Utilization Management Care Advocate - Telecommute US

Company: UnitedHealth Group
Location: Philadelphia
Posted on: January 16, 2022

Job Description:

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)You're looking for something bigger for your career. How about inventing the future of health care? UnitedHealthcare is offering an innovative new standard for care management. We're going beyond counseling services and verified referrals to behavioral health programs integrated across the entire continuum of care. Our growth is fueling the need for highly qualified professionals to join our elite team. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale.As a Care Advocate you will be responsible for case management and utilization review of mental health and substance use disorder services. 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.Youll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.The hours for this position are Monday - Friday, 8am - 5pm CT.Primary Responsibilities: Perform utilization management, utilization review, or concurrent review of behavioral health admissions and continued stay Ensure that behavioral health care services provided are medically necessary, per standard guidelines Ensure that behavioral health care services are provided in the most appropriate setting Integrates a collaborative process which assesses, plans, implements, coordinates, monitors, and evaluates the options and services to meet the enrollees health needs, using education, communication, and all available resources to promote quality, cost-effective outcomes Discharge planning or management of transitions between care settings to ensure the appropriate services/resources are in place for quality outcomesYoull 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: Masters or doctoral degree in psychology, social work, counseling or related field, or registered psychiatric nurse Active, unrestricted, independent license in a behavioral health field or RN 3+ years post-licensure clinical experience in a related behavioral health environment Proficiency in MS Office SuitePreferred Qualifications: Licensed Alcohol and Drug Counselor Managed Care experience Substance abuse experience Experience working with children, adolescents, and families Experience working in a hospital setting Excellent Customer Service Skills Excellent Organizational skills Medical or behavioral health collaboration within different organizationsTo protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $53,300 to $95,100. The salary range for Connecticut / Nevada residents is $58,800 to $104,600. 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, youll find a far-reaching choice of benefits and incentives.*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.Diversity creates a healthier atmosphere: 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.Job Keywords: Behavioral Health, Mental Health, Case Management, Substance Use, Care Coordination, Case Manager, Case Management, Chemical Dependency, LP, LPC, LICSW, LPCC, LMFT, RN, Social work, Social worker, Therapist, Counselor, Registered Nurse, Psychologist, Remote, Telecommute, Telecommuter, Work from Home, WFH, Work at Home, WAH, Tampa, FL, Florida, Philadelphia, PA, Atlanta, GA, St. Louis, MO, San Antonio, Houston, TX, Texas

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