Behavioral Health Care Advocate - Utilization Management - Remote

UnitedHealth Group•Maryland Heights, MO
•$60,200 - $107,400•Remote

About The Position

The Behavioral Health Care Advocate is responsible for case management and utilization review of behavioral health and substance abuse cases. The role recommends and manages appropriate levels of care throughout members’ treatment plans, administering behavioral health benefits for facility-based care and helping connect members with appropriate services. This is a fully remote position available to candidates residing anywhere in the United States, with a required Monday–Friday schedule from 9:00 a.m. to 6:00 p.m. Central Time. Employees working remotely must follow UnitedHealth Group’s Telecommuter Policy.

Requirements

  • Active, unrestricted, independent clinical license in the state of residence.
  • Master’s degree in Psychology, Social Work, Counseling, or a related behavioral health discipline.
  • At least 2 years of experience in a related mental health environment.
  • Proficiency with Microsoft Office Suite programs, including Word and Outlook, and Internet use.
  • Willingness to work occasional holidays as dictated by business need.
  • Dedicated home office space with access to reliable high-speed internet.
  • Adherence to UnitedHealth Group’s Telecommuter Policy for remote employees.

Nice To Haves

  • Experience in an inpatient setting.
  • Experience coordinating benefits and using multiple groups and resources for patients.
  • Experience with Commercial, Medicare, and Medicaid lines of business.
  • Dual diagnosis experience involving mental health and substance abuse.
  • Excellent verbal and written communication skills.
  • Ability to thrive in a fast-paced environment.

Responsibilities

  • Manage and administer behavioral health benefits for facility-based care.
  • Use clinical assessments to determine appropriate levels of care.
  • Evaluate whether additional clinical services are needed.
  • Coordinate benefits and transitions between levels of care.
  • Identify ways to add value to treatment plans and consult with facility staff to improve outcomes.
  • Help identify appropriate community-based services for discharge planning throughout the course of care.

Benefits

  • Comprehensive benefits package, subject to eligibility requirements.
  • Incentive and recognition programs, subject to eligibility requirements.
  • Equity stock purchase program, subject to eligibility requirements.
  • 401(k) contribution, subject to eligibility requirements.
  • Career development opportunities.
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