Facility Based Care Advocate Utilization Review - Telecommute
- Full-Time
- Philadelphia, PA
- UnitedHealth Group
- Posted 3 years ago – Accepting applications
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 doing your life's best work.(sm)
As a Facility Based 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 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.
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Focus on initial inpatient admission for psychiatric and chemical dependency patients
- Make patient assessments and determining appropriate levels of care (could include inpatient, residential, and partial levels of care)
- Obtain information from providers on outpatient requests for treatment
- Determine if additional clinical treatment sessions are needed
- Manage inpatient and outpatient mental health cases throughout the entire treatment plan
- Administer benefits and review treatment plans
- Coordinate benefits and transitions between various areas of care
- Identify ways to add value to treatment plans and consulting with facility staff or outpatient care providers on those ideas
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:
- 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
- 2+ years of experience in a related mental health environment
- Proficient Microsoft skills (Word, Excel, Outlook) with the ability to toggle between multiple systems
- Must have a designated work space and access to high speed internet service
- 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 a similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employee must comply with any state and local masking orders
Preferred Qualifications:
- Experience in an inpatient setting
- 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
- Previous facility-based experience
- Experience with the Medicare/Medicaid patient population
- All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy
Colorado Residents Only: The salary range for Colorado residents is $53,00 to $95,100. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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
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: case manager, care advocate, social worker, therapist, counselor, mental health, behavioral health, managed care, substance abuse, inpatient, LP, LCSW, MFT, LPC, LCPC, RN, registered nurse, nurse, telecommute, telecommuter, telecommuting, work from home, work at home, remote