Remote Facility-Based Behavioral Health Care Advocate – Utilization Management

Optum

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Requisition Number: 2224492
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.  

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 verified 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.

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

 

Primary Responsibilities: 

  • Manage all facility-based admissions for mental health and substance abuse through the continuum of care
  • Effectively collaborate with treating providers and facilities to ensure consumers are receiving treatment in line with best practice and level of care guidelines
  • Effectively communicate with consumers about their benefit coverage and provide appropriate resources and referrals
  • Make decision about appropriate levels of care based on medical necessity guidelines

You’ll find the pace fast and the challenges ongoing. We’ll expect you to achieve and document measurable results. You’ll also need to think and act quickly while working with a diverse member population.

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: 

  • Independently Licensed Clinician, with a Master’s degree in Psychology, Social Work, Counseling or Marriage or Family Counseling, or Licensed Ph.D or a Registered Nurse with 2+ years of experience in behavioral / mental health
  • 2+ years of behavioral health experience
  • Facility based mental / substance abuse experience
  • Experience with Outlook/One Note email, use of online calendars and other proprietary software applications
  • Proficient Microsoft skills (Word, Excel, Outlook, Windows 10)
  • Proven computer/typing proficiency to enter/retrieve data in electronic clinical records and provide customer service on the phone concurrently
  • Private work space and access to high speed internet

Preferred Qualifications:        

  • Inpatient experience
  • Experience in a managed care setting
  • Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
  • Proven ability to work effectively within in a fast paced, changing environment
  • Proven solid verbal and written communication 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.