Talent.com
Behavioral Health Care Advocate (Utilization Review, Outpatient) - Remote
Behavioral Health Care Advocate (Utilization Review, Outpatient) - RemoteUnitedHealth Group • Maryland Heights, MO, United States
No longer accepting applications
Behavioral Health Care Advocate (Utilization Review, Outpatient) - Remote

Behavioral Health Care Advocate (Utilization Review, Outpatient) - Remote

UnitedHealth Group • Maryland Heights, MO, United States
30+ days ago
Job type
  • Full-time
  • Remote
Job description

The Optum family of businesses, is seeking a Behavioral Health Care Advocate to join our team. As a member of the Optum Behavioral Care team, you'll be an integral part of our vision to make healthcare better for everyone.

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.

  • This position is inbound-queue based, and is fully remote, with a Monday-Friday, 10 : 30am - 7 : 00pm schedule

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, Independent Level Clinician in Psychology, Social Work, Counseling or Marriage or Family Counseling, or an RN with 2+ years of experience in behavioral health
  • Active, unrestricted licensure in your state of residence
  • 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 :

  • Licensure in the state of Kansas or Kentucky
  • 2+ years of demonstrated experience (post licensure) in a related mental health environment including outpatient services
  • Experience working with EMRs (electronic medical records)
  • Experience in managed care
  • Experience conducting clinical review to determine appropriate levels of care
  • Demonstrated telephonic / office-based experience
  • Telephone queue experience
  • Utilization review / management experience
  • Explore opportunities at Optum Behavioral Care. We're revolutionizing behavioral health care delivery for individuals, clinicians and the entire health care system. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while Caring. Connecting. Growing together.

  • 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 $58,800 to $105,000 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.

    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.

    UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

    UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

    Create a job alert for this search

    Utilization Review • Maryland Heights, MO, United States

    Related jobs
    RN TeleQuality - Virtual Care Center (F / T Nights St. Louis area)

    RN TeleQuality - Virtual Care Center (F / T Nights St. Louis area)

    Mercy • Chesterfield, MO, US
    Full-time
    We bring to life a healing ministry through our compassionate care and exceptional service.Join us and discover why Modern Healthcare Magazine named us in its “Top 100 Places to Work.The TeleQualit...Show more
    Last updated: 1 day ago • Promoted
    Behavioral Health Therapist

    Behavioral Health Therapist

    BJC • Manchester, MO, United States
    Full-time
    Additional Information About the Role Are you an experienced therapist that has worked with diverse patients? Join BJC HealthCare as a school therapist! Monday - Friday, 7 : 45AM - 4 : 15PM School Ther...Show more
    Last updated: 20 days ago • Promoted
    Physical Therapist - PRN - Mercy Jefferson

    Physical Therapist - PRN - Mercy Jefferson

    Mercy • Festus, Missouri, United States
    Part-time
    We bring to life a healing ministry through our compassionate care and exceptional service.Join us and discover why Modern Healthcare Magazine named us in its “Top 100 Places to Work.Under the gene...Show more
    Last updated: 1 day ago • Promoted
    Intake Specialist - Nights, vBehavioral Health

    Intake Specialist - Nights, vBehavioral Health

    Mercy • St. Louis, MO, US
    Part-time
    Behavioral Health - Intake Specialist.Part-Time, night shift (2-12's) 7 : 00pm-7 : 00am, every other weekend.Provides Behavioral Health services for callers to enhance their entrance into Mercy Health ...Show more
    Last updated: 1 day ago • Promoted
    Home Health Aid

    Home Health Aid

    HCAOA • Chesterfield, MO, US
    Part-time
    In-Home Care & Assistance Opportunity.Right at Home is seeking to hire skilled caregivers and home health aids to join a dynamic care team providing clinical expertise in-home.We have immediate par...Show more
    Last updated: 30+ days ago • Promoted
    RN-Behavioral Health

    RN-Behavioral Health

    SSM Health • Granite City, IL, US
    Full-time
    It's more than a career, it's a calling.Provides direct patient care to behavioral health patients in accordance with the established policies and procedures of the facility.Job Responsibilities an...Show more
    Last updated: 1 day ago • Promoted
    Travel Occupational Therapist – Rehabilitation - $2,358 per week

    Travel Occupational Therapist – Rehabilitation - $2,358 per week

    Premier Medical Staffing Services • Saint Peters, MO, United States
    Permanent
    Premier Medical Staffing Services is seeking a travel Occupational Therapist for a travel job in Saint Peters, Missouri.Job Description & Requirements. Premier Medical Staffing Job ID #600674.Pay pa...Show more
    Last updated: 1 day ago • Promoted
    Travel Acute Care Occupational Therapist - $2,235 per week

    Travel Acute Care Occupational Therapist - $2,235 per week

    Host Healthcare • St. Peters, MO, United States
    Full-time
    Host Healthcare is seeking a travel Occupational Therapist for a travel job in St.Job Description & Requirements.Host Healthcare Job ID #a1fVJ000007Rh6TYAS. Pay package is based on 8 hour shifts and...Show more
    Last updated: 3 days ago • Promoted
    RN-Behavioral Health (WO)

    RN-Behavioral Health (WO)

    SSM Health • Saint Louis, MO, US
    Full-time
    It's more than a career, it's a calling.Provides direct patient care to behavioral health patients in accordance with the established policies and procedures of the facility.Job Responsibilities an...Show more
    Last updated: 1 day ago • Promoted
    Occupational Therapist Home Health

    Occupational Therapist Home Health

    BJC • Glen Carbon, Illinois, United States
    Full-time
    Additional Information About the Role.BJC Home Health in Illinois has a great full-time Occupational Therapist opening on our team. Join a well-connected team and provide care to individuals in thei...Show more
    Last updated: 30+ days ago • Promoted
    Regional Home Manager

    Regional Home Manager

    Davita Inc. • St. Peters, MO, United States
    Full-time
    First Executive AveSuite B, St.Peters, Missouri, 63376, United States of America.As a Regional Home Manager at DaVita, you'll be a part of a Team that values work-life balance and where your person...Show more
    Last updated: 30+ days ago • Promoted
    Behavioral Health Therapist - Independence Center

    Behavioral Health Therapist - Independence Center

    BJC • Manchester, MO, United States
    Full-time
    Additional Information About the Role Independence Center (IC) is an internationally recognized, community-based behavioral health organization for adults in St Louis living with a mental illness.O...Show more
    Last updated: 16 days ago • Promoted
    BCBA

    BCBA

    Caravel Autism Health • Ballwin, MO, United States
    Full-time
    Caravel Autism Health is committed to being the leader in ABA treatment for children on the autism spectrum.We invite you to read more about the position below and learn how our mission of changing...Show more
    Last updated: 30+ days ago • Promoted
    Travel Acute Care Occupational Therapist - $2,269 per week

    Travel Acute Care Occupational Therapist - $2,269 per week

    Planet Healthcare • Saint Peters, MO, United States
    Full-time
    Planet Healthcare is seeking a travel Occupational Therapist for a travel job in Saint Peters, Missouri.Job Description & Requirements. Planet Healthcare Job ID #73454412.Pay package is based on 8 h...Show more
    Last updated: 12 days ago • Promoted
    RN-Behavioral Health PRN1

    RN-Behavioral Health PRN1

    SSM Health • Granite City, IL, US
    Full-time
    It's more than a career, it's a calling.Provides direct patient care to behavioral health patients in accordance with the established policies and procedures of the facility.Job Responsibilities an...Show more
    Last updated: 1 day ago • Promoted
    RN Triage - Columbia Family Medicine

    RN Triage - Columbia Family Medicine

    SSM Health • Columbia, IL, US
    Full-time
    It's more than a career, it's a calling.IL-SSM Health Medical Group Columbia.This is a PRN role that will assist with coverage during times of scheduled and unscheduled PTO requests.SSM Health valu...Show more
    Last updated: 8 hours ago • Promoted • New!
    Travel Acute Care Inpatient Occupational Therapist - $2,305 per week

    Travel Acute Care Inpatient Occupational Therapist - $2,305 per week

    Host Healthcare • St. Louis, MO, United States
    Full-time
    Host Healthcare is seeking a travel Occupational Therapist for a travel job in St.Job Description & Requirements.Host Healthcare Job ID #a1fVJ000007IWlNYAW. Pay package is based on 8 hour shifts and...Show more
    Last updated: 12 days ago • Promoted
    Home Health Occupational Therapist - $79K-127K per year

    Home Health Occupational Therapist - $79K-127K per year

    BJC HealthCare • Maryville, IL, United States
    Full-time
    BJC HealthCare is seeking a Home Health Occupational Therapist for a job in Maryville, Illinois.Job Description & Requirements. At Vivian Health, candidates with updated profiles have the best succe...Show more
    Last updated: 5 days ago • Promoted