Behavioral Health Care Advocate - UM (Remote in AZ)

UnitedHealth Group - Phoenix, AZ

Full-time

Remote - Phoenix, AZ

Insurance Carriers and Related Activities

About the position

As a Behavioral / Mental Health Care Advocate at Optum, you will play a crucial role in case management and utilization review for behavioral health and substance abuse cases. Your work will directly impact the lives of members by recommending and managing appropriate levels of care throughout their treatment plans. This position offers the opportunity to work within a collaborative team culture focused on improving health outcomes and advancing health equity on a global scale.

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
• Identifying appropriate community-based services for discharge planning as indicated

Requirements

• 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)

Nice-to-haves

• 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

Benefits

• Comprehensive benefits
• Career development opportunities
• Flexibility to work remotely