Behavioral Health Advocate, Utilization Management - Remote

Requisition Number: 2342159
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.
As a Behavioral Health Advocate, you will be responsible for 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.
This team receives treatment requests for higher levels of care telephonically and via the STAR chat 2 hours/day. Available schedules are Monday - Friday, 9am - 6pm EST (STAR chat 4pm - 6pm EST), and Monday - Friday, 11am - 8pm EST (STAR chat 6pm - 8pm EST). This position also includes a weekday holiday rotation.
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 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:

• One of the following:
  • Independently licensed clinician with a Master's degree in Psychology, Social Work, Counseling, or related behavioral health discipline
  • RN with 2+ years of experience in behavioral health
• Licenses must be active and unrestricted in the state of residence
• 2+ years of experience in a related mental health environment
• Proficient in Microsoft Office Suite including Teams, Word, and Outlook
• Proven ability to multitask and navigate live chat functions
• Willingness to work a weekday holiday rotation based on business need
• Ability to commit to working until 6pm or 8pm EST based upon assigned schedule
• Dedicated, distraction-free workspace and access to reliable high-speed internet in home (Cable Broadband, DSL, Fiber)

Preferred Qualifications:

• Utilization review / utilization management experience
• Experience working in a call center environment
• Experience working in a queue-based environment
• 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 $60,200 to $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 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.