Behavioral Health Care Advocate - UM

UnitedHealth Group•Modesto, CA

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. If you are located in California, you will have the flexibility to work remotely 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

Master’s degree in psychology, Social Work or Marriage and Family Therapy, LPCC, or PhD/PsyD
Active, unrestricted independent clinical license in the State of CA: LP, LCSW, LMFT, LPC along with CA residency
2+ years of experience in behavioral health
Live in and be a legal resident of California for the duration of employment
Ability to work 8:30am-5pm PST
Ability to work rotating holidays
Dedicated office space and access to high-speed internet service in your home

Nice To Haves

Dual diagnosis experience with mental health and substance abuse
Experience in working in an environment that required coordinating benefits and utilizing various resources to meet patient needs
Experience with utilizing computer applications and softphone to complete all primary work responsibilities
Proficiency in Microsoft Office Suite Program (Word, Teams, Outlook, Excel, etc.)

Responsibilities

Responsible for handling inbound calls, from providers and members in a call center / cue based environment
Conduct initial clinical assessments and determine appropriate levels of care, based on medical necessity
Explain and administer benefits according to plan descriptions for all levels of care (OP, IOP, PHP, RTC, IP)
Ability to quickly assess and meet time sensitive deadlines within the Utilization management setting
Ability to manage and resolve complex or escalated callers/issues in fast paced environment