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Telephonic Behavioral Health Care Advocate - Outpatient - Remote

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Optum

2mo ago

  • Job
    Full-time
    Junior Level
  • Research & Development
    Healthcare
  • Houston
    Remote

AI generated summary

  • You must have an active, unrestricted Master's degree license or RN with 2+ years in behavioral health, outpatient experience, MS Office skills, a distraction-free home office, and high-speed internet.
  • You will conduct outpatient reviews, assess care coverage, collaborate with providers on treatment, and administer benefits while reviewing treatment plans for behavioral health services.

Requirements

  • Active, unrestricted Licensed Master's degree - Independent Level Clinician in Psychology, Social Work, Counseling or Marriage or Family Counseling, or an RN with 2+ years of experience in behavioral health
  • Active, unrestricted licensure
  • 2+ years of experience in a behavioral health setting
  • Outpatient psychotherapy and community based treatment experience
  • Proven MS Office proficiency (Word, Excel, Outlook, Internet)
  • Distraction-free space in home to use as a home office
  • Access to high speed internet (DSL or Cable)

Responsibilities

  • Focus on outpatient Commercial, Medicaid and Medicare behavioral health services
  • Conducting outpatient 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 plans

FAQs

Do we support remote work?

Yes, this position is fully remote, allowing you to work from anywhere within the U.S.

What is the primary focus of the Telephonic Behavioral Health Care Advocate role?

The primary focus is on outpatient Commercial, Medicaid, and Medicare behavioral health services, conducting reviews to ensure effective and efficient care.

What are the qualifications required for this job?

An active, unrestricted Licensed Master's degree in Psychology, Social Work, Counseling, or Marriage or Family Counseling, or an RN with 2+ years of experience in behavioral health is required.

Is there a specific work schedule for this position?

Yes, the position has multiple full-time schedule options available during daytime hours, Monday to Friday.

What type of experience is preferred for this role?

Preferred qualifications include 2+ years of experience in a related mental health environment, experience with EMRs, telephonic or office-based experience, and utilization review/management experience.

How is compensation determined for this role?

The salary range for this role is $58,300 to $114,300 annually, based on factors like local labor markets, education, work experience, and certifications.

Are there opportunities for professional development in this role?

Yes, the role provides clear direction for success and opportunities for development into other roles.

Is there a specific requirement for the home office setup?

Yes, you need a distraction-free space and access to high-speed internet (DSL or Cable) at home.

What is the company’s stance on diversity?

OptumCare is committed to diversity and equity, believing that everyone deserves the opportunity to live their healthiest life, regardless of race, gender, or other characteristics.

Will this position require a background check?

Yes, candidates are required to pass a drug test before beginning employment.

Science & Healthcare
Industry
10,001+
Employees

Mission & Purpose

Optum is a health services and technology company that provides a wide range of solutions to improve healthcare delivery and outcomes. They offer services in healthcare management, data analytics, pharmacy benefit management, and technology solutions to healthcare providers, payers, employers, and government agencies. Optum's ultimate mission is to improve the health system's efficiency and effectiveness, creating a healthier world for everyone. Their purpose lies in collaborating with healthcare partners to address complex challenges, such as improving care coordination, reducing healthcare costs, and enhancing patient experiences. By leveraging data-driven insights and innovative technology, Optum aims to empower healthcare professionals and organisations to deliver high-quality, patient-centered care and drive positive healthcare outcomes for individuals and communities worldwide.

Culture & Values

  • Integrity

    Honour commitments. Never compromise ethics.

  • Compassion

    Walk in the shoes of people we serve and those with whom we work.

  • Relationships

    Build trust through collaboration.

  • Innovation

    Invent the future, learn from the past.

  • Performance

    Demonstrate excellence in everything we do.