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UnitedHealth Group

Medical Behavioral Health Integration Specialist - Field-based in Columbia, MD

Equipment/Technology Specialist

Equipment and Facilities Specialist

Yearly

No

Columbia, Maryland, United States

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)

The Medical Behavioral Health Integration Specialist (MBIS) is a direct clinical liaison between UBH, health plan customers, and the clinical network. This position integrates a collaborative process which assesses plans, implements, coordinates, monitors and evaluates the options and services to meet the enrollee’s health needs, using education, communication and all available resources to promote quality, cost-effective outcomes.

If you are located in the state of MD, you will have the flexibility to telecommute* as you take on some tough challenges. Must reside and be licensed in Maryland.

Primary Responsibilities:

  • Identifies high-risk enrollees, monitors utilization, creates care plans to address problems while maintaining quality of care. (Information is collected from MCOs, the patient, caregiver(s), LBHAs and other relevant parties.) Utilizes advanced clinical skills to make effective decisions to meet the enrollee’s health needs, using education, communication, and all available resources to promote quality, cost-effective outcomes
  • Travels locally to treatment locations in Maryland up to 30% of the time to meet with participants, discharge planners and other providers to ensure that treatment is coordinated and participant is following up with all treatment recommendations
  • Travels to ER to meet with participants to re-engage in case management as appropriate and participate as resource personnel for care teams (no direct care provided)
  • Screens, identifies and obtains approval on high-risk/cost, catastrophic, long term chronic cases which will benefit from care management services. Referrals for such cases may originate from MCO’s, facilities, providers, participants or family members
  • Integrates a collaborative process which assesses, plans, implements, coordinates, monitors, and evaluates the options and services to meet the participant’s health needs, using education, communication, and all available resources to promote quality, cost-effective outcomes. For the Frail and Elderly, Functional Assessment and Treatment Plan Summary forms as completed by contracted network clinicians are used by Optum Care Advocates, in addition to the medical chart, to make utilization decisions regarding appropriate services
  • Track patient follow up and clinical outcomes in system
  • Document in-person and telephone encounters in the system
  • Collaborates with providers to determine acuity of mental health and substance use concerns and refer enrollees to appropriate community resources
  • Authorizes medically appropriate services for enrollees to facilitate quality cost-effective patient outcomes in a timely manner
  • Performs other required duties as assigned


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:

  • Licensed Master's degree in Psychology, Social Work, Counseling or Marriage or Family Counseling, or Licensed Ph.D., or an RN with 2 or more years of experience in behavioral health
  • Licenses must be active and unrestricted in state of residence
  • 2+ years of experience in a related mental health environment
  • Proficient computer skills and good working knowledge of Microsoft Word
  • Ability to travel, locally, up to 30-50% of the time
  • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Preferred Qualifications:

  • Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
  • Experience working with individuals with co-morbidity of substance use disorders and mental health diagnoses
  • Experience working with low-income populations
  • Experience working with the aged, blind or disabled
  • Medical/Behavioral setting experience (i.e. hospital, managed care organization, or joint medical/behavioral outpatient practice)
  • Dual diagnosis experience with mental health and substance abuse
  • Clinical training experience
  • Excellent customer service skills
  • Excellent interpersonal and problem-solving skills
  • Function independently and responsibly with minimal supervision
  • Solid team player and team building skills
  • Solid interpersonal skills
  • Able to function independently and responsibly with minimal supervision
  • Maintain direct and open communication with all levels of the organization
  • Able to handle sensitive issues with members and providers in a confidential manner
  • Demonstrates initiative in achieving individual, team, and organizational goals and objectives
  • Solid oral and written communication skills - specifically telephone skills
  • Ability and flexibility to assume responsibilities and tasks in a constantly changing work environment


To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.


Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy


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.

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