Behavioral Health Care Advocate - UM

UnitedHealth Group; Cypress (CA); Remote; USD 58,000 - 115,000; Full time

Job summary

An established industry player is seeking a dedicated professional to join their team in advancing health equity. In this role, you will be instrumental in connecting individuals with necessary healthcare resources, ensuring they receive the care they need. You'll thrive in a supportive environment that emphasizes diversity and inclusion, while also having the flexibility to work remotely. Your expertise in behavioral health will be crucial as you navigate complex cases and provide exceptional service to members and providers alike. This is an opportunity to make a significant impact in the communities served.

Benefits

Comprehensive Benefits Package

Incentive and Recognition Programs

Equity Stock Purchase

401k Contribution

Qualifications

• Master's degree in psychology or social work required.
• 2+ years of experience in behavioral health is essential.

Responsibilities

• Handle inbound calls in a call center environment.
• Conduct initial clinical assessments based on medical necessity.

Skills

Behavioral Health Experience

Clinical Assessment

Crisis Management

Communication Skills

Education

Master's Degree in Psychology or Social Work

Clinical License in California

Tools

Microsoft Office Suite

Softphone Applications

Job description

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.

If you are located in California, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Handling inbound calls, from providers and members in a call center environment


• Conduct initial clinical assessments and determine appropriate levels of care, based on medical necessity


• Explain and administer benefits according to plan descriptions for all levels of care (OP, IOP,PHP,RTC,IP)


• Ability to quickly assess and meet time sensitive deadlines within the Utilization management setting


• Ability to manage and resolve complex or escalated callers/issues

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 or Marriage and Family Therapy, LPCC, or PhD/PsyD


• Clinical license in the state of California required. Current, unrestricted license


• 2+ years of experience in behavioral health


• Dedicated office space and access to high-speed internet service in your home


• Ability to work 8am-5pm PST and ability to cover holidays as needed on rotating basis

Preferred Qualifications:

• Dual diagnosis experience with mental health and substance abuse


• Experience in working in an environment that required coordinating benefits and utilizing various resources to meet patient needs


• Experience with utilizing computer applications and softphone to complete all primary work responsibilities


• Proficiency in Microsoft Office Suite Program (Word, Teams, Outlook, Excel, etc.)

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

California 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.

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.

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.