Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
The Clinical Wellbeing Specialist role is a part of a clinical team focused on behavioral health and emotional wellbeing navigation and support. The team is responsible for care and case management, which includes authorizations and coordination and assurance of appropriate levels of care to members, along with in the moment solution focused consultations and crisis support.
The Clinical Wellbeing Specialist provides one-to-one engagement support with members using clinical expertise to conduct a thorough telephonic assessment of risk to self or others, clinical screening for substance abuse and medical co-morbidities for members. Solution Focused Consultation, Motivational Interviewing, and Short-Term problem resolution are the clinical modalities used to develop an individualized action plan, guiding members to appropriate benefits and resources provided by employer, community and other cross-carrier vendors. The role will provide case management services through review and evaluation of inpatient and outpatient behavioral health treatments for medical necessity, emergency status, and quality of care. The team is empowered to achieve the best possible outcome for the consumer by understanding where the consumer is at with their needs and ensuring the member receives the right care at the right time. The role includes telephonic, digital chat, and/or digital messaging for member interaction. Clinical specialists also coordinate and facilitate the response to high-risk situations through consultation with licensed staff. Work volume comes from both an inbound and outbound queue, both on demand and self-managed.
Clinical Wellbeing Specialists are trained on the foundations of coaching and expected to fulfill their job duties by applying this skillset as a means of experience design. Clinical Wellbeing Specialists are expected to support goal articulation and activate the appropriate benefit or resource available to each unique member. This includes various clinical resources both within the team, as well as through broad partnerships in the organization.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Engage individually with members to clinically and holistically assess the reason for call and presenting needs including issues impacting the individual’s personal wellbeing, emotional and physical health, and personal safety
Genuine passion for improving a member’s behavioral health experience, supporting adults, youth, and families
“Provides services for adults, youth and families via inbound and outbound phone queues, inbound chats, and additional communications”
Anticipates member needs and proactively identifies solutions
Conduct thorough assessment of risk of harm to self, or others; assist with safety planning and coordinating services with emergency personnel and hospital staff through consultation with other licensed staff in order to access appropriate level of care and ongoing support. Coordinate
follow-up care and services to individuals and organizations, as appropriate
Develop next steps and identify meaningful goals and resources utilizing Solution Focused Consultation model
Provide appropriate type of service based on member’s presentation, clinical history and needs and accurately differentiate between EWS and BH services
Formulate short term problem resolution plan of action and provide Full Benefit Exploration reviewing the appropriate tools and resources to support the plan, offer and refer clients to additional benefits, and authorize additional services including behavioral health, and/or contracted
EWS and behavioral health network providers
Formulate accurate description of member’s clinical presentation in their individual clinical records and maintaining appropriate records, case notes, forms and reports as well as database entries
Provide training in coaching skills foundations and successfully employs techniques in engagements with a focus on member goal articulation and achievement
Fosters a service-oriented environment and participates in human centered experience development
Identifies solutions to non-standard requests and problems
Solves moderately complex problems and/or conducts moderately complex analyses
Works with minimal guidance; seeks guidance on only the most complex tasks
Translates concepts in practice
Provides explanations and information to others on difficult issues
Coaches, provides feedback and guides others, acting as a resource for others with less experience
Participate in staff meetings, case consultations, and training opportunities
Consult as required with other licensed staff and supervisors
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 Mental Health Clinician with a Master’s degree in psychology, social work, counseling or marriage, or family counseling, or an RN with 3+ years of experience in behavioral health
Active, unrestricted independent clinical license
Proven solid written, verbal and interpersonal skills. Qualified staff must be able to use various computer applications and move through computer screens while talking with members
Ability to work any of our 8.5-hour shift schedules during our normal business hours of Monday-Friday 6:45am – 7:15pm CST. It may be necessary, given the business need, to work occasional overtime
Designated workspace and access to secure high-speed internet via cable/DSL in home
Preferred Qualifications:
2+ years of child and family experience
Experience supporting members in an inbound call center
Ability to build rapport, assess and address risk, and develop goals with members in a telephonic and/or online
Ability to work with a culturally and geographically diverse population
Ability to address a variety of problems and issues as presented by members
Ability to work flexibly and creatively with other professional team members
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
The hourly range for this role is $28.61 to $56.06 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
UnitedHealth Group
You must sign in to apply for this position.