Case Manager

UnitedHealth Group • Paterson, NJ

295d • $28 - $56 • Onsite

About The Position

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 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.

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
• Reliable transportation and the ability to travel within assigned territory 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.)

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree