Job Description

Optum is seeking a Field Based Social Work Case Manager to join our Home-based Medical Care team in Charlotte, NC and surrounding areas. Optum is a clinician-led care organization, that is creating a seamless health journey for patients across the care continuum.

As a member of the broader Home and Community Care team, you’ll help bring home-based medical care to complex, chronic patients. This life-changing work helps give older adults more days at home. 

At Optum, the integrated medical teams who practice within Home and Community Care are creating something new in health care. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We’re connecting care to create a seamless health journey for patients across care settings. Join our team, it’s your chance to improve the lives of millions while Caring. Connecting. Growing together.

Position Highlights & Primary Responsibilities:

• Make patient assessments in home setting and determining appropriate levels of behavioral care needed
• 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 have communication barriers
• Identify ways to add value to treatment plans and consulting 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
• Ability to 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

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 in Social Work or related area of study
• LCSW in North Carolina
• 2+ years of experience as a social worker
• 1+ years of case management experience
• Experience one or more of these settings: long-term care, home health, hospice, public health or assisted living
• Proficient in with MS Word, Excel and Outlook
• Ability to travel up to 50% of the time
• Distraction-free space in home for home office with access to high-speed internet
• Access to reliable transportation to travel to meet with members within 60 miles
• Ability to work Monday – Friday: 8:00am to 5:00pm (with some flexibility)

Preferred Qualifications:

• Experience with electronic charting
• Experience with arranging community resources
• Field based work experience
• Experience working with complex family systems and dynamics
• Experience in crisis Intervention
• Experience working in Duals (DSNP) and/or Medicaid environment
• 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
• Knowledge of resources to address SDOH
• Background in managing populations with complex medical or behavioral needs
• Understanding of health disparities among various membership, based on their race or ethnicity; religion; socioeconomic status; sexual orientation; gender, gender identity; age; mental health; cognitive, sensory or physical disability; geographic location or other characteristics historically linked to discrimination and exclusion
• Ability to work independently as well as a member of a team

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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