Behavioral Health Advocate, Utilization Management - Remote

UnitedHealth Group•Orlando, FL

7h•Remote

About The Position

This is a telephonic, queue based position supporting outpatient services for children and adolescents. As a Behavioral Health Advocate you will respond to treatment requests from providers and facilities, as well as manage and deescalate crisis calls from members. 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. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. The schedule is Monday - Friday, 8am - 5pm CST and includes working one weekday holiday per year.

Requirements

One of the following licensures - must be active and unrestricted: Independently licensed master’s degree in psychology, social work, counseling or related field (i.e., LPC, LPCC, LCSW, LISCW, LMFT, LMHC, etc.)
Licensed PhD/PsyD (LP)
Registered Psychiatric Nurse (RN)
3+ years of post-licensure clinical experience in a related behavioral health environment
Proficient with MS Office Suite
Access to install secure, high-speed internet and a dedicated, distraction free workspace at home
Available to work one weekday holiday per calendar year
Desire to work in a telephonic, queue-based position responding to treatment requests and crisis calls
Experience working with children, adolescents, and families
Experience working with the autism population
BACB Licensure

Nice To Haves

Managed care experience
Experience working in a hospital setting
Experience with medical or behavioral health collaboration within different organizations
Proven excellent customer service skills
Proven excellent organizational skills

Responsibilities

Work with providers, facilities, and members to perform utilization management and authorization for outpatient services
Ensure that behavioral health care services provided are medically necessary, per standard guidelines
Ensure that behavioral health care services are provided in the most appropriate setting
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
Discharge planning or management of transitions between care settings to ensure the appropriate services/resources are in place for quality outcomes
Refer members to appropriate psychiatric and community referrals and assist with identifying and removing potential barriers