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Sr Care Advocate - Caldwell, Idaho (Remote)

Company: UnitedHealth Group
Location: Austin
Posted on: November 20, 2023

Job Description:

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm) -
You have high standards. So do we. Here at UnitedHealth Group, this includes offering an innovative new standard for care management. It goes beyond counseling services and verified referrals to programs integrated across the entire continuum of care. That means you'll have an opportunity to make an impact on a huge scale - as part of an incredible team culture that's defining the future of behavioral health care. -
If you are located in Caldwell, Idaho or surrounding communities, you will have the flexibility to work remotely* as you take on some tough challenges. -
Primary Responsibilities:

  • Support day to day operations of team as subject matter expert for department
  • Review staff member assessments and collaborate with medical peers to determine appropriate levels of care
  • Assess and interpret customer needs and requirements
  • Review cases and analyze clinical information in conjunction with medical directors -
  • Manage escalated concerns/cases to resolution

    You'll find the pace fast and the challenges are ongoing. You'll be expected to document and achieve measurable results. You'll also need to think and act decisively while working with a diverse member population
    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:

    • Independently Licensed Master's degree level clinician in: Psychology, Social Work, Counseling or Marriage & Family Counseling; OR Licensed Ph.D. or Licensed PsyD; OR an RN with Behavioral Health experience -
    • Licensure must be current and unrestricted in the State of Idaho -
    • 3+ years of behavioral health clinical experience in a behavioral health setting
    • Proven ability to meet patients, providers, and stakeholders virtually and in person -
    • Reside in Caldwell, Idaho or surrounding areas
    • Designated workspace and access to install secure high speed internet via cable/DSL in home

      Preferred Qualifications:

      • 1+ years of experience working within a Managed Care Organization (MCO)
      • Experience in discharge planning and/or chart review
      • Experience in inpatient / acute setting or outpatient setting
      • Utilization review experience in an insurance company or managed care setting
      • Knowledge of Level of Care Guidelines (i.e., Milliman, InterQual, ASAM, LOCUS, CALOCUS-CASII, ECSII, etc.)
      • Knowledge of the Medicaid patient population
      • Familiarity with travel throughout the Treasure Valley, including Canyon County, Gem County, Payette County and occasionally the surrounding areas

        *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy -

        At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. - - - -

        - -

        Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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. - - -

        - - -

        OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. -

Keywords: UnitedHealth Group, Austin , Sr Care Advocate - Caldwell, Idaho (Remote), Other , Austin, Texas

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