Behavioral Health Care Advocate - Utilization Management - Remote

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Hiring Remotely in Maryland Heights, MO, USA
In-Office or Remote
60K-107K Annually
Junior
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Role
Manage behavioral health benefits, conduct utilization reviews and clinical assessments, determine appropriate levels of care, coordinate transitions and benefits, evaluate service needs, consult with facility staff, and support discharge planning through community-based services. The role requires an independently licensed behavioral health clinician and includes remote work Monday through Friday, with occasional holidays.
Summary Generated by Built In
Requisition Number: 2393643
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 in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.
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.
***Position is fully remote, with a required schedule of Monday-Friday, 9:00am-6:00pm CT***
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
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
  • 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

*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.

Skills Required

  • Master's degree in Psychology, Social Work, Counseling, or a related behavioral health discipline
  • Independently licensed clinician with an active, unrestricted license in the state of residence
  • At least 2 years of experience in a related mental health environment
  • Proficiency with Microsoft Office Suite, including Word and Outlook
  • Willingness to work occasional holidays based on business needs
  • Dedicated home office with reliable high-speed internet access
  • Experience in an inpatient setting
  • Experience coordinating benefits and utilization of multiple patient groups and resources
  • Experience with Commercial, Medicare, and Medicaid lines of business
  • Dual diagnosis experience with mental health and substance abuse
  • Excellent verbal and written communication skills
  • Ability to thrive in a fast-paced environment

What the Team is Saying

Optum Compensation & Benefits Highlights

  • Leave & Time Off Breadth — PTO is generally described as decent or good, and many note it as a strong part of the package. Actual ability to take time off can depend on workload and team coverage.
  • Retirement Support — Offerings include a 401(k) with employer match and access to an employee stock purchase plan, which are highlighted as meaningful components of total rewards. These programs are consistently referenced among core benefits.
  • Parental & Family Support — Parental and caregiver leave, along with adoption assistance, are publicly highlighted and viewed as notable elements of the package. Availability can be role-specific, but these supports contribute to overall breadth where offered.

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The Company
HQ: Eden Prairie, MN
160,000 Employees
Year Founded: 2011

What We Do

Optum, part of the UnitedHealth Group family of businesses, 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. At Optum, we support your well-being with an understanding team, extensive benefits and rewarding opportunities. By joining us, you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change, improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.

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Optum Offices

Hybrid Workspace

Employees engage in a combination of remote and on-site work.

Optum has three workplace models that balance the needs of the business and the responsibilities of each role. These models, core on‑site (5 days/week), hybrid (4 days/week) and telecommute or fully remote, vary by country, role and location.

Typical time on-site: Not Specified
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