Behavioral Health Care Advocate – Utilization Management – Remote in AZ

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 diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. 

 

As a Behavioral / Mental 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. 

 

What makes your clinical career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You will work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you’ll open doors for yourself that simply do not exist in any other organization, anywhere.

 

If you are located in the state of Arizona, you’ll enjoy the flexibility to work remotely* as you take on some tough challenges.

 

Primary Responsibilities:

• Managing and administering inpatient and residential behavioral health benefits
• Reviewing clinical assessments and determining appropriate levels of care
• Determining if additional clinical services are needed
• Coordinating benefits and transitions between various levels of care
• Identifying ways to add value to treatment plans and consulting with facility staff on those ideas
• Identify appropriate community-based services for discharge planning as indicated

 

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:

• Master’s degree in psychology, Social Work, Counseling, or an RN with 2+ years of experience in behavioral health
• Arizona licensure and residency; Licenses must be independent, active, and unrestricted
• 2+ years of experience in a related mental health environment
• Proficiency with Microsoft Office Suite programs (Word, Outlook, Internet)
• Must be willing to work occasional holidays (dictated by business need)
• Must be willing to accommodate changes in working hours (dictated by business need)

 

Preferred Qualifications:

• 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 Medicaid lines of business
• Dual diagnosis experience with mental health and substance abuse
• Previous experience working in a call center environment
• Proven excellent communication skills
• Proven ability to thrive in a fast-paced environment

 

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

 

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.

 

 

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.