Utilization Management Behavioral Care Advocate - Remote

UnitedHealth Group; Greensboro (NC); Remote; USD 60,000 - 80,000; Full time

Job summary

A health services organization seeks a Care Advocate to provide telephonic support in behavioral health. Responsibilities include responding to treatment requests and ensuring quality outcomes for members through utilization management. The ideal candidate will have a Master's degree and clinical experience in a related field. We offer a comprehensive benefits package and emphasize our commitment to health equity and inclusion.

Benefits

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase plan

Qualifications

• Active, unrestricted, independent license in a behavioral health field.
• 3+ years post-licensure clinical experience.
• Desire to work in a telephonic position.

Responsibilities

• Respond to provider and facility treatment requests.
• Manage and deescalate crisis calls from members.
• Conduct utilization management and review of behavioral health services.

Skills

Clinical experience

Proficiency in MS Office Suite

Customer service skills

Organizational skills

Education

Master's or doctoral degree in psychology, social work or related field

Job description

Overview

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.

You're looking for something bigger for your career. How about inventing the future of health care? UnitedHealthcare is offering an innovative new standard for care management. We\'re going beyond counseling services and verified referrals to behavioral health programs integrated across the entire continuum of care. Our growth is fueling the need for highly qualified professionals to join our elite team. Bring your skills and talents to a role where you\'ll have the opportunity to make an impact on a huge scale.

Responsibilities

• This is a telephonic, queue-based position in which you will respond to provider and facility treatment requests, as well as manage and deescalate crisis calls from members
• As a Care Advocate you will be responsible for utilization review of mental health and substance use disorder services. 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.
• Perform utilization management, utilization review, or concurrent review of behavioral health admissions and continued stay
• Ensure that behavioral health care services provided are medically necessary, per standard guidelines
• Ensure that behavioral health care services are provided in the most appropriate setting
• Integrates a collaborative process which assesses, plans, implements, coordinates, monitors, and evaluates the options and services to meet the enrollee\'s health needs, using education, communication, and all available resources to promote quality, cost-effective outcomes
• Discharge planning or management of transitions between care settings to ensure the appropriate services / resources are in place for quality outcomes

Qualifications

• Required Qualifications :
• Master\'s or doctoral degree in psychology, social work, counseling or related field, or registered psychiatric nurse
• Active, unrestricted, independent license in a behavioral health field (i.e., LP, LPC, LPCC, LCSW, LISCW, LMFT, LMHC, etc.) or a Registered Nurse (RN)
• 3+ years post-licensure clinical experience in a related behavioral health environment
• Proficiency in MS Office Suite
• Availability to work 1 national holiday that falls on a weekday per calendar year
• Access to install secure, high-speed internet and a dedicated, distraction free workspace at home
• Desire to work in a telephonic, queue based position in which you will respond to provider and facility treatment requests, as well as manage and deescalate crisis calls from members
• Licensed Alcohol and Drug Counselor (preferred)
• Managed Care experience (preferred)
• Substance abuse experience (preferred)
• Experience working with children, adolescents, and families (preferred)
• Experience working in a hospital setting (preferred)
• Experience with medical or behavioral health collaboration within different organizations (preferred)
• Proven excellent customer service skills (preferred)
• Proven excellent organizational skills (preferred)
• All employees working remotely will be required to adhere to UnitedHealth Group\'s Telecommuter Policy

Compensation and Benefits

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 k 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, to $, annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application and EEO Information

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 are committed to mitigating our impact on the environment 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 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.