$70200 - $137800 Year
Monday to Friday
Day shift
Health insurance
Paid time off
Employee discount
Dental insurance
Vision insurance
401(k)
401(k) matching
Flexible schedule
Parental Leave
Tuition reimbursement
Flexible spending account
Retirement plan
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
As a Care Advocate Team Lead, you will be an individual contributor, supporting multiple teams, focus on inpatient and residential authorizations for psychiatric and substance use patients, and assist teams with data entry, projects, questions, and additional tasks dictated by the needs of the business(es). 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.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Individual contributor (no direct reports) supporting multiple teams and supervisors as dictated by business needs
Facility-based care subject matter expert
Serve as a resource for staff on routine questions and procedures
Assist with coordination of orientation and training activities
Provide team and account-specific training to new hires and on-going training to team as needed
Perform quality audits and partner with manager to review key metrics with team
Provide feedback regarding individual and team performance to management for use in clinical supervision and Performance Reviews
Assist with special projects, committee work, team specific activities and other duties as assigned
Provide coverage when managers are in meetings or out of the office
Develop supervisory skills through on-the-job training and supervisor feedback
Assist in resolution of escalated member or case issues
Collaborate with management teams to ensure effective coordination of cases and proactively identify and resolve issues
Develop job aids and training documents
Recommend areas for process improvement and assist with development and implementation of new processes
Maintain a 50% caseload based on business needs and priorities
Complete initial concurrent reviews for higher levels of care (i.e., Inpatient, Residential and Partial hospital admissions) across all lines of business
Determine if additional clinical treatment sessions are needed through managing and/or staffing cases
Review patient assessments and determine / recommend appropriate levels of care
Administer benefits and review treatment plans as needed
Coordinate benefits and transitions between various areas of care
Identify ways to add value to treatment plans
Oversee 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.
Required Qualifications:
Licensed Master’s Degree in Psychology, Social Work, Counseling, or Marriage or Family Counseling, Licensed Ph.D., or an RN with 5+ years of experience in behavioral health
Active, unrestricted clinical license that allows you to practice independently without supervision
5+ years of professional experience in a related mental health environment, after obtaining independent licensure
3+ years of experience with Utilization Management/Review
Experience providing on the job training (OJT) support to new hires
Experience training and coaching staff
Demonstrated experience driving initiatives and improvements
Demonstrated subject matter expertise (SME) on facility-based care processes and procedures
Proficient Microsoft skills including Teams, Word, Excel, and Outlook
Proven ability to meet or exceed performance productivity
Proven ability to multitask between different systems and cases
Access to install high-speed internet and a dedicated, distraction-free workspace at home
Preferred Qualifications:
Experienced working with UnitedHealthcare Community & State line of business
Experienced working with Optum at Home line of business
Experience working a call queue
Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
Experience working with multiple lines of business (i.e., Medicare, Medicaid, commercial, etc.)
Dual diagnosis experience with mental health and substance use
Demonstrated familiarity and experience with the current Diagnostic and Statistical Manual and best practice standards for treatment
Clinical expertise in directing / managing difficult callers through intervention skills while maintaining business appropriate integrity
Proven ability to maintain comprehensive electronic records
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington residents is $70,200 to $137,800 annually. 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.
Communication
Leadership
Teamwork
Interpersonal
Learning/adaptability
Self-management
Organizational
Computer
Problem solving
Open mindedness
Strong work ethic
technology
Licensed Master’s Degree in Psychology Social Work Counseling or Marriage or Family Counseling Licensed Ph.D or an RN with 5+ years of experience in behavioral health
5+ years of professional experience in a related mental health environment after obtaining independent licensure
3+ years of experience with Utilization Management/Review
Experience providing on the job training (OJT) support to new hires
Experience training and coaching staff
Demonstrated experience driving initiatives and improvements
Health care
3
Remote