Senior Behavioral Health Care Advocate - Remote in Washington
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. The Senior Behavioral Health Care Advocate (CLIP Liaison) is responsible for coordinating and managing care for members with complex behavioral health needs across the continuum of care. This role focuses on delivering high-quality care coordination, utilization management, and case management services while ensuring compliance with clinical, regulatory, and organizational standards. This position includes specialized responsibilities supporting Washington State’s Children’s Long-Term Inpatient Program (CLIP) and program. The role serves as a key liaison among members, families, providers, and community partners to ensure timely access to appropriate care and successful transitions to community-based services. If you are located in Washington, you will have the flexibility to work remotely as you take on some tough challenges.
Requirements
- Master’s degree in Social Work, Counseling, Psychology, or a related behavioral health field
- Active, unrestricted clinical licensure to practice at the independent level (e.g., LCSW, LPC, LMHC, LMFT, Psychologist, etc.) in the state of Washington
- 5+ years of experience in behavioral health, case management, or care coordination within the Washington Children’s Public System of Care
- Experience working with high-risk youth and families
- Knowledge of Washington Continuum of Care for children and families, behavioral health systems and community resources
- Proficiency in Microsoft Office and care management systems
- Permanent residency and licensure in the state of Washington
Nice To Haves
- Experience in managed care or health plan environment
- Experience with CLIP or similar intensive behavioral health programs
- Leadership or mentoring experience
- Familiarity with medical necessity criteria (e.g., ASAM, LOCUS)
Responsibilities
- Manage a caseload of members with complex behavioral health needs
- Conduct assessments and develop individualized care plans
- Coordinate care across providers, facilities, and community-based services
- Identify and address barriers to care and service access
- Support transitions between levels of care, including inpatient and outpatient settings
- Maintain timely and accurate documentation in accordance with organizational standards
- Meet productivity and quality performance expectations
- Facilitate CLIP referrals, eligibility screening, and application submissions
- Screen referrals for eligibility and ensure compliance with program requirements
- Educate members and families on program requirements and expectations and provide ongoing support throughout the process during treatment and discharge planning
- Coordinate required documentation and clinical information for review
- Prepare and submit application packets to the state for medical necessity certification
- Provide guidance and mentorship to team members
- Participate in and support regional review committee processes
- Serve as liaison between families, providers, and state program administrators
- Track referral timelines, approvals, and placement status
- Support treatment planning, care coordination, and discharge planning
- Perform utilization reviews and authorization activities
- Apply medical necessity and level-of-care criteria
- Collaborate with interdisciplinary teams to review complex cases
- Ensure compliance with regulatory and accreditation requirements
- Participate in quality improvement initiatives and audits, specifically CLIP IT Committee
- Identify process improvement opportunities
- Serve as a subject matter expert for CLIP and care coordination workflows
- Develop and implement operational workflows to enhance efficiency, consistency, and compliance
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
Senior
