Licensed Behavioral Health Care Advocate - Telecommute
March 13, 2018
At OptumHealth, you will perform within an innovative culture that's focused on transformational change in the health care system. You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact that's greater than you've ever imagined. The Algorithms for Effective Reporting and Treatment (ALERT) Care Advocate will assist with assessment / triage as well as outpatient and concurrent review while managing a broad range of diagnostic patient cases. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Focus on outpatient Medicaid and Medicare behavioral health services Conducting outpatient utilization reviews to determine appropriate care Assessing if member care meets coverage guidelinesShaping member treatment in partnership with providers to ensure best practices Administering benefits and reviewing treatment plans Coordinating benefits and transitions between various areas of care
Required Qualifications: Active, unrestricted Licensed Master's Degree - Level Clinician in Psychology, Social Work, Counseling or Marriage or Family Counseling OR Licensed Ph.D., OR an RN with experience in behavioral health 2+ years of demonstrated experience in a related mental health environment including outpatient services MS Office proficiency (Word, Excel, Outlook, Internet) Ability to talk on the phone and type at the same time Must have a distraction-free space in home to use as a home officeMust have access to high speed internet (DSL or Cable)Preferred Qualifications: Demonstrated telephonic / office-based experience Telephone queue experienceOutpatient experience Basic understanding of claims and billing Understanding of good treatment planningDiscover 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)*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: Licensed Behavioral Health Care Advocate, Telecommute, telecommuter, Psychology, Social Work, Counseling, Marriage or Family, Ph.D., RN, nurse, mental health, work from home, Medicaid, Medicare, alert, Optum, Optumhealth
Internal Number: 749763
About UnitedHealth Group
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.