Adult Member Liaison - Phoenix, AZ

Requisition number: 2386553

Job category: Behavioral

At UnitedHealthcare, 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 better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The Office of Individual and Family Affairs Adult Member Liaison is responsible for adult 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 Adult Member Liaison collaborates with the contracted providers, community organizations, and other member support areas, including but not limited to Provider Services, Member Services, Care Management, as well as working cross collaboratively with all internal departments

If you are located in Phoenix, Arizona, area you will have the flexibility to work from home, as well as work onsite in the office Mondays & Wednesdays as you take on some tough challenges. Onsite location is 1 E. Washington St., Phoenix, AZ 85004. Travel up to 50% based on business needs.

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 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 members, families, 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 in-person 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)

• Intermediate+ level proficiency with Microsoft Excel

• Driver's License

• Reliable transportation with the ability to accommodate some field-based travel within the service delivery area (up to 50%)

• Work onsite, in the office 2 times per week (Monday & Wednesday) at location 1 E. Washington St., Phoenix, AZ 85004

Preferred Qualifications:

• Experience with special populations, including I/DD (others - students/school systems, etc.)

• Dual diagnosis experience with mental health and substance use

• Community based experience

• Experience with public speaking

• Experience working in an environment that requires coordinating benefits and utilizing multiple groups and resource for members and their families

• Familiarity of publicly funded healthcare and social service systems and Medicaid eligible or enrolled populations

• Familiarity with recovery and resiliency models

• 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 member

*All employees working remotely will be required to adhere to UnitedHealth Group'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 (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $24.00 to $43.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable. #UHCPJ

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.