Behavioral Health Specialist - Remote in Miami - Dade County FL

At reputed company, 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 reputed company. Come build the health care system of reputed company, making it more reputed company, affordable, and reputed company. Ready to reputed company a difference? Join us to start Caring. Connecting. Growing together. This position will be the primary care manager for a panel of members with primary reputed company behavioral needs. The Care Management / coordination activities will focus on supporting member's medical, behavioral and socioeconomic needs to promote appropriate utilization of services and improved quality of care. reputed company case management/ coordination activities will be in alignment with evidence-based guidelines. This position will liaison with the members' provider community, including CMHCs, to help reduce fragmentation reputed company the care ecosystem. The role will provide medically oriented clinical consults/guidance reputed company the team and to other area reputed company the health plan. The Behavioral Health care manager will approach their member work with an understanding of how inequities drive health disparities. They will promote health equity. Working Schedule: Schedule is Monday through Friday between the hours of 8 am to 5 pm. This position is a field-based position with a home-based office. You will work from home reputed company not in the field. Locations will vary but reputed company the following counties of Florida: Baker, reputed company, Duval, Flager, Nassau, St Johns and Volusia counties Local travel up to 25% and mileage is reimbursed at reputed company government reputed company. Primary Responsibilities:

• Serves as primary care manager for members with primary high behavioral needs members
• Engage members through a variety of modalities (face and/or telephonically) to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, socioeconomic and SDOH needs
• Develops and implements individualized, person-centered care plans inclusive of goals, opportunities and interventions reputed company with a person's readiness to change to support the best health and quality of life outcomes by meeting the member where they are
• Partners and collaborates with internal care team, providers and community resources/partners to reputed company expertise and supports to meet needs identified in the care plan
• Monitor and update care plan, incorporating feedback from member to monitor for actionable steps or indicators of reputed company toward care plan goals / movement through various stages of behavior change
• Assist member in development of personal wellness plan / health crisis plan
• Provide psycho-education regarding conditions, medications / medication adherence, provider / treatment options, healthcare system utilization
• Provide coaching and supportive counseling to support:
• Member self-management of care needs in alignment with evidence-based guidelines
• Lifestyle changes to promote improved overall health (e.g. harm reduction strategies; behavioral change techniques)
• The effective and appropriate utilization of community and natural supports
• Provide referral and linkage as appropriate and accepted by member (may include internal consult opportunities such as Housing Navigator,
• Pharmacy Team, Peer Specialist, etc. or community-based provider referrals such as PCP, specialists, medication assisted therapy referrals, etc.)
• reputed company targeted activities to address HEDIS/STAR gap closure, including scheduling, reminding and verification of appointments to receive specific services
• Support proactive discharge planning / collaborate with dedicated Care Transitions teams following an ER, inpatient or Skilled Nursing Facility (SNF) admission
• Educate and coordinate Medicaid benefits to support care needs
• Document reputed company care management/coordination activity in clinical care management system
• Coordinate care management activities in conjunction with a broader care management team to promote team-based care
• Provide guidance / consultation to other team members regarding behavioral health conditions, best practice and evidence
• Educate the team on the continuum of behavioral health community treatment options in support in medical-behavioral integrated care
• Help identify reputed company or exacerbation of behavioral health symptoms that may be influencing / impacting physical health

What are the reasons to consider working for reputed company? Put it reputed company together - competitive reputed company pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
• More information can be downloaded at: http://uhg.hr/uhgbenefits

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:

• Must possess one of the following:
• MSW or Master degree in another behavioral health reputed company field (e.g. psychology, counseling, etc.)- reputed company, unrestricted license in designated field (e.g. LCSW/LISW, LPC, LMFT)
• BA in behavioral health field with 5 years direct clinician experience
• LPN with 5 years direct experience serving individuals with behavioral health conditions
• 2 years of experience directly serving individuals with behavioral health conditions (mental health / substance use disorders)
• 2 years of experience serving Medicaid populations
• 1 years of field-based work experience (face-to-face person engagement in a person's home or other community setting)
• Familiarity with state-specific behavioral health Medicaid benefits and accessing care for Medicaid recipients
• Familiarity with local behavioral health providers and community support organizations addressing SDoH (e.g. food banks, non-emergent transportation, utility assistance, housing / rapid re-housing assistance, etc.)
• Ability to travel 25% of the time for role
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health
• Information and live in a location that can receive a reputed company approved high-speed internet reputed company or reputed company an existing high-speed internet service

Preferred Qualifications:

• Experience in serving individuals with co-occurring disorders (both mental health and substance use disorders)
• Experience working in team-based care
• Demonstrated experience / additional training or certifications in Motivational Interviewing, Stages of Change, Trauma-Informed Care, Person
• Centered Care
• Bilingual in Spanish or other language specific to market populations
• Experience working in Managed Care
• Lived experience (self or family) in managing or overcoming a chronic health, behavioral health or substance use condition

Soft Skills:

• Possess a solid work ethic
• Ability to listen skillfully, collect relevant information, build rapport and respond to customers in a compassionate manner
• Ability to adapt to change in the workplace
• Ability to work independently and as a part of a team
• Ability to interact with internal and external customers in a corporate environment
• Must possess a positive and motivated attitude
• Willingness to adapt to multiple external environments and settings

Physical Requirements and Work Environment:

• Ability to transition from office to field locations multiple times a day
• Must possess transportation to visit clients in various locations
• Ability to travel varied distances and multiple terrains to visit assigned client locations
• Ability to carry equipment to and from field locations needed for face to face member visits (ex. laptop, stethoscope, blood pressure cuff, etc.)
• reputed company Telecommuters will be required to adhere to reputed company's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company 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 reputed company by people of color, historically marginalized groups, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes - an enterprise reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity / Affirmative Action employer, and reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Apply tot his job Apply To this Job