Behavioral Health Advocate, Utilization Management - Remote

UnitedHealth Group • Eden Prairie, MN

18h • 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.
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

Nice To Haves

• Experience working with children, adolescents, and families
• Experience working with the autism population
• 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
• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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

Benefits

• a comprehensive benefits package
• incentive and recognition programs
• equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level