UnitedHealth Group

Behavioral Health Advocate, Utilization Management - Remote

UnitedHealth Group$60K — $107K *
US-AnywhereRemote in Eden Prairie, MN
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Licensed Master's degree in Psychology, Social Work, Counseling, or Marriage and Family Therapy; or Licensed Ph.D.
  • Active, unrestricted clinical licensure in state of residence (e.g., LCSW, LMFT, LPC).
  • 2+ years of experience in a mental health setting.
  • Proficient in MS Office Suite (Word, Outlook, Excel, Teams).
  • Dedicated, distraction-free workspace with secure high-speed internet.

Responsibilities

  • Respond to treatment requests and crisis calls from members telephonically.
  • Perform utilization management and authorization for outpatient services with providers and facilities.
  • Ensure behavioral health care services are medically necessary and appropriately set.
  • Assess and coordinate health needs of enrollees, promoting quality and cost-effective outcomes.
  • Manage transitions of care and plan for discharge ensuring proper resources are in place.

Benefits

  • Comprehensive benefits package.
  • Incentive and recognition programs.
  • Equity stock purchase options.
  • 401k contributions.
Full Job Description
As a Behavioral Health Advocate you will respond to treatment requests from providers and facilities, as well as manage and deescalate crisis calls from members. 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.

This is a telephonic, queue based position responding to treatment requests and crisis calls. The schedule is Monday - Friday, 8am - 5pm CST and includes working one weekday holiday per year.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Work with providers, facilities, and members to perform utilization management and authorization for outpatient services
  • Ensure that behavioral health care services provided are medically necessary per standard guidelines and provided in the most appropriate setting
  • Assess, plan, implement, coordinate, monitor, and evaluate the options and services to meet the enrollee's health needs using education, communication, and all available resources to promote quality, cost-effective outcomes
  • Plan for discharge and manage transitions between care settings to ensure the appropriate services/resources are in place for quality outcomes
  • Refer members to appropriate psychiatric and community referrals and assist with identifying and removing potential barriers


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 Master's degree in Psychology, Social Work, Counseling, or Marriage and Family Therapy; or Licensed Ph.D.
  • Active, unrestricted, independent clinical licensure in state of residence (e.g., LCSW, LICSW, LMFT, LMHC LP, LPC, LPCC, etc.)
  • 2+ years of experience in a related mental health setting
  • Proficient in MS Office Suite, including Word, Outlook, Excel, and Teams
  • Dedicated, distraction-free workspace and secure, high-speed internet at home
  • Able to work Monday - Friday, 8am - 5pm CST
  • Available to work one weekday holiday per calendar year


Preferred Qualifications:

  • Licensed Alcohol and Drug Counselor (LADC)
  • Experience working with Substance Use Disorders (SUD)
  • Experience working with children, adolescents, and families
  • Experience in an inpatient setting
  • Experience in a community mental health setting
  • Dual diagnosis experience with mental health and substance abuse
  • Experience in a managed care environment (i.e., health insurance company / managed care organization [MCO])
  • Proven solid problem-solving skills
  • Proven excellent customer service skills
  • Proven excellent organizational skills


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

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

About UnitedHealth Group

UnitedHealth Group is a medical facility. They offer health technology, health finance, and pharmacy services. They are utilizing clinical data and intelligence to assist in the redesign, automation, and deployment of technology to streamline administrative operations and clinical decision-making. Payment systems for both consumers and providers are critical components of a health-care system.

UnitedHealth Group Careers

Joining UnitedHealth Group means becoming part of a diverse team dedicated to making a difference. As a leader in health services and innovation, our company offers a variety of job opportunities that allow professionals to leverage their skills, drive innovation, and improve lives. Work You’ll Do At UnitedHealth Group, you’ll contribute to a mission-focused environment where your expertise will influence the health and well-being of people worldwide. Our employment opportunities span across a wide range of disciplines, from healthcare specialists to data analysts, ensuring that your career journey is both dynamic and rewarding. Transform Healthcare with Your Expertise UnitedHealth Group stands at the forefront of health innovation. Our team collaborates to deliver solutions that lead to better patient outcomes. Working with us, you’ll find yourself at the intersection of technology, healthcare, and leadership, providing key insights that drive industry transformation. Join Our Global Team As part of our team, you’ll engage with over 300,000 professionals globally, dedicated to building a diverse and inclusive workplace. UnitedHealth Group is not just a company; it’s a community where you can grow your career through continuous learning and leadership opportunities. Our commitment to diversity training ensures that every team member can thrive. UnitedHealth Group Career Development We are committed to your professional growth. Explore career paths filled with promising job opportunities and internships that will harness your potential and expand your capabilities. Whether you’re a seasoned professional or a recent graduate, you’ll find that our career development programs support your ambition at every level. Innovative Work Environment At UnitedHealth Group, innovation is at the core of our operations. We encourage our team to bring forward-thinking ideas that challenge the status quo and lead to breakthrough improvements in patient care. Be Part of a Great Team Our culture fosters a collaborative and supportive environment where every member’s contribution is valued. Enjoy the benefits of being part of a global team that’s committed to making a difference in people’s lives. Future-Proof Your Career With UnitedHealth Group, your career is future-proof. Dive into a range of positions that offer both challenges and rewards. Our robust support system includes unmatched training, development programs, and certification support to propel your career forward. Stay Connected Join Our Team Discover the right position that matches your skills and interests. We are always hiring and look for passionate, curious, and solution-driven team players. Search UnitedHealth Group jobs today and take the first step towards a fulfilling career. Keep Up to Date Stay informed with career tips, insider perspectives, and industry-leading insights you can use today—all from the people who work here. Read Careers Blog Job Alert Emails Customize your subscription to receive job alerts, the latest news, and insider tips tailored to your preferences. Explore the exciting and rewarding opportunities that await at UnitedHealth Group.
Learn more about UnitedHealth Group
Size
350,000 employees
Market Cap
$493.1 billion
Industry
Net Income
$15.4 billion
Founded
1974
5 Year Trend
+9.2%
Revenue
$257.1 billion
NASDAQ

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