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Behavioral Health Care Advocate - Utilization Management - Remote

UnitedHealth Group
place Circle Pines, 55014
local_atm $58800 - $105000/Year
work_outline
Full Time
Experience:
Avoidant Personality Disorder
Gender Dysphoria
Medication Management
ECT
Victims of Crime/Abuse (VOC/VOA)
Racial Justice Allied

About Job



Behavioral / Mental Health Care Advocate

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.

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.

Schedule: Monday - Friday, 8:30am-5:00pm EST. The position requires working holidays on a rotating basis (depending on business needs). This is not a queue-based" position, but may require working in a queue in the future.

Youll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Day to day management and administration of behavioral health benefits for facility-based care
  • Utilize clinical assessments to determine 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

Youll 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.

Required Qualifications:

  • 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
  • 2+ years of experience in a related mental health environment
  • Proficiency with Microsoft Office Suite programs (Word, Outlook, Internet)
  • Willing to work up to 4 holidays per year on a rotating basis (depending on business need)
  • Dedicated space in home for home office
  • Access to high-speed internet from home (Broadband Cable, DSL, Fiber)

Preferred Qualifications:

  • 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
  • Experience determining levels of care
  • Demonstrated ability to handle calls in a queue, inbound or outbound
  • Proven excellent communication skills both verbally and in writing
  • Proven ability to thrive in a fast-paced environment

All employees working remotely will be required to adhere to UnitedHealth Groups Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves the opportunity to live their healthiest life. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Recommended Skills

  • Administration
  • Behavioral Medicine
  • Business Requirements
  • Clinical Works
  • Communication
  • Dual Diagnosis

Recommended Skills

  • Administration
  • Behavioral Medicine
  • Business Requirements
  • Clinical Works
  • Communication
  • Dual Diagnosis

Professional Field

professional badgeCounseling
professional badgeSocial Work
professional badgeOther Behavioral, Mental, or Healthcare Field

Patient Focus

Diagnoses

Avoidant Personality Disorder
Gender Dysphoria

Issues

Medication Management

Age Groups

Preteens/Tweens (11-13)

Therapeutic Approach

Methodologies

ECT

Practice Specifics

Populations

Victims of Crime/Abuse (VOC/VOA)
Racial Justice Allied

Settings

Faith-based organizations
Milieu
Private Practice
Research Facilities/Labs/Clinical Trials
Residential Treatment Facilities (RTC)
Schools
Telehealth/Telemedicine
Home Health/In-home
Military