. You should also be solidly patient-focused and adaptable to changes. 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:** + Current, unrestricted RN license in state of residence + Active Compact RN License or ability to obtain upon hire + 3+ years of experience in a hospital, acute care or direct care setting + Proven ability to type and have the ability to navigate a Windows based environment + Have access to high-speed internet (DSL or Cable) + Dedicated work area established that is separated from other living areas and provides information privacy **Preferred Qualifications** + BSN + Certified Case Manager (CCM) + 1+ years of experience within Medical/Oncology + Case management experience + Experience or exposure to discharge planning + Experience in a telephonic role + Background in managed care *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._
    $60k-70k yearly est. 60d+ ago
  • Transitional Case Manager - Remote

    Unitedhealth Group 4.6company rating

    Largo, MD jobs

    Explore opportunities with VNA of Maryland, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.** As the Transitional Case Manager (TCM), you will be facilitating seamless transitions for patients from facility settings to post-acute care. You will verify home health orders, assess care requirements, and ensure continuity of care. Your role includes assessing patients' health literacy, involving patients and families in care planning, and providing education to improve outcomes and promote self-management. You will implement rehospitalization reduction initiatives for patients at risk and communicate with healthcare providers throughout the transition. You'll enjoy the flexibility to work remotely as you take on some tough challenges. **Primary Responsibilities:** + Educate patients on post-discharge follow-up, homebound criteria, and obtaining prescriptions + Assess readmission risk using the LACE tool + Ensure patients and families have agency contact information + Coordinate ancillary services (DME, Infusion) as needed + Assist in preparing for patient care post-discharge + Liaise between the agency and healthcare providers + Communicate patient transfers and coordinate resumption of care + Provide feedback on readmissions and non-admit decisions + Perform other duties as assigned 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:** + Current, unrestricted RN, LPN, or SW licensure in state of practice + Current CPR certification + 1+ years home health experience or 1+ years of hospital case management experience + Current driver's license, vehicle insurance, access to a dependable vehicle or public transportation *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $48,700 to $87,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. **Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. **\#LHCJobs** _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._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
    $48.7k-87k yearly 4d ago
  • Telephonic Case Manager RN Medical Oncology

    Unitedhealth Group 4.6company rating

    Dallas, TX jobs

    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.** We're making a solid connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that's driving the health care industry forward. As a Telephone Case Manager RN with UnitedHealth Group, you'll support a diverse member population with education, advocacy and connections to the resources they need to feel better and get well. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Apply today! The **Telephonic Case Manager RN Medical/Oncology** will identify, coordinate, and provide appropriate levels of care. The Telephonic Case Manager RN Medical/Oncology is responsible for clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating). This includes case management, coordination of care, and medical management consulting. **This is a full-time, Monday - Friday, 8am-5pm position in your time zone.** You'll enjoy the flexibility to work remotely* as you take on some tough challenges. **Primary Responsibilities:** + Make outbound calls and receive inbound calls to assess members current health status + Identify gaps or barriers in treatment plans + Provide patient education to assist with self-management + Make referrals to outside sources + Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction + Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. Solid computer and software navigation skills are critical. You should also be solidly patient-focused and adaptable to changes. 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:** + Current, unrestricted RN license in state of residence + Active Compact RN License or ability to obtain upon hire + 3+ years of experience in a hospital, acute care or direct care setting + Proven ability to type and have the ability to navigate a Windows based environment + Have access to high-speed internet (DSL or Cable) + Dedicated work area established that is separated from other living areas and provides information privacy **Preferred Qualifications** + BSN + Certified Case Manager (CCM) + 1+ years of experience within Medical/Oncology + Case management experience + Experience or exposure to discharge planning + Experience in a telephonic role + Background in managed care *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._
    $45k-52k yearly est. 60d+ ago
  • Licensed Per Diem Remote Outpatient Clinician

    Universal Health Services 4.4company rating

    Worcester, MA jobs

    Responsibilities LICENSED PER DIEM REMOTE OUTPATIENT CLINICIAN Pay: $42.00-$45.00/hour Schedule/Location: Per Diem, Remote About the Role: Arbour Counseling Services is excited to offer Per Diem (up to 20 hours/week) opportunities for Licensed Clinicians in our Outpatient Program in the Allston, MA area. Our Outpatient counseling allows our patients to receive treatment options and support within a much more free and open time schedule. While programs are structured, our outpatient counseling is best for those stepping down from a higher level of care, seeking limited treatment options or testing out treatment for the first time. Arbour offers individual therapy, group therapy, couples therapy, family therapy, medication evaluation & management, school-based treatment, and elder services within our Outpatient program. The Licensed Outpatient Clinician delivers direct services to clients, and may provide individual, group, family, or other authorized therapy services within our outpatient center; participates in interdisciplinary treatment planning; and ensures that any treatments delivered are within the scope of the therapist's training, experience and general level of competence. Arbour provides clinicians with the ability to customize their own professional experience. We also offer a flexible schedule to accommodate work/life balance. Come and be part of an exciting and vibrant team here at Arbour Counseling Services! Essential Responsibilities: * Provide individual, family and group therapy sessions * Support clients through collaboration with other medical service providers, state agencies, other mental health services (including crisis services), and other community agencies and resources * Individuals are responsible for managing their own schedule Arbour Counseling Services, a subsidiary of Universal Health Services, provides trusted quality and experience throughout our continuum of behavioral health and substance use treatment programs. Individualized care services are offered to individuals of all ages, groups, families, and couples. Arbour Counseling Services prioritizes quality and convenience for the communities we serve while providing compassionate care for all. Visit us online at: ************************* About Universal Health Services One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $14.3 billion in 2023. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 96,700 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. *********** Qualifications * Master's Degree in Psychology, Social Work, Counseling, or closely related Mental Health field from an accredited college or university * LICSW, LMHC, or LMFT required * Must be licensed in MA * At least one year of Outpatient experience post graduation with Master's Degree * Need to have completed an Internship during Masters Program to obtain 45 credits * CANS Certification preferred (also able to obtain after hiring if needed) * Nonjudgmental ability to foster self-sufficiency using problem-solving and practical skills * Familiarity with support groups * Ability to establish trusting relationships through compassion, empathy and insight * Demonstrated sensitivity to the needs of clients from diverse cultural or linguistic backgrounds * Excellent time management skills to maintain appointments and timely record keeping * Candidate must possess appropriate citizenship work documentation * Candidate must pass a CORI and drug test, as well as other pre-employment documentation EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Avoid and Report Recruitment Scams At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
    $42-45 hourly 60d+ ago
  • Licensed Remote Outpatient Clinician

    Universal Health Services 4.4company rating

    Worcester, MA jobs

    Responsibilities LICENSED REMOTE OUTPATIENT CLINICIAN Pay: $28.00-$38.00/hour Schedule/Location: Per Diem, Part Time, Full Time, Remote About the Role: Arbour Counseling Services is excited to offer Per Diem, Part Time, and Full Time opportunities for Licensed Clinicians in our Outpatient Program Remote Telehealth division. Our Outpatient counseling allows our patients to receive treatment options and support within a much more free and open time schedule. While programs are structured, our outpatient counseling is best for those stepping down from a higher level of care, seeking limited treatment options or testing out treatment for the first time. Arbour offers individual therapy, group therapy, couples therapy, family therapy, medication evaluation & management, school-based treatment, and elder services within our Outpatient program. The Licensed Outpatient Clinician delivers direct services to clients, and may provide individual, group, family, or other authorized therapy services within our outpatient center; participates in interdisciplinary treatment planning; and ensures that any treatments delivered are within the scope of the therapist's training, experience and general level of competence. Arbour provides clinicians with the ability to customize their own professional experience. We also offer a flexible schedule to accommodate work/life balance. Come and be part of an exciting and vibrant team here at Arbour Counseling Services! What We Offer: * Flexible Schedule * Competitive compensation & generous PTO * Yearly Tuition Reimbursement * License prep, testing fee & licensing fees covered by Arbour * Free CEU's * Weekly licensure Supervision * Monthly productivity bonus plan available * Employee Referral Bonus Program * Internal advancement opportunities ~ leadership & management training! * Growth Opportunities * 401(k) with 5% company match * Excellent Medical, Dental, Vision, and Prescription Drug Plans * Electronic Health Record (EHR) System * Employee assistance program (EAP) * Company outings * "Perks at Work" Program offering employee discounts on travel, electronics, entertainment, home appliances, food, auto, and more Arbour Counseling Services, a subsidiary of Universal Health Services, provides trusted quality and experience throughout our continuum of behavioral health and substance use treatment programs. Individualized care services are offered to individuals of all ages, groups, families, and couples. Arbour Counseling Services prioritizes quality and convenience for the communities we serve while providing compassionate care for all. Visit us online at: ************************* About Universal Health Services One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $14.3 billion in 2023. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 96,700 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. *********** Qualifications * Master's Degree in Psychology, Social Work, Counseling, or closely related Mental Health field from an accredited college or university * LICSW, LMHC, or LMFT required * Must be licensed in MA * At least one year of Outpatient experience post graduation with Master's Degree * Need to have completed an Internship during Masters Program to obtain 45 credits * CANS Certification preferred (also able to obtain after hiring if needed) * Nonjudgmental ability to foster self-sufficiency using problem-solving and practical skills * Familiarity with support groups * Ability to establish trusting relationships through compassion, empathy and insight * Demonstrated sensitivity to the needs of clients from diverse cultural or linguistic backgrounds * Excellent time management skills to maintain appointments and timely record keeping * Candidate must possess appropriate citizenship work documentation * Candidate must pass a CORI and drug test, as well as other pre-employment documentation EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Avoid and Report Recruitment Scams At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
    $28-38 hourly 60d+ ago
  • The Clinical Advocate - Oncology - Remote in PST

    Unitedhealth Group 4.6company rating

    Seattle, WA jobs

    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start **Caring. Connecting. Growing together** At Surest, we are passionate about improving the health of our members! The Clinical Advocate- Renal is responsible for supporting Surest members throughout their health journey to assess needs, educate and provide resources. The Clinical Advocate - Oncology will also focus on members with oncology questions and concerns and screen for health and social determinant issues. This position reports to the Clinical Operations Manager and has no direct reports. If you reside within PST time zone, you will have the flexibility to work remotely* as you take on some tough challenges. **Primary Responsibilities:** + Engage with Surest members telephonically and by email to identify needs and assist with benefit navigation, decision support and general oncology information + Educate on the Surest plan benefit, provide resources and healthcare decision support with members + Screen for high-risk situations, including health and SDOH, and refer to appropriate sources + Establish trust with members + Track, assess and document member's health plan + Identify high risk situations early and support members proactively to improve outcomes + Cross trained to assist with other disease/condition focused needs for the member + Provide expert consultation to other Clinical Advocates on the team or other business units about renal disease and other member's needs + Identify and execute on process improvement opportunities + Personal development + Team engagement and connecting + Other Surest/UHG activities and development 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:** + Current unrestricted LPN license OR Medical Assistant certification + 2+ years of clinical experience in a hospital, acute care, direct care, rehab facility or care coordination + 2+ years of clinical experience in Oncology field + Experience with Motivational Interviewing + Proven experience working in a fast paced multitask environment + Proficiency with MS Office- Word, Excel, Outlook, Teams + Proven excellent communication skills- both written and verbal + Proven to excel working in a constantly rapid changing environment + Reside in the PST time zone to support 8:00 - 5:00 member base (OR willing to work 8-5 PST schedule) **Preferred Qualifications:** + Bachelor's Degree in health - related specialty + Comfortable questioning status quo and proposing ideas for improvement + Bi-lingual *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy \#Programmatic Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $23.41 to $41.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable. _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._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
    $32k-36k yearly est. 28d ago
  • Mental Health Clinical Wellbeing Specialist - Remote in CA

    Unitedhealth Group 4.6company rating

    Los Angeles, CA jobs

    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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.** The Clinical Wellbeing Specialist role is a part of a clinical team focused on behavioral health and emotional wellbeing navigation and support. The team is responsible for care and case management, which includes authorizations and coordination and assurance of appropriate levels of care to members, along with in the moment solution focused consultations and crisis support. The Clinical Wellbeing Specialist provides one-to-one engagement support with members using clinical expertise to conduct a thorough telephonic assessment of risk to self or others, clinical screening for substance abuse and medical co-morbidities for members. Solution Focused Consultation, Motivational Interviewing, and Short-Term problem resolution are the clinical modalities used to develop an individualized action plan, guiding members to appropriate benefits and resources provided by employer, community and other cross-carrier vendors. The role will provide case management services through review and evaluation of inpatient and outpatient behavioral health treatments for medical necessity, emergency status, and quality of care. The team is empowered to achieve the best possible outcome for the consumer by understanding where the consumer is at with their needs and ensuring the member receives the right care at the right time. The role includes telephonic, digital chat, and/or digital messaging for member interaction. Clinical specialists also coordinate and facilitate the response to high-risk situations through consultation with licensed staff. Work volume comes from both an inbound and outbound queue, both on demand and self-managed. Clinical Wellbeing Specialists are trained on the foundations of coaching and expected to fulfill their job duties by applying this skillset as a means of experience design. Clinical Wellbeing Specialists are expected to support goal articulation and activate the appropriate benefit or resource available to each unique member. This includes various clinical resources both within the team, as well as through broad partnerships in the organization. If you are located in California, you will have the flexibility to work remotely* as you take on some tough challenges. **Primary Responsibilities:** + Engage individually with members to clinically and holistically assess the reason for call and presenting needs including issues impacting the individual's personal wellbeing, emotional and physical health, and personal safety + Genuine passion for improving a member's behavioral health experience, supporting adults, youth, and families + "Provides services for adults, youth and families via inbound and outbound phone queues, inbound chats, and additional communications" + Anticipates member needs and proactively identifies solutions + Conduct thorough assessment of risk of harm to self, or others; assist with safety planning and coordinating services with emergency personnel and hospital staff through consultation with other licensed staff in order to access appropriate level of care and ongoing support + Coordinate follow-up care and services to individuals and organizations, as appropriate + Develop next steps and identify meaningful goals and resources utilizing Solution Focused Consultation model + Provide appropriate type of service based on member's presentation, clinical history and needs and accurately differentiate between EWS and BH services + Formulate short term problem resolution plan of action and provide Full Benefit Exploration reviewing the appropriate tools and resources to support the plan, offer and refer clients to additional benefits, and authorize additional services including behavioral health, and/or contracted + EWS and behavioral health network providers + Formulate accurate description of member's clinical presentation in their individual clinical records and maintaining appropriate records, case notes, forms and reports as well as database entries + Provide training in coaching skills foundations and successfully employs techniques in engagements with a focus on member goal articulation and achievement + Fosters a service-oriented environment and participates in human centered experience development + Identifies solutions to non-standard requests and problems + Solves moderately complex problems and/or conducts moderately complex analyses + Works with minimal guidance; seeks guidance on only the most complex tasks + Translates concepts in practice + Provides explanations and information to others on difficult issues + Coaches, provides feedback and guides others, acting as a resource for others with less experience + Participate in staff meetings, case consultations, and training opportunities + Consult as required with other licensed staff and supervisors 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:** + Licensed Mental Health Clinician with a Master's degree in psychology, social work, counseling or marriage, or family counseling, or an RN with 3+ years of experience in behavioral health + Active, unrestricted independent clinical license in the state of California + Ability to work any of our 8.5-hour shift schedules during our normal business hours of Monday-Friday 6:45am - 7:15pm CST. It may be necessary, given the business need, to work occasional overtime + Designated workspace and access to secure high-speed internet via cable/DSL in home + Permanent residence in the state of California **Preferred Qualifications:** + 2+ years of child and family experience + Experience supporting members in an inbound call center + Proven solid written, verbal and interpersonal skills. Able to use various computer applications and move through computer screens while talking with members + Ability to build rapport, assess and address risk, and develop goals with members in a telephonic and/or online + Ability to work with a culturally and geographically diverse population + Ability to address a variety of problems and issues as presented by members + Ability to work flexibly and creatively with other professional team members *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. _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._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
    $28.3-50.5 hourly 13d ago
  • Substance Use Counselor

    Acadia Healthcare Inc. 4.0company rating

    Case manager job at Acadia Healthcare

    Outpatient MAT Opioid Treatment Program Seeking: Substance Use Counselor * CDCA, LCDC II, LCDC III, LICDC & LICDC-CS Full-Time Hours: * Monday - Friday 5:30 AM - 2 PM * Rotating Saturdays 6 AM - 10 AM Our Benefits: * Semi-Annual Bonus Program * Medical, Dental, and Vision insurance * Competitive 401(k) plan * Paid vacation and sick time * Employer-paid clinical supervision (free to employees) * Free and unlimited access to 500+ accredited Continuing Education Units (CEUs) * Employee Assistance Program (EAP) offering continued support to employee lifestyle and well-being * Early morning hours offering a great work/life balance * Opportunity for growth that is second to none in the industry Our Team: Cleveland Comprehensive Treatment Center (CTC), located in Cleveland, OH, is part of Acadia Healthcare's Comprehensive Treatment Centers, the leading provider of medication-assisted treatment in the nation. Our counseling team provides compassionate, high-quality counseling and therapy to patients that are seeking recovery from Opioid Use Disorder. Your Job as a Substance Use Counselor: The Substance Use Counselor is instrumental in our patient's treatment and recovery from opioid use disorder. Substance Use Counselors provide high quality, compassionate care through various mediums which include both individual and group counseling sessions. Job Responsibilities: * Provide high quality, compassionate guidance in both individual and group counseling sessions. * Plan, oversee, facilitate and document patient's recovery. * Co-facilitate assigned group or family sessions as needed. * Ensure all documentation regarding patient care, treatment, and incidents is completed timely and in a clear, concise manner. * Prepare individual treatment plans for each assigned patient. * Initial assessments as well as follow up assessments. * Evaluate patient needs and determine if referrals to other programs or facilities are needed. * May plan for aftercare for assigned patients. * Provide crisis intervention to patients, as needed. * Provide case management duties for patients, ensuring individualized quality care as needed. * Act as a liaison between referral sources and patients, as needed. Role Location: Ohio Calculated Salary Range for role: $27.55 - $28.00 per hour Eligible positions may qualify for student loan forgiveness through HRSA, depending on clinic site eligibility. Check your eligibility here: HRSA Eligibility Required Education, Skills, and Qualifications: * HS graduate or GED equivalent required; * Prefer Bachelor's or Master's degree in social or health services field; * Degree must be from an accredited college or university. * Previous experience in addiction recovery or behavioral health settings, such as outpatient, residential, or correctional facilities. * Familiarity with Medication-Assisted Treatment (MAT), including methadone, buprenorphine, and naltrexone. * Experience conducting individual and group counseling sessions focused on substance use recovery. * Knowledge of evidence-based practices, such as Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), and relapse prevention techniques. * Documentation experience, including maintaining clinical notes, treatment plans, and progress updates in accordance with state and federal guidelines. * Familiarity with state regulatory standards (e.g., 42 CFR Part 2, HIPAA, Joint Commission standards). * Experience collaborating in a multidisciplinary team with medical staff, case managers, and peer support specialists. Required Licenses/Certifications: * Position applicable to the following: , LCDC II, LCDC III, LICDC & LICDC-CS We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws. #LI-CTC #LI-JW1
    $27.6-28 hourly 21d ago

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