Behavioral Health Care Advocate (Utilization Management) - 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 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.
Requirements
- Licensed clinician with a Master's degree in Psychology, Social Work, Counseling or Marriage or Family Counseling, or Licensed Ph.D., or an RN with 2+ years of experience in behavioral health
- Licenses must be active and unrestricted to practice at the independent level in your state of residence
- 2+ years of experience in a related mental health environment
- Proficiency with Microsoft Office Suite programs (Word, Outlook, Internet)
- Willing to work occasional holidays (dictated by business need)
- Willing to accommodate changes in working hours (dictated by business need)
- All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
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
- Prior experience with utilization management is highly preferred
- 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
Benefits
- a comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Number of Employees
5,001-10,000 employees
