Behavioral Health Care Advocate - UM - Remote

UnitedHealth Group; Minneapolis (MN); Remote; USD 60,000 - 107,000; Full time

Benefits offered by this job

Telecommuter Policy

Benefits package

Job summary

UnitedHealth Group is hiring a Behavioral Health Care Advocate for a fully remote, inbound-queue role. You will perform telephonic clinical reviews with providers to ensure members receive effective outpatient psychotherapy and community-based care, coordinating with Medicaid/Medicare programs.

The position requires active licensure and at least 2 years in behavioral health, with strong MS Office skills and a suitable home office setup. Salary range is $60,200–$107,400 annually.

Qualifications

• Active, unrestricted independent licensure in the state of residence.
• 2+ years of Behavioral Health experience.
• Outpatient psychotherapy experience.
• Proficient with MS Office applications.

Responsibilities

• Focus on outpatient commercial, Medicaid and Medicare behavioral health services.
• Conduct outpatient reviews to determine appropriate care.
• Assessing if member care meets coverage guidelines.
• Shaping member treatment in partnership with providers to ensure best practices.
• Administering benefits and reviewing treatment plans.

Skills

Clinical reviews

Independent licensure

Behavioral health experience

MS Office proficiency

Education

Independent licensure

Tools

EMR systems

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

The Optum family of businesses, is seeking a Behavioral Health Care Advocate to join our team. As a member of the Optum Behavioral Care team, you'll be an integral part of our vision to make healthcare better for everyone.

At OptumHealth, you will perform within an innovative culture that's focused on transformational change in the health care system. You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact that's greater than you've ever imagined.

The Strategic Outpatient Engagement & Management (STEM) Care Advocate will complete telephonic clinical reviews directly with Providers to ensure members are getting the most effective and efficient care promoting best practices in the Outpatient psychotherapy and community-based treatment setting.

***This position is inbound-queue based, and is fully remote, with a Monday-Friday, 10:30am - 7:00pm EST or CST schedule***

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

Primary Responsibilities:

• Focus on outpatient commercial, Medicaid and Medicare behavioral health services
• Conducting outpatient reviews to determine appropriate care
• Assessing if member care meets coverage guidelines
• Shaping member treatment in partnership with providers to ensure best practices
• Administering benefits and reviewing treatment plans

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:

• Active, unrestricted, Independent Level Clinician in Psychology, Social Work, Counseling or Marriage or Family Counseling with 2+ years of experience in behavioral health
• Active, unrestricted independent licensure in state of residence
• 2+ years of experience in a behavioral health setting
• Outpatient psychotherapy and community-based treatment experience
• Proven MS Office proficiency (Word, Excel, Outlook, Internet)
• Distraction-free space in home to use as a home office
• Access to high-speed internet (DSL or Cable)

Preferred Qualifications:

• 2+ years of demonstrated experience (post licensure) in a related mental health environment including outpatient services
• Experience working with EMRs (electronic medical records)
• Experience in managed care
• Experience conducting clinical review to determine appropriate levels of care
• Demonstrated telephonic/office-based experience
• Telephone queue experience
• Utilization review/management experience

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

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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 help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug‑free workplace. Candidates are required to pass a drug test before beginning employment.