Behavioral Health Advocate, Utilization Management - Remote at UnitedHealth Group Canada

Eden Prairie, Minnesota, United States -

Full Time

Start Date

Immediate

Expiry Date

24 May, 26

Salary

107400.0

Posted On

23 Feb, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Utilization Management, Authorization, Medically Necessary, Crisis Management, Deescalation, Discharge Planning, Coordination of Care, Community Referrals, MS Office Suite, Customer Service, Organizational Skills, Behavioral Health

Industry

Hospitals and Health Care

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. This is a telephonic, queue based position supporting outpatient services for children and adolescents. As a Behavioral Health Advocate you will respond to treatment requests from providers and facilities, as well as manage and deescalate crisis calls from members. 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. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. The schedule is Monday - Friday, 8am - 5pm CST and includes working one weekday holiday per year. Primary Responsibilities: Work with providers, facilities, and members to perform utilization management and authorization for outpatient services 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 Refer members to appropriate psychiatric and community referrals and assist with identifying and removing potential barriers 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 licensures - must be active and unrestricted Independently licensed master’s degree in psychology, social work, counseling or related field (i.e., LPC, LPCC, LCSW, LISCW, LMFT, LMHC, etc.) Licensed PhD/PsyD (LP) Registered Psychiatric Nurse (RN) 3+ years of post-licensure clinical experience in a related behavioral health environment Proficient with MS Office Suite Access to install secure, high-speed internet and a dedicated, distraction free workspace at home Available to work one weekday holiday per calendar year Desire to work in a telephonic, queue-based position responding to treatment requests and crisis calls Preferred Qualifications: Experience working with children, adolescents, and families Experience working with the autism population Managed care experience Experience working in a hospital setting Experience with medical or behavioral health collaboration within different organizations Proven excellent customer service skills Proven excellent organizational skills *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 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. UnitedHealth Group 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. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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Responsibilities

The Behavioral Health Advocate responds to treatment requests from providers and facilities, manages and deescalates crisis calls from members, and recommends/manages the appropriate level of care throughout the treatment plan. Responsibilities include performing utilization management and authorization for outpatient services, ensuring care is medically necessary and in the most appropriate setting.