Remote Licensed Behavioral Health Case Manager, NC

Requisition Number: 2192301
Job Category: Behavioral
Primary Location: Charlotte, NC
(Remote considered)

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. 

The Licensed Behavioral Health Case Manager will provide 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 abuse, suicidality/homicide, major depression, ADHD, eating disorders, and any severe mental illness.  

The operating hours for this team Monday – Friday:  10:00am to 8:00pm ET/9:00am to 7:00pm CT/8:00am to 6:00pm MT/7:00am to 5:00pm PT.  Employees will be required to work either 5 days/8 hours per day or 4 days/10 hours per day within these operating hours.

If you are located within the state of North Carolina, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities: 

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

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications: 

• Master’s Degree in Behavioral Health, Bachelor’s degree in Nursing, Associate’s degree in Nursing with ten years of Behavioral Health experience, or a Doctorate-degreed Psychologist
• Behavioral/Mental Health License or RN in the state of residence
• 2+ years of demonstrated experience (post licensure) in a related mental health environment
• 1+ years of case management experience
• Proficient computer skills and good working knowledge of Microsoft Word
• Solid computer skills at the intermediate level, proficiency with MS Office to include Teams, Excel
• Access to high-speed internet from home (Broadband Cable, DSL, Fiber) and a dedicated workspace from home

Preferred Qualifications: 

• Medical/Behavioral setting experience (i.e. hospital, managed care organization, or joint medical/behavioral outpatient practice)
• Discharge planning experience
• Chart review experience
• Dual diagnosis experience with mental health and substance abuse
• Experience consulting with facility and/or hospital staff to coordinate treatment plans
• Experience working in community/county mental health
• Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
• Experience with government funded programs

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