Optum · 10 hours ago
Behavioral Health Advocate, Utilization Management - Remote
United States
Full-time
Remote
Mid Level
$60K/yr - $107K/yr
3+ years expOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. As a Behavioral Health Advocate, you will respond to treatment requests and manage crisis calls, ensuring members receive the appropriate level of care throughout their treatment plan.
EducationHealth CareMedicalPharmaceutical
Responsibilities
Work with providers, facilities, and members to perform utilization management and authorization for outpatient services
Ensure that behavioral health care services provided are medically necessary, per standard guidelines
Ensure that behavioral health care services are provided in the most appropriate setting
Integrates a collaborative process which assesses, plans, implements, coordinates, monitors, and evaluates the options and services to meet the enrollee's health needs, using education, communication, and all available resources to promote quality, cost-effective outcomes
Discharge planning or management of transitions between care settings to ensure the appropriate services/resources are in place for quality outcomes
Refer members to appropriate psychiatric and community referrals and assist with identifying and removing potential barriers
Qualification
Required
One of the following licensures - must be active and unrestricted: Independently licensed master's degree in psychology, social work, counseling or related field (i.e., LPC, LPCC, LCSW, LISCW, LMFT, LMHC, etc.), Licensed PhD/PsyD (LP), Registered Psychiatric Nurse (RN)
3+ years of post-licensure clinical experience in a related behavioral health environment
Proficient with MS Office Suite
Access to install secure, high-speed internet and a dedicated, distraction free workspace at home
Available to work one weekday holiday per calendar year
Desire to work in a telephonic, queue-based position responding to treatment requests and crisis calls
Preferred
Licensed Alcohol and Drug Counselor (LADC)
Experience with Substance Use Disorders
Managed care experience
Experience working in a hospital setting
Experience with medical or behavioral health collaboration within different organizations
Proven excellent customer service skills
Proven excellent organizational skills
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Benefits
Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Company
Optum
Optum is a healthcare company that provides pharmacy services, health care operations, and population health management. It is a sub-organization of UnitedHealth Group.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Daniel Castillo
Chief Executive Officer, Optum Care Delivery
J
Jay Green
Chief Financial Officer
Recent News
2025-11-29
2025-11-19
2025-11-07
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