Behavioral Health Care Advocate, Utilization Review Louisiana Preferred
You're looking for something bigger for your career. How about inventing the future of health care?
Healthcare 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 doing your life's best work.(sm) 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. What makes your clinical career greater with United
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. You will have the flexibility to telecommute as you take on some tough challenges. This position requires an 8:00 am
- 4:30 pm shift in the Central time zone. Primary Responsibilities:
Focusing on initial concurrent reviews for higher levels of care, i.e., Inpatient, Residential and Partial hospital admissions with the Medicaid population Inpatient admission for psychiatric and chemical dependency patients via telephone Making patient assessments and determining appropriate levels of care 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 Determining if additional clinical treatment sessions are needed Managing inpatient and outpatient (Intermediate levels of care, i.e., Residential and Partial) mental health/substance abuse cases throughout the entire treatment plan Administering benefits and reviewing treatment plans Coordinating benefits and transitions between various areas of care Identifying ways to add value to treatment plans and consulting with facility staff or outpatient care providers on those ideas Overseeing the facility-based care experience 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.
Licensed Master'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 Licenses must be active and unrestricted in State of Residence 2 years post-Masters experience in a related mental health environment
Inpatient experience Dual diagnosis experience with mental health and substance abuse Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients Experience working with the Medicaid population 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 United
Health 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) All Telecommuters will be required to adhere to United
Health Group's Telecommuter Policy. Diversity creates a healthier atmosphere: United
Health 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. United
Health Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Job Keywords: Clinical, Clinician, Psychology, Social Work, Substance Abuse, LPC, LCSW, LMFT, Ph. D., RN, Registered Nurse, Behavioral Health, Mental Health, Medicaid, concurrent review, facility based work, utilization review, telecommute, Louisiana, New Orleans Job Details Requisition Number Job Title Behavioral Health Care Advocate, Utilization Review