14 days old

Behavioral Health Care Advocate (Utilization Review) - Telecommute in New York - 918457

Albany, NY 12207 Work Remotely
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  • Job Code
    918457

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. Join us. Take this opportunity to start doingyour life's best work.(sm)

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As a Behavioral Health Care Advocate you will be responsible for case management and utilization review of behavioral health and substance abuse cases. 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.

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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.

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If you are located in New York State, you will have the flexibility to telecommute* as you take on some tough challenges.

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Primary Responsibilities:

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  • Focusing on initial concurrent reviews for higher levels of care, ie: Inpatient, Residential and Partial hospital admissions
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  • Inpatient admission for psychiatric and chemical dependency patients via telephone
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  • Making patient assessments and determining appropriate levels of care
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  • Obtaining information from providers on outpatient requests for treatment. Facility Based Care Advocates only work with providers for outpatient request prior to discharge from inpatient, residential and partial levels of care
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  • Determining if additional clinical treatment sessions are needed
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  • Managing inpatient and outpatient (Intermediate levels of care, ie: Residential and Partial) mental health/substance abuse cases throughout the entire treatment plan
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  • Administering benefits and reviewing treatment plans
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  • Coordinating benefits and transitions between various areas 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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  • Overseeing the facility-based care experience
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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 clinician with aMaster's degree in Psychology, Social Work, Counseling or Marriage or Family Counseling, or Licensed Ph.D., or an RN with 2 or more years of experience in behavioral health.
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  • Licenses must be active and unrestricted to practice at the independent levelin the state of New York (NY residence also required)
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  • 3+ years post-Masters experience in a related mental health environment
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  • 3+ years of experience working with children/adolescents
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  • Proficient Microsoft skills (Word, Excel, Outlook)
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  • Dedicated office space and access to high speed internet service
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Preferred Qualifications:

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  • Inpatient experience
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  • Dual diagnosis experience with mental health and substance abuse
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  • Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
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  • Experience working with the Medicaid patient population
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  • Experience working in a remote position
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Careers with Optum.Here's the idea. We built an entire organization around one giant objective; make health care 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 doyour life's best work.(sm)

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*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy

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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:Job Keywords: Clinical, Clinician, Psychology, Social Work, Substance Abuse, Medicaid, LPC, LCSW, LMFT, LMHC, Ph.D., RN, Registered Nurse, Behavioral Health, Mental Health, Telecommute

Posted: 2021-04-01 Expires: 2021-05-08

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 (Utilization Review) - Telecommute in New York - 918457

UnitedHealth Group
Albany, NY 12207

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