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UnitedHealth Group

UnitedHealth Group is looking for a Outpatient Utilization Review Behavioral Care Advocate – CST – MST – PST Time Zones – Telecommute  #PlacesHiringPagosaSprings #JobSitesPagosaSprings

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 Algorithms for Effective Reporting and Treatment (ALERT) 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.  If you are located in Central, Mountain or Pacific time zone, you will have the flexibility to telecommute* as you take on some tough challenges.Primary Responsibilities:   Focus on outpatient Medicaid and Medicare behavioral health services   Conducting outpatient utilization 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 plansYoull 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 Licensed Master’s Degree – Independent Level Clinician in Psychology, Social Work, Counseling or Marriage or Family Counseling Independent licensure Outpatient psychotherapy and community based treatment experience   MS Office proficiency (Word, Excel, Outlook, Internet) Have a distraction-free space in home to use as a home office Have access to high speed internet (DSL or Cable) Available to work hours of 10:30 “ 7:00 PM CST, 9:30 “ 6:00 MST, 8:30 “ 5:00 PST If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking ordersPreferred Qualifications:   2+ years of demonstrated experience (post licensure) in a related mental health environment including outpatient services Independent license in California, Arizona or Washington  Eligible to be independently licensed in California, Arizona or Washington  Experience working with EMRs (electronic medical records)  Demonstrated telephonic/office-based experience Telephone queue experience Utilization review/management experience Experience in managed care Experience conducting clinical review to determine appropriate levels of careDiscover a diversified health services and innovation company where data, technology, people and action combine to make great things happen every day – and where every day is another opportunity to do your life’s best work.(sm) Colorado Residents Only: The salary range for Colorado residents is $53,300 to 95,100. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary,  UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.   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.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.  Job Keywords: Licensed Behavioral Health Care Advocate, outpatient, private practice, community, county, telecommute, telecommuter, Psychology, Social Work, Counseling, Marriage or Family, Ph.D., mental health, work from home, Medicaid, utilization, medical necessity, concurrent review, Optum, Optumhealth  Recommended SkillsFamily TherapyMental HealthSocial WorkManaged CarePsychotherapyBehavioral HealthRecommended JobsCare AdvocateAtlanta,GaCare Advocate, Atlanta,GaOutpatient Utilization Review Behavioral Care Advocate – CST – MST – PST Time Zones – TelecommuteUnitedHealth GroupWork From HomeFull-TimeOutpatient Utilization Review Behavioral Care Advocate – TelecommuteUnitedHealth GroupAtlantaCare Advocate – Atlanta, GA or Columbus, OHUnitedHealth GroupAtlanta

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