Behavioral Health Advocate, Utilization Management – Remote in US

Optum

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Requisition Number: 2218070
Job Category: Behavioral
Primary Location: Eden Prairie, MN
(Remote considered)

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 Behavioral Health Care Advocate, you will be responsible for utilization review of mental health and substance use disorder services. 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.

 

The schedule is a standard 8-hour shift between the hours of 7:00am – 6:00pm CST Monday through Friday. This position also includes working a holiday rotation.

 

You’ll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges.

 

Primary Responsibilities: 

  • Perform utilization management, utilization review, or concurrent review of behavioral health admissions and continued stay
  • Ensure that behavioral health care services provided are medically necessary, per standard guidelines
  • Ensure that behavioral health care services are provided in the most appropriate setting
  • Integrate a collaborative process which assesses, plans, implements, coordinates, monitors, and evaluates the options and services to meet the enrollee’s health needs using education, communication, and all available resources to promote quality, cost-effective outcomes
  • Discharge planning or management of transitions between care settings to ensure the appropriate services/resources are in place for quality outcomes

 

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:

  • Master’s degree in Psychology, Social Work, Counseling, or Marriage or Family Counseling; Licensed Ph.D., or Registered Nurse with 2+ years of experience in behavioral health
  • Active, unrestricted clinical license to practice independently without supervision
  • 3+ years post-licensure clinical experience in an appropriate behavioral health environment
  • Proficient in MS Office Suite
  • Dedicated home office space and access to secure high-speed internet in home

Preferred Qualifications:

  • Experience working in a managed care environment
  • Utilization management experience
  • Experience in mental health and substance abuse
  • Medical/ behavioral health collaboration within different organizations
  • Inpatient experience
  • Experience using ICUE
  • Excellent customer service skills
  • Excellent organizational skills

*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, or Washington 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.