Behavioral Health Care Advocate - Remote MO License

UnitedHealth Group•St. Louis, MO

1d•Remote

About The Position

The Optum family of businesses, is seeking a Behavioral Health Care Advocate to join our team. As a member of the Optum Behavioral Care team, you’ll be an integral part of our vision to make healthcare better for everyone. At OptumHealth, you will perform within an innovative culture that's focused on transformational change in the health care system. You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact that's greater than you've ever imagined. The Strategic Outpatient Engagement & Management (STEM) Care Advocate will complete telephonic clinical reviews directly with Providers to ensure members are getting the most effective and efficient care promoting best practices in the Outpatient psychotherapy and community-based treatment setting. This position is inbound-queue based, and is fully remote, with a Monday-Friday, 10:30am - 7:00pm CST schedule You’ll enjoy the flexibility to work remotely from anywhere within the U.S. 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. Explore opportunities at Optum Behavioral Care. We’re revolutionizing behavioral health care delivery for individuals, clinicians and the entire health care system. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We’re connecting care to create a seamless health journey for patients across care settings. Join our team, it’s your chance to improve the lives of millions while Caring. Connecting. Growing together. All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Requirements

Active, unrestricted, Independent Level Clinician in Psychology, Social Work, Counseling or Marriage or Family Counseling, or an RN with 2+ years of experience in behavioral health
Active, unrestricted licensure in Missouri
2+ years of experience in a behavioral health setting
Outpatient psychotherapy and community-based treatment experience
Proven MS Office proficiency (Word, Excel, Outlook, Internet)
Distraction-free space in home to use as a home office
Access to high-speed internet (DSL or Cable)

Nice To Haves

2+ years of demonstrated experience (post licensure) in a related mental health environment including outpatient services
Experience working with EMRs (electronic medical records)
Experience in managed care
Experience conducting clinical review to determine appropriate levels of care
Demonstrated telephonic/office-based experience
Telephone queue experience
Utilization review/management experience

Responsibilities

Focus on outpatient commercial, Medicaid and Medicare behavioral health services
Conducting outpatient reviews to determine appropriate care
Assessing if member care meets coverage guidelines
Shaping member treatment in partnership with providers to ensure best practices
Administering benefits and reviewing treatment plans