Behavioral Health Advocate, Utilization Management - Remote

UnitedHealth Group•Eden Prairie, MN

6d•Remote

About The Position

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. As a Behavioral Health Advocate, you will be responsible for utilization review of behavioral health and substance abuse cases. You'll have a direct impact on the lives of our members as you recommend and manage the appropriate level of care throughout the entire treatment plan. This team receives telephonic and queue-based treatment requests for higher levels of care. Qualified candidates must be available to work between the business hours of 8:00 am to 8:00 pm EST (e.g., Monday - Friday, 8a - 5p in the local time zone). This position includes a weekday holiday rotation. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. 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.

Requirements

One of the following: Independently licensed clinician with a Master's degree in Psychology, Social Work, Counseling, or related behavioral health discipline
RN with 2+ years of experience in behavioral health
Licenses must be active and unrestricted in the state of residence
2+ years of experience in a related mental health environment
Proficient in Microsoft Office Suite including Teams, Word, and Outlook
Proven ability to multitask and navigate live chat functions
Willingness to work a weekday holiday rotation based on business need
Dedicated, distraction-free workspace in home
Access to reliable high-speed internet in home (Cable Broadband, DSL, Fiber)

Nice To Haves

Utilization review / utilization management experience
Experience working in a call center environment
Experience working in a queue-based environment
Experience in an inpatient setting
Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
Experience working with Commercial, Medicare, and Medicaid lines of business
Dual diagnosis experience with mental health and substance abuse
Proven excellent communication skills both verbally and in writing
Proven ability to thrive in a fast-paced environment

Responsibilities

Day to day management and administration of behavioral health benefits for facility-based care
Utilize clinical assessments to determining appropriate levels of care
Evaluate additional clinical services are needed
Effectively coordinate benefits and transitions between various levels of care
Identify ways to add value to treatment plans and consult with facility staff to improve outcomes
Actively assist in identifying appropriate community-based services for discharge planning for the duration of the course of care