Case Manager - Field Based in Bergen and Surrounding Counties - New Jersey

UnitedHealth Group•Fort Lee, NJ

17h•Hybrid

About The Position

As part of a care management team who will manage complex members, the Field Case Manager will be the primary care manager for a panel of members with complex behavioral health needs (i.e., mental health or substance use disorders). Additionally, this position will provide behavioral health support to the broader team. Care coordination activities will focus on supporting member’s medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care. Expect to spend about 80% of your time in the field visiting our members in their homes or in long-term care facilities. You’ll need to be flexible, adaptable and, above all, patient in all types of situations. Reliable transportation is required. Candidate must be willing to travel up to 50 miles radius from their home base to fulfill job responsibilities within the designated territory.

Requirements

4-year or higher degree in a behavioral health related field (e.g., Social Work, Psychology, Counseling, etc.)
2+ years of experience directly serving individuals with behavioral health conditions (mental health / substance use disorders) or individuals in long-term care, home health, hospice, public health or assisted living
1+ years of experience with local behavioral health providers and community support organizations (e.g., food banks, non-emergent transportation, utility assistance, housing/rapid re-housing assistance, etc.)
1+ years of experience with MS Office, including Word, Excel, and Outlook
Driver's license and access to reliable transportation and the ability to travel up to 80% of your time within assigned territory (50 miles radius from their home base) to meet with members and providers

Nice To Haves

Current, unrestricted independent licensure as a Social Worker
Demonstrated experience/additional training or certifications in Motivational Interviewing, Stages of Change, Trauma-Informed Care, Person-Centered Care
Experience working in team-based care
Background in Managed Care
Bilingual in Spanish/English

Responsibilities

Serve as primary care manager for high medical risks / needs members with comorbid behavioral health needs
Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic (SDoH) needs
Develop and implement individualized, person-centered care plans inclusive of goals, opportunities and interventions aligned with a person’s readiness to change to support the best health and quality of life outcomes by meeting the member where they are
Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan
Provide referral and linkage as appropriate and accepted by member (may include internal consult opportunities such as Housing Navigator, Pharmacy Team, Peer Specialist, etc. or community-based provider referrals such as PCP, specialists, medication assisted therapy referrals, etc.)