Telephonic Behavioral Health Care Advocate - Remote
Optum
Sacramento, CA
15 days ago
$58,800 - $105,000
Job Description
Join Optum as a Telephonic Behavioral Health Care Advocate and play a crucial role in improving health outcomes through effective outpatient care. This fully remote position allows you to leverage your expertise in behavioral health while working in a supportive and inclusive environment.
Key Responsibilities
Focus on outpatient Commercial, Medicaid, and Medicare behavioral health services
Conducting outpatient reviews to determine appropriate care
Assessing if member care meets coverage guidelines
Shaping member treatment in partnership with providers to ensure best practices
Administering benefits and reviewing treatment plans
Required Qualifications
Active, unrestricted Licensed Master's degree - Independent Level Clinician in Psychology, Social Work, Counseling or Marriage or Family Counseling, or an RN with 2+ years of experience in behavioral health
Active, unrestricted licensure
2+ years of experience in a behavioral health setting
Outpatient psychotherapy and community-based treatment experience
Proven MS Office proficiency (Word, Excel, Outlook, Internet)
Distraction-free space in home to use as a home office
Access to high speed internet (DSL or Cable)
Preferred Qualifications
2+ years of demonstrated experience (post licensure) in a related mental health environment including outpatient services
Experience working with EMRs (electronic medical records)
Demonstrated telephonic/office-based experience
Telephone queue experience
Utilization review/management experience
Experience in managed care
Experience conducting clinical review to determine appropriate levels of care
Benefits & Perks
Comprehensive benefits packageIncentive and recognition programsEquity stock purchase401k contribution