Field Behavioral Health Case Manager (MSW), Care at Home - Milwaukee, WI

About the role

Optum Home & Community Care, part of the Optum family of businesses, is creating an integrated care model that holistically addresses an individual's physical, mental, and social needs — helping patients access and navigate care anytime and anywhere. As a team member of the Optum Care at Home team, you will work in an interdisciplinary care environment to help patients navigate the health care system and connect them to key support services, delivering preventive care that helps patients stay well at home.

The United Healthcare at Home program is a longitudinal, integrated care delivery program that coordinates clinical care for members in their place of residence. The DSNP program combines UHC-trained clinicians providing intensive interventions customized to each individual, in collaboration with the Interdisciplinary Care Team. Providers serve patients in their own homes through annual comprehensive assessments, ongoing visits for higher-risk members, care coordination during transitions from hospital or nursing home, and ongoing care management. The interdisciplinary care team approach provides needed care in person and through telephonic interventions in collaboration with the member's Primary Care Provider and other team members.

This is a field-based position based in Milwaukee, WI. A valid driver's license and access to reliable transportation are required.

Responsibilities

• Conduct patient assessments either in the home or via telephone to evaluate and determine the appropriate level of behavioral health care required
• Obtain information from providers on outpatient requests for treatment
• Determine if additional clinical treatment sessions are needed
• Manage behavioral health cases throughout the entire treatment plan
• Administer benefits and review treatment plans in collaboration with interdisciplinary care team
• Assist in coordinating Medicaid/Medicare benefits and transitions between various areas of care
• Communicate with members who have complex medical needs and may face challenges in communication
• Identify ways to add value to treatment plans and consult with facility staff or outpatient care providers on those ideas
• Focus on whole person care model for psychiatric and chemical dependency patients
• Build relationships and work with a variety of populations within the community
• Work with low-income populations with complex social and medical needs including adults with serious mental illness and emotional disturbances, members with substance use disorders, and members with other complex or multiple chronic conditions

Required Qualifications

• Master's Degree in Social Work
• 2+ years of experience in a healthcare setting
• 1+ years of clinical or case management experience
• Experience with screening and assessment of common behavioral health and/or substance use disorders
• Experience with electronic charting and working with MS Word, Excel, and Outlook
• Driver's License and access to reliable transportation

Preferred Qualifications

• Licensed Master of Social Work, Licensed Clinical Social Worker, or equivalent state licensure (e.g., LICSW, LCSW) in assigned state/market
• Background in managing populations with complex medical or behavioral needs
• Experience with arranging community resources
• Field-based work experience
• Knowledge of both Medical and Behavioral Health Diagnosis and terminology
• Knowledge of symptom identification and intervention associated with Behavioral Health and Substance Use disorders
• Knowledge of APS reporting processes
• Experience working with complex family systems and dynamics
• Knowledge of resources to address SDOH (Social Determinants of Health)
• Experience in Crisis Intervention
• Experience working in Duals (DSNP) and/or Medicaid environment

Pay

The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, and certifications.

Benefits

A $7,500 sign-on bonus is offered for external candidates. In addition to salary, a comprehensive benefits package is offered, including incentive and recognition programs, equity stock purchase, and 401k contribution (all benefits are subject to eligibility requirements).