Behavioral Health Care Advocate - Utilization Management - Remote in Arizona

UnitedHealth Group Inc.•Mesa, AZ

79d•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 diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As a Behavioral / Mental Health Care Advocate you will be responsible for case management and 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. What makes your clinical career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You will work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere. Licensure and residency in the State of Arizona is required.

Requirements

Master's degree in psychology, Social Work, Counseling, or an RN with 2+ years of experience in behavioral health
One of the following active, unrestricted, independent licenses to practice in the State of Arizona: LCSW, LMFT, LPC, PSY; OR RN with 2+ years of behavioral health experience
2+ years of experience in a related mental health environment
Proficiency with Microsoft Office Suite programs (Word, Outlook, Internet)
Arizona residency
Willing to work occasional holidays (dictated by business need)
Willing to accommodate changes in working hours (dictated by business need)

Nice To Haves

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 with utilization management
Experience working with Medicaid lines of business
Dual diagnosis experience with mental health and substance abuse
Experience working in a call center environment
Proven excellent communication skills
Proven ability to thrive in a fast-paced environment

Responsibilities

Managing and administering inpatient and residential behavioral health benefits
Reviewing clinical assessments and determining appropriate levels of care
Determining if additional clinical services are needed
Coordinating benefits and transitions between various levels of care
Identifying ways to add value to treatment plans and consulting with facility staff on those ideas
Identify appropriate community-based services for discharge planning as indicated