Remote Medicaid Care Advocate RN – Maryland

Optum

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Requisition Number: 2187951
Job Category: Behavioral
Primary Location: Silver Spring, MD
(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. 

 

If you are located in MD, you will have the flexibility to work remotely* as you take on some tough challenges

 

Primary Responsibilities:

  • Provide telephonic care management to highly vulnerable Medicaid members
  • Offer members health and disease education, and empower them to actively participate in their care
  • Consult with members and connect them to community resources
  • Collaborate with Managed Care Organizations, providers, and other community partners to ensure there are no gaps in care
  • Use solid communication and organizational skills to educate members, and prevent costly gaps in service
  • Present cases in weekly internal rounds and monthly rounds with state, community, and MCO partners
  • Cover crisis line for 2 hours daily

 

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 behavioral health OR Bachelor’s Degree Nursing (BSN)
  • An active, unrestricted State of Maryland professional license in one of the following:
    • Licensed Professional Clinical Counselor
    • Independent Marriage & Family Therapist
    • Licensed Independent Social Worker
    • Registered Nurse
  • 2+ years of experience in a related mental health environment
  • 1+ years of experience working with Medicaid population
  • 1+ years of Community Mental Health experience
  • Proficient computer skills and good working knowledge of Microsoft Word

 

Preferred Qualifications:

  • 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 working with Medicaid population
  • Proven discharge Planning and care coordination
  • Maryland resident however not necessary

 

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