Remote Behavioral Health Care Advocate – Utilization Management – Maryland

Optum

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Requisition Number: 2208794
Job Category: Behavioral
Primary Location: Annapolis, MD
(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. 

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.

 

Primary Responsibilities:

  • Perform telephonic reviews, obtain relevant clinical information from behavioral health providers, determine appropriate levels of care, and administer public behavioral health benefits
  • Perform brief crisis assessment and triage for participants and/ or family members calling into the crisis call queue
  • Perform initial and continued stay requests for authorization to substance use Residential, Partial Hospital and Intensive Outpatient submitted through a provider portal
  • Obtain additional information from providers on substance use disorder (SUD) requests for treatment as needed
  • Cover crisis line/pre-cert for acute levels of care on holidays
  • Coordinate transitions between various levels of care

 

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; OR Licensed psychologist; OR Registered Nurse
  • Current, unrestricted license to practice in the state of Maryland
  • 2+ years of experience in behavioral health
  • Dedicated home office space and access to reliable high-speed internet

 

Preferred Qualifications:

  • Permanent residence in the state of Maryland is highly preferred
  • Dual diagnosis experience with mental health and substance abuse
  • Experience with Medicaid populations
  • Experience with utilization management
  • Experience working in an environment that required coordinating benefits and utilizing multiple groups and resources for participants
  • Telephonic queue/ Call Center experience
  • Knowledge of Maryland Medicaid Level of Care Guidelines
  • Knowledge of public resources throughout Maryland
  • Proficient in utilizing ASAM in determining appropriate level of care
  • Proficiency with Microsoft Office Suite programs (Word, Outlook, Internet)
  • Proven solid problem-solving skills
  • Proven excellent customer service skills
  • Demonstrated ability to think and act quickly in fast-paced settings

 

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

 

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.