Night Shift Behavioral Health Utilization Review - Telecommute - Must have California License

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)

As a Utilization Review Behavioral/Mental Health Care Advocate you will be responsible for utilization review of psychiatric and chemical dependency cases.

The schedule for this role is 36 hours per week - 3 days a week, 12 hours per day: 7:00pm to 7:30am PST. This employee can add 4 hours throughout the week to make it 40 hours as well.

You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. Must hold a California independent license.

Primary Responsibilities:

• Oversee initial inpatient admission for psychiatric and chemical dependency cases
• Make patient assessments and determine appropriate levels of care
• Administer benefits, review treatment plans, and coordinate transitions between various areas of care
• Obtain information from providers on outpatient requests for treatment
• Assist members with management of crisis situations by linking them to inpatient facilities, healthcare providers, and community supports
• Work with members and facilities via telephone to address healthcare needs

Required Qualifications:

• Master's degree in Psychology, Social Work, Counseling or Marriage or Family Counseling; OR Licensed Ph.D.; OR Registered Nurse
• Current, unrestricted license to practice in the state of California
• 2+ years of experience in behavioral health, post independent licensure
• Proficiency with Microsoft Office Suite programs (Word, Outlook, Internet)
• Must have a dedicated, distraction-free space in home for home office
• Access to install secure high-speed internet (minimum speed 1.5 download mps & 1 upload mps) via cable / DSL in home (wireless / cell phone provider, satellite, microwave, etc. does NOT meet this requirement)
• Ability to work required hours ( 3 days a week, 12 hours per day: 7:00pm to 7:30am PST, can add an additional 4 hours throughout the week)

Preferred Qualifications:

• Inpatient treatment experience
• Utilization review and/or management experience
• Clinical review to determine appropriate levels of care
• Experience consulting with facility and/or hospital staff to coordinate treatment plans
• Clinical review to determine medical necessity
• Medical or behavioral health collaboration within different organizations
• 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

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

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.