New

Behavioral Health Care Advocate (Retrospective Review) - Remote

Optum
401(k)
United States, Illinois, Schaumburg
Dec 25, 2024
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. You have high standards. So do we. Here at UnitedHealth Group, this includes offering an innovative new standard for care management. It goes beyond counseling services and verifies referrals to programs integrated across the entire continuum of care. That means you'll have an opportunity to make an impact on a huge scale - as part of an incredible team culture that's defining the future of behavioral health care. *Work schedule is Monday-Friday, standard business hours in your time zone.* Primary Responsibilities: Post service review of medical records to determine coverage for mental health and substance use services Collaborate with Medical Directors regarding patient care Review treatment plans and benefits using external guidelines Coordinate with appeals and claims teams regarding decisions for member care 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: Master's degree in Psychology, Social Work, Counseling or Marriage or Family Counseling OR RN with 3+ years Behavioral Care experience Clinically independent active and unrestricted license: LCSW, LMFT, LPC, etc., OR an RN with an active and unrestricted license 2+ years of experience in behavioral health Access to high-speed internet (Cable Broadband, DSL, Fiber Optic) and a dedicated, distraction-free workspace at home Preferred Qualifications: 1+ years of ICUE experience 1+ years of Linx experience Utilization Management experience Document review experience Managed Care experience Dual diagnosis experience with mental health and substance abuse Experience working in an environment that required coordinating benefits and utilizing multiple groups and resources for patients Proficiency with Microsoft Office Suite programs (Word, Outlook, Internet) Candidates with licenses in the following states are highly preferred (CA, IN, LA, KY, MA, MS, NC) All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy California, Colorado, Connecticut, Hawaii, Maryland, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only:* The salary range for this role is $58,300 to $114,300 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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, you'll find a far-reaching choice of benefits and incentives. 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. Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.