Behavioral Health Care Advocate - Utilization Management - Remote

MedStar Health; Eden Prairie (MN); Remote; USD 58,000 - 105,000; Full time

Job summary

A leading healthcare organization is seeking a Behavioral Health Care Advocate to enhance the quality of healthcare. This remote position involves case management and utilization review, impacting the lives of members by managing care throughout treatment plans. Applicants should have a Master’s degree or be a licensed clinician with significant experience in the mental health field.

Benefits

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase and 401k contribution

Qualifications

• Master's degree in a relevant field or RN with 2+ years experience in behavioral health.
• Licenses must be independent and unrestricted in the state of residence.
• 2+ years of experience in a related mental health environment.

Responsibilities

• Day to day management of behavioral health benefits for facility-based care.
• Utilize clinical assessments to determine appropriate levels of care.
• Coordinate benefits and transitions between various levels of care.

Skills

Proficiency with Microsoft Office Suite

Excellent communication skills

Ability to thrive in a fast-paced environment

Education

Master's degree in Psychology, Social Work, Counseling, or related field

Independently licensed clinician

Job description

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.

As a Behavioral / Mental Health Care Advocate you will be responsible for case management and utilization review of behavioral health and substance abuse cases. 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.

What makes your clinical career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You will work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.

This position is fully remote, with a required schedule of Monday-Friday, 9:00am-6:00pm CT

Primary Responsibilities:

• Day to day management and administration of behavioral health benefits for facility-based care
• Utilize clinical assessments to determining appropriate levels of care
• Evaluate if additional clinical services are needed
• Effectively coordinate benefits and transitions between various levels of care
• Identify ways to add value to treatment plans and consult with facility staff to improve outcomes
• Actively assist in identifying appropriate community-based services for discharge planning for the duration of the course 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:

• Independently licensed clinician, with a Master's degree in Psychology, Social Work, Counseling, or related behavioral health discipline, OR an RN with 2+ years of experience in behavioral health
• Licenses must be independent, active, and unrestricted in the state you reside in
• 2+ years of experience in a related mental health environment
• Proficiency with Microsoft Office Suite programs (Word, Outlook, Internet)
• Willing to work occasional holidays (dictated by business need)
• Dedicated home office space with access to reliable high speed internet service

Preferred Qualifications:

• Experience in an inpatient setting
• Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
• Experience working with Commercial, Medicare, and Medicaid lines of business
• Dual diagnosis experience with mental health and substance abuse
• Proven excellent communication skills both verbally and in writing
• Proven ability to thrive in a fast-paced environment

Explore opportunities at Optum Behavioral Care. We're revolutionizing behavioral health care delivery for individuals, clinicians and the entire health care system. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while Caring. Connecting. Growing together.

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 $58,800 to $105,000 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 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.

OptumCare 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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