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Behavioral Health Care Advocate - Utilization Review (Outpatient) - Remote
Behavioral Health Care Advocate - Utilization Review (Outpatient) - Remote-March 2024
Plymouth
Mar 16, 2025
ABOUT UNITEDHEALTH GROUP
With offices around the world, UnitedHealth Group's headquarters are located in the Minneapolis metropolitan area.
10,000+ employees
Healthcare
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About Behavioral Health Care Advocate - Utilization Review (Outpatient) - Remote

  For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

  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 Strategic Outpatient Engagement & Management (STEM) Care Advocate will complete telephonic clinical reviews directly with Providers to ensure members are getting the most effective and efficient care promoting best practices in the Outpatient psychotherapy and community based treatment setting.

  Position is fully remote, Monday-Friday. There are multiple full time schedule options available (day time hours).

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

  Primary Responsibilities:

  Focus on outpatient Commercial, Medicaid and Medicare behavioral health services

  Conducting outpatient reviews to determine appropriate care

  Assessing if member care meets coverage guidelines

  Shaping member treatment in partnership with providers to ensure best practices

  Administering benefits and reviewing treatment plans

  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:

  Active, unrestricted Licensed Master's degree - Independent Level Clinician in Psychology, Social Work, Counseling or Marriage or Family Counseling

  Independent licensure

  2+ years of experience in a behavioral health setting

  Outpatient psychotherapy and community based treatment experience

  Proven MS Office proficiency (Word, Excel, Outlook, Internet)

  Distraction-free space in home to use as a home office

  Access to high speed internet (DSL or Cable)

  Preferred Qualifications:

  2+ years of demonstrated experience (post licensure) in a related mental health environment including outpatient services

  Experience working with EMRs (electronic medical records)

  Demonstrated telephonic/office-based experience

  Telephone queue experience

  Utilization review/management experience

  Experience in managed care

  Experience conducting clinical review to determine appropriate levels of care

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

  California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, 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

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