UnitedHealth Group

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Child Behavioral Health Member Advocate - Phoenix, AZ

at UnitedHealth Group

Posted: 6/15/2018
Job Status: Full Time
Job Reference #: 762179
Keywords: support, service

Job Description

Position Description

The Child Behavioral Health Member Advocate is responsible for member advocacy and system navigation of behavioral health services and social services and supports. This role is to communicate and disseminate information to members and families to identify concerns and remove barriers that affect service delivery or member satisfaction. Member advocates collaborate with the organization’s other member support areas, including but not limited to Individual and Family Affairs, Member Services, and Provider Services, provide information for regional Human Rights Committees (HRCs) and attend HRC meetings, upon request.
Primary Responsibilities:
  • Provide Child member advocacy and system navigation of behavioral health services and social services and supports
  • Collaborate with the organization’s other member support areas, including but not limited to Individual and Family Affairs, Member Services, and Provider Services, provide information for regional Human Rights Committees (HRCs) and attend HRC meetings, upon request
  • Identify and examine system gaps and other determinants of readmission to higher levels of care facilities
  • Educate and encourage consumers to utilize self-directed treatment and Personal Advanced Behavioral Health Directive, as applicable
  • Assist consumers by answering questions, providing program information and education about care coordination program services, network and community resources and coverage determination guidelines
  • Identify available resources and promote use of educational materials and web-based information
  • As appropriate consult with family members, health plan, existing providers, and primary care physicians regarding patients' treatment needs and goals and to facilitate proper coordination of care
  • Support outcome-focused, evidenced-based best practices and guidelines with providers
  • Provide consultation to providers and/or consumers on a variety of issues including benefit information, safety issues, confirmation of prior authorizations/ approvals, procedures for higher level of care evaluations, and requests for an explanation of the level of care, coverage determination, or best practice guidelines
  • Establish and maintain professional working relations with referral sources, community resources, and care providers and be able to identify and communicate network gaps to appropriate resources
  • Understand benefits in compliance with plan inclusions, limitations, and State/Federal mandates
  • Meet all documentation audit standards
Required Qualifications:
  • Master's degree in Psychology, Social Work, Counseling or Marriage or Family Counseling; OR Licensed Ph.D.; OR Registered Nurse
  • Current, unrestricted license to practice independently in your state of residence
  • 2+ years of experience in behavioral health
  • Proficiency with Microsoft Office Suite programs (Word, Outlook, Internet)
  • Reliable transportation with the ability to accommodate some field-based travel within the service delivery area (up to 25%)
Preferred Qualifications:
  • Inpatient experience
  • Dual diagnosis experience with mental health and substance abuse
  • Experience working in an environment that required coordinating benefits and utilizing multiple groups and resources for patients
  • Previous experience working in a Managed Care Organization (MCO)
  • Familiarity of publically funded healthcare and social service systems and Medicaid eligible or enrolled populations
  • Familiarity with recovery and resiliency model
  • Demonstrated familiarity and experience with the current Diagnostic and Statistical Manual and best practice standards for treatment
  • Knowledge of or ability to research and connect with community resources, including ability to utilize features of search engines as well as Intranet to discern available resources for any caller
Discover a diversified health services and innovation company where data, technology, people and action combine to make great things happen every day - and where every day is another opportunity to do your life’s best work.(sm)

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.
Job Keywords: case manager, care advocate, social worker, therapist, counselor, mental health, behavioral health, managed care, substance abuse, inpatient, LP, LCSW, MFT, LPCC, RN, registered nurse, Medicaid, Phoenix, AZ, Arizona

Application Instructions

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