Behavioral Health Care Advocate - CA - 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.
Requirements
- Master’s degree in Psychology, Social Work or Marriage and Family Therapy, LPCC, or PhD/PsyD
- Clinical license in LCSW, LMFT, LPCC that is active and unrestricted in the state of California
- 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 (priority for holidays is to use volunteers, if no one volunteers staff is rotated for coverage)
- 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
- Handling inbound calls, from providers and members in a call center / queue-based environment
- Conduct initial and concurrent 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
Benefits
- 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
