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Health and Social Services Coordinator job in Atlanta at UnitedHealth Group

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Health and Social Services Coordinator at UnitedHealth Group

Health and Social Services Coordinator

UnitedHealth Group Work From Home Full Time

If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm)

You push yourself to reach higher and go further. Because for you, it’s all about ensuring a positive outcome for patients. In this role, you’ll work in the field and coordinate the long-term care needs for patients in the local community. And at every turn, you’ll have the support of an elite and dynamic team. Join UnitedHealth Group and our family of businesses and you will use your diverse knowledge and experience to make health care work better for our patients.  

The Office of Individual and Family Affairs Child and Member Liaison is responsible for member advocacy and system navigation of behavioral health services and social services and supports.  This role is to communicate and disseminate information to members and families to identify concerns and remove barriers that affect service delivery or member satisfaction. The OIFA Member Liaisons collaborate with the organization’s other member support areas, including but not limited Provider Services, Member Services as well as working cross collaboratively with all internal departments.

If you are located within the Arizona you will have the flexibility to telecommute* as you take on some tough challenges.  

  Primary Responsibilities: 

  • Provide advocacy and system navigation of behavioral health services and social services and supports
  • Build partnerships with individuals, families, youth, and key stakeholders to promote recovery, resiliency, and wellness
  • Oversee the provision of, and ensure the availability of, Peer Support services and Family Support services by having access to reports to monitor, track, and trend these services
  • Assist members and their families by answering questions, providing program information and education about care coordination program services, network and community resources and coverage determination guidelines
  • Identify as participates in internal/external learning opportunities, utilizes available resources and promote use of educational materials and web-based information
  • As appropriate, consult with family members, health plan, existing providers, and primary care physicians regarding patients' treatment needs and goals and to facilitate proper coordination of care
  • Fields calls, emails, concerns, and request for assistance addressing members and their families issues.
  • Assists in development of member facing materials and works cross-functionally internally regarding member facing resources/materials utilizing recovery focused/person center language as it relates to children’s/family services
  • Attends Community forums/provider councils to engage, educate and gather member feedback on system issue improvement.
  • Support outcome-focused, evidenced-based best practices and guidelines with providers
  • Provide consultation to providers and/or members on a variety of issues including benefit information, safety issues, confirmation of prior authorizations/ approvals, procedures for higher level of care evaluations, and requests for an explanation of the level of care, coverage determination, or best practice guidelines
  • Understand benefits in compliance with plan inclusions, limitations, and State/Federal mandates
  • Meet all documentation audit standards
  • Participate in other duties assigned based on the needs of the health plan 

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:

  • 2+ years of experience in behavioral health
  • Proficiency with Microsoft Office Suite programs (Word, Outlook, Internet)
  • Reliable transportation with the ability to accommodate some field-based travel within the service delivery area (up to 50%)

Preferred Qualifications:

  • Experience with special populations, including I/DD, (others - student/school systems, etc.)
  • Dual diagnosis experience with mental health and substance abuse
  • Community Based Experience
  • Experience working in an environment that required coordinating benefits and utilizing multiple groups and resources for members and their families
  • Previous experience working in a Managed Care Organization (MCO)
  • Familiarity of publicly funded healthcare and social service systems and Medicaid eligible or enrolled populations
  • Familiarity with recovery and resiliency model
  • Demonstrated familiarity and experience with the current Diagnostic and Statistical Manual and best practice standards for treatment
  • Knowledge of or ability to research and connect with community resources, including ability to utilize features of search engines as well as Intranet to discern available resources for any caller

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm)

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

Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance. 

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.

Job Keywords: Case Manager,Social Work,Case Management, Medicare, Medicaid, Medicaid Waiver, MDS, Managed Care, Behavioral Health, Mental Health, Community Health, Public Health, Assisted Living, United Healthcare, UHC, Telecommute, Telecommuter, Telecommuting, Remote, Telecommute, Work from Home, Work at Home, Phoenix, Arizona, AZ


Recommended Skills

  • Peer Support
  • Long Term Care
  • Mental Health
  • Behavioral Health
  • Substance Abuse
  • Health Care
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