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. You have high standards. So do we. Here at UnitedHealth Group, this includes offering an innovative new standard for care management. It goes beyond counseling services and verifies referrals to programs integrated across the entire continuum of care. That means you'll have an opportunity to make an impact on a huge scale - as part of an incredible team culture that's defining the future of behavioral health care. If you live and are licensed in Utah, you will have the flexibility to work remotely as you take on some tough challenges.

Requirements

  • Licensed Master's degree level clinician in: Psychology, Social Work, Counseling or Marriage & Family Counseling; OR Licensed Ph.D. or Licensed PsyD; OR an RN with 2+ years of experience in behavioral health (licensure must be current and unrestricted in your state of residence)
  • 3+ years of behavioral health clinical experience in an inpatient/acute setting or outpatient setting
  • Driver's License and access to reliable transportation

Nice To Haves

  • Experience in discharge planning and/or chart review
  • Experience in inpatient/acute setting or outpatient setting
  • Utilization review experience in an insurance company or managed care setting
  • Knowledge of Level of Care Guidelines (i.e., Milliman, InterQual, etc.)
  • All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Responsibilities

  • Work with a multidisciplinary Care Coordination team
  • Act as the Forensic (Utah State Hospital) USH liaison for Salt Lake and Tooele counties
  • Coordinate the forensic USH census, including admissions, civil commitments, monthly progress, and discharge planning, where needed
  • Meet with forensic patients, as needed
  • Prepare and send monthly reports with USH information
  • Attend Optum USH committee meetings bi-weekly
  • Work in tandem with Optum civil USH liaison
  • Understand the civil USH process
  • Assist in coordinating civil state hospital discharges
  • Assist in coordinating referrals for civil admission
  • Understand and assist with Youth USH admission/discharges, when needed
  • Care Coordination could also include and not limited to inpatient discharges, integrated care support and member requests
  • Utilization management support

Benefits

  • a 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

Industry

Insurance Carriers and Related Activities

Number of Employees

5,001-10,000 employees

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