[Hiring] Behavioral Health Care Advocate - Utilization Management @UnitedHealth Group

Role Description

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.

You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. The hours for this position are Monday - Friday, 8:30 am - 5:30 pm CT and include 1 national holiday per year to be worked.

Primary Responsibilities:

• 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

• 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.).
• 3+ years of 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.

Requirements

• 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).

Benefits

• Competitive salary.
• Generous paid time off.
• Medical, dental, vision, and behavioral health benefits.
• 401(k) with company match.
• Family support and wellness resources.
• Tuition reimbursement and dedicated learning time.
• Career development opportunities across a fast-growing organization.

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.