FL MMA - Care Advocate - Work from Home in FL

For those who want to invent the future of health care, here's your opportunity. We're going beyond counseling services and verified referrals to behavioral 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)

Independently manage facility based chemical dependency and psychiatric treatment of members through telephonic utilization management. Review cases, monitor and certify appropriate levels of care according to policy. Collaborate with facility on development and ensure implementation of short term recovery plan. Escalate appropriate cases to relevant Peer Reviewers.

Responsibilities:

•  Review clinical assessments and certify levels of care according to policy and regulations


• Ensure development and adherence to short term recovery plan


• Effectively formulate, document and present cases as needed


• Meet all documentation audit standards


• Review case with supervisor or peer reviewer as needed and appropriately refer to MD for consultation Demonstrate knowledge of, and competently apply Optum Health Behavioral Solutions policies and procedures, regulatory standards


• Enter accurate authorizations or notifications


• Effectively collaborate with other departments to meet consumer needs


• Participate in staff meetings, case conferences, and in-service opportunities


• Perform other duties as assigned by supervisors

What makes your clinical career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You can work with in 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.


.

• Must be an independently licensed master's level mental health professional, licensed Ph.D. or registered nurse


• Must have a current, unrestricted license in the state of FL or the ability to obtain upon employment


• 2+years of direct clinical experience with acute and community based psychiatric and chemical dependency treatment in various settings


• Proficiency with Microsoft Office Suite. Ability to learn and navigate multiple proprietary software applications


• Typing proficiency


• Strong verbal and written communication and collaborative skills


• Effective organization and time management skills


• Ability to effectively adapt to a changing environment

• Familiarity with recovery and resiliency model


• Demonstrated familiarity and experience with DSM IV-TR and best practice standards for treatment


• Managed care or utilization review experience


• Experience with FL Medicaid population

OptumHealth is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.



OptumHealth helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their health care needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.



At OptumHealth, you will perform within an innovative culture that's focused on transformational change in the health care system. You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact that's greater than you've ever imagined.


Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.