Behavioral Health Utilization Management Remote in Florida

UnitedHealth Group • Orlando, FL

102d • $58,800 - $105,000 • Onsite

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. This position is fully remote and requires Florida Residency. As a Behavioral / Mental Health Care Advocate you will be responsible for 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.

Requirements

• Independently licensed clinician, with a Master's degree in Psychology, Social Work, Counseling, or related behavioral health discipline, OR an RN with 2+ years of experience in behavioral health
• Licenses must be independent, active, and unrestricted in your state of residence (Florida license is required)
• 2+ years of experience in a related mental health environment
• Proficiency with Microsoft Office Suite programs (Word, Outlook, Internet)
• Must be willing to work occasional holidays (dictated by business need)
• Dedicated space in home for home office
• Access to high-speed internet from home (Broadband Cable, DSL, Fiber)

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 working with Commercial, Medicare, and Medicaid lines of business
• Dual diagnosis experience with mental health and substance abuse
• Previous experience working in a call center/queue based environment
• Proven excellent communication skills both verbally and in writing
• Proven ability to thrive in a fast-paced environment

Responsibilities

• Day to day management and administration of behavioral health benefits for facility-based care
• Utilize clinical assessments to determining appropriate levels of care
• Evaluate additional clinical services are needed
• Effectively coordinate benefits and transitions between various levels of care
• Identify ways to add value to treatment plans and consult with facility staff to improve outcomes
• Actively assist in identifying appropriate community-based services for discharge planning for the duration of the course of care

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Insurance Carriers and Related Activities
• Education Level: Master's degree