Telephonic Behavioral Health Care Advocate – Utilization Review Remote

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

As a Facility Based Behavioral Health Care Advocate, you will be responsible for utilization review of behavioral health and substance abuse cases. Youll 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.

The selected candidate may choose between working five days/week (9:00 AM – 6 PM CST)

You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. An independent clinical license in your state of residency is required.

Primary Responsibilities:

Focus on initial and concurrent reviews for higher levels of care

Inpatient admission for psychiatric and chemical dependency patients via telephone

Make patient assessments and determine appropriate levels of care

Obtain information from providers on outpatient requests for treatment. Facility Based Care Advocates only work with providers for outpatient request prior to discharge from inpatient, residential and partial levels of care

Determine if additional clinical treatment sessions are needed

Manage inpatient and outpatient mental health/substance abuse cases throughout the entire treatment plan

Administer benefits and reviewing treatment plans

Coordinate benefits and transitions between various areas of care

Identify ways to add value to treatment plans and consult with facility staff or outpatient care providers on those ideas

Oversee the facility based care experience

You’ll 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:

Masters degree in Psychology, Social Work, Counseling, or Marriage or Family Counseling; or Licensed Ph.D

Active, unrestricted clinical license to practice independently in your state of residency (LP, LPC, LCSW, or LMFT)

2 years of post-master’s experience in a related behavioral health environment

Utilization Management experience

Access to install secure high-speed internet via Cable Broadband, DSL, or Fiber at home

Dedicated, distraction-free workspace at home

Preferred Qualifications:

Inpatient experience

Dual diagnosis experience with mental health and substance abuse

Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients

Experience working with the Medicaid population

Experience working with the Medicare population

Experience working with private or commercial insurance patient populations

All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington or Washington, D.C. Residents Only: The salary range for this role is $58,300 to $114,300 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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 everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes – an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.