UnitedHealth Group Behavioral Care Advocate - Telecommute from Houston, Portland, So Cal in San Diego, California
You have high standards. So do we. Here at UnitedHealth Group, this includes offering an innovative new standard for care management. It goes beyond counseling services and verified referrals to programs integrated across the entire continuum of care. That means you'll have an opportunity to make an impact on a huge scale - as part of an incredible team culture that's defining the future of behavioral health care.
As a Behavioral 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.
Focus on initial inpatient admission for psychiatric and chemical dependency patients
Make patient assessments and determining appropriate levels of care
Obtain information from providers on outpatient requests for treatment
Determine if additional clinical treatment sessions are needed
Manage inpatient and outpatient mental health cases throughout the entire treatment plan
Administer benefits and review treatment plans
Coordinate benefits and transitions between various areas of care
Identify ways to add value to treatment plans and consulting with facility staff or outpatient care providers on those ideas
Receive and review clinical assessments and certify levels of care
Actively case manages chemical dependency and psychiatric cases by concurrently reviewing all levels of treatment from assessment through aftercare to resolution of treatment
Discuss treatment plans with providers and negotiate changes as per Level of Care Guidelines, and the consumer?s needs and preferences
Participate in staff meetings, case conferences, and in-service opportunities
Consult with MD supervisor prior to any non-certification of treatment for inpatient care or with licensed clinical supervisor for any non-certification of treatment for outpatient care. Consultations shall occur within one working day of the provider?s request for treatment certification
Document clinical data and results of reviews
Available for peer-to-peer consultation on a reconsideration within 1 working day of request
Enter certification for treatment in timely manner (within 24 hours for IP cases and within 5 business days for Lower Levels of Care)
Collaborates with Care Coordinators, Peer Support Specialists and Family Peer Specialists, providers, and community agencies and organizations to facilitate access to and transition between services
Collaborates with Care Coordinators, Peer Support Specialists and Family Peer Specialists, providers, and community agencies and organizations to identify consumers who may benefit from care coordination, and/or peer support
This is a telecommuter position but you must reside within a commutable distance of one of these cities in which we have an office: Houston TX, Portland OR, San Diego CA, or Los Angeles, CA. For our Albuquerque New Mexico office you must work in our office.
Licensed Master's degree in Psychology, Social Work, Counseling or Marriage or Family Counseling, or Licensed Ph.D., or an RN with 3 or more years of experience in behavioral health
Minimum 3 years (post-licensure preferred) direct clinical experience with emphasis on acute psychiatric and chemical dependency; variable experience strongly preferred with inpatient and/or residential/day treatment experience
Must have an active, unrestricted and independent license in your state of residence and you must live within a commutable distance of one of the following cities where we have an office: Houston TX, Los Angeles, CA, San Diego, CA, Portland OR, or Albuquerque NM
Strong interpersonal skills
Managed care and/or insurance or utilization review experience
Proficient Microsoft skills (Word, Excel, Outlook)
Dual diagnosis experience with mental health and substance abuse
Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
Discover a diversified health services and innovation company where data, technology, people and action combine to make great things happen every day ? and where every day is another opportunity to do your life's best work.(sm)
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment .
Job Keywords: LPC, LCSW, RN, LMFT, LSW, Counselor, Care Advocate, telecommute, Medicaid, Medicare, work from home, Houston TX, Portland OR, Los Angeles, San Diego, Albuquerque, NM