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Licensed Behavioral Health Case Manager, LCSW, RN or CPC - Las Vegas, NV

Company: UnitedHealth Group
Location: Las Vegas
Posted on: September 14, 2023

Job Description:

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.--The Behavioral Health Case Manager will be responsible for the management and coordination of Case Management services for members with complex needs and requiring complex service. The Outpatient Case Manager works directly with the member, provider(s), facilities, and other entities to ensure the most appropriate care is provided. The Case Manager manages members from all contracted product lines. The Case Manager assesses, plans, implements, coordinates, monitors, and evaluates the outcomes, ensuring options and services required to meet the member's health needs are best utilized. The Case Manager provides education, advocacy, communication, and resource management and promotes quality, self-management, and cost-effective interventions and outcomes.*** Candidate must be available to travel up 25% of the time throughout the Las Vegas and Henderson, NV area. ***Primary Responsibilities:--

  • Assess and interpret customer needs and requirements
  • Perform anticipatory discharge planning in accordance with the patient's benefits and available alternative resources
  • Collaborate with Medical peers on consideration of discharge planning needs
  • Refer patients to disease management or case management programs
  • Assist with the development of treatment plans
  • Document activities according to established standards
  • Identify solutions to non-standard requests and problems
  • Solve moderately complex problems and/or conducts moderately complex analyses
  • Work with minimal guidance; seeks guidance on only the most complex tasks
  • Provide explanations and information to others on difficult issues
  • Act as a resource for others with less experience
  • Work with less structured, more complex issues
  • Develop plans and supportive services for patients to achieve stability and adaptive functioning to become independent
  • Support mental services and integrated substance abuse treatment, supporting medication management, symptoms management, rehabilitation, crisis stabilization, and psychosocial education on an outpatient basis
  • Perform administrative duties related to a client's care, including applications for services
  • Ensure files meet NCQA/Medicaid requirementsYou'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:--
    • Current independent, unrestricted LCSW, RN or CPC license
    • 2+ years of case management experience
    • Behavioral health experience
    • Knowledge of patient care delivery in a managed care environmentPreferred Qualifications:----
      • CCM certification
      • Managed care experience
      • Basic knowledge of both state programs and the community-based services
      • Proven ability to demonstrate initiative toward problem solving skillsNevada Residents Only: The salary range for Nevada residents is $56,300 to $110,400. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.------At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.--------------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.------

Keywords: UnitedHealth Group, Las Vegas , Licensed Behavioral Health Case Manager, LCSW, RN or CPC - Las Vegas, NV, Healthcare , Las Vegas, Nevada

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