30 days old

Behavioral Health Care Advocate (10a -7p) - San Diego, CA Telecommute - 917698

San Diego, CA 92101 Work Remotely
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  • Job Code
    917698

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 is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)

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Due to our ongoing business relationship with the County of San Diego, Optum Behavioral Solutions has an immediate need for a Care Advocate. As thesuccessful candidateyouwill focus on clinical review for inpatient, outpatient, and crisis residential authorizations for psychiatric patients. This is primarily an administrative position with no patient contact.

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If you are located within a commutable distance from the San Diego CA, office locationy ou will enjoy the flexibility to temporarily telecommute* as you take on some tough challenges.
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***This position requires workingMonday-Friday, 10AM-7PM PST***

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Primary Responsibilities:

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  • Based on documentation, determining appropriate levels of patient care
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  • Obtaining information from providers on psychiatric requests for treatment
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  • Determining if documentation meets medical necessity requirements for payment through Medicaid or the County of San Diego
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  • Managing inpatient, outpatient, crisis residential mental health cases throughout the entire treatment plan
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  • Data entry of clinical documentation submitted into the Countys Electronic Health Record or Designated Database
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  • Administering benefits and reviewing treatment documentation
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  • Coordinating benefits and transitions between various levels of care
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  • Identifying ways to add value to treatment plans and consulting with facility staff or outpatient care providers on those ideas
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  • Support other sub teams with Utilization Management as needed with authorizations for treatment at Residentual Substance Use programs and Long Term Care facilities
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  • Support the San Diego Access and Crisis Line as needed
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Youll 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.

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Required Qualifications:

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  • Licensed, Master's Degreed Clinician in Psychology, Social Work, Counseling, or Marriage / Family Counseling, a Licensed Ph.D., or an RN with experience in behavorial health
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  • Licenses must be independent, active and unrestricted in the State of California
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  • 2+ years of experience in mental health / behavior health environment
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  • Intermediate level ofcomputer proficiency(includingMS Word, Excel, Outlook)
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  • Reside in the state of CA and be willing to work in the San Diego office
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  • Able to obtain and maintain access to the County of San Diegos electronic health records, Anasazi and WITS
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  • You will be asked to perform this role in an office setting or other company location
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  • Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained
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Preferred Qualifications:

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  • Cerner experience
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  • Experience in a managed care setting
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  • Dual diagnosis experience in mental health and substance use treatment
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  • Medi-Cal system experience
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  • Experience working in an environment that requires coordination of benefits and utilization of multiple groups and resources for patients
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  • Experience in telephonic roles
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  • Strong data entry skills
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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)

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Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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.

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

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Job Keywords: Care Advocate, Behavioral Care Advocate, Behavioral Health, Psychology, Social Work, Counseling, Marriage Counseling, Family Counseling, Licensed Ph.D., PhD, RN, Mental Health, Substance Abuse, Managed Care, Crisis Line, San Diego, CA, California

Posted: 2021-03-24 Expires: 2021-05-23

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Behavioral Health Care Advocate (10a -7p) - San Diego, CA Telecommute - 917698

UnitedHealth Group
San Diego, CA 92101

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