Behavioral Health Care Advocate (Utilization Review) Intensive Outpatient - Remote

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.

The working schedule for this position is Monday - Friday, 10:30am - 7:00pm Central Time. Position is 100% remote.

Primary Responsibilities:

• Focusing on initial and concurrent reviews for psychiatric and chemical dependency patients for Intensive Outpatient (IOP) level of care
• Identifying ways to add value to treatment plans and recommending modifications to ensure best practices
• Communicating best practice guidelines through clinical discussion with providers
• Making patient assessments and determining most appropriate level of care using level of care guidelines or coverage determination guidelines
• Telephonically obtaining information from facility representatives on IOP requests for treatment
• Determining if additional clinical treatment sessions are needed
• Administering benefits and reviewing treatment plans
• Coordinating benefits and transitions between various areas of care if 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:

• Licensed, independent Master's degree-level clinician in Psychology, Social Work, Counseling or Marriage or Family Counseling, OR Licensed Ph.D., OR an RN with 2+ years of experience in Behavioral Health
• Active and unrestricted independent mental health license (or active, unrestricted RN license)
• 2+ years of experience in a related mental health environment including outpatient services
• Dedicated home office space and access to reliable high-speed internet

Preferred Qualifications:

• RN with psychiatric experience with residence and licensure in a compact state
• 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
• Experience working in Intensive Outpatient setting
• Experience in an inbound call center environment

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington residents is $58,300 to $114,300 annually. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.