Behavioral Health Advocate, Utilization Management - 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 inclusion, talented peers, comprehensive benefits and career development opportunities.

About the role

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.

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

Requirements

• 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

Benefits

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).

Pay

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.

Schedule

Monday - Friday, 8am - 5pm CST, including one weekday holiday per year.