Responsible for handling inbound calls, from providers and members in a call center environment Conduct initial clinical assessments and determine appropriate levels of care, based on medical necessity Explain and administer benefits according to plan descriptions for all levels of care (OP, IOP,PHP,RTC,IP) Ability to quickly assess and meet time sensitive deadlines within the Utilization management setting Ability to manage and resolve complex or escalated callers/issues Youll be rewarded and r... more details
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
If you are located in California, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
- Responsible for handling inbound calls, from providers and members in a call center environment
- Conduct initial clinical assessments and determine appropriate levels of care, based on medical necessity
- Explain and administer benefits according to plan descriptions for all levels of care (OP, IOP,PHP,RTC,IP)
- Ability to quickly assess and meet time sensitive deadlines within the Utilization management setting
- Ability to manage and resolve complex or escalated callers/issues
Youll 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:
- Clinical license in the state of California required. Current, unrestricted license
- Masters degree in psychology, Social Work or Marriage and Family Therapy, LPCC, or PhD/PsyD
- 2+ years of experience in behavioral health
- Dedicated office space and access to high-speed internet service in your home
- Ability to work 8:30am-5pm PST
Preferred Qualifications:
- Dual diagnosis experience with mental health and substance abuse
- Experience in working in an environment that required coordinating benefits and utilizing various resources to meet patient needs
- Experience with utilizing computer applications and softphone to complete all primary work responsibilities
- Proficiency in Microsoft Office Suite Program (Word, Teams, Outlook, Excel, etc.)
*All employees working remotely will be required to adhere to UnitedHealth Groups Telecommuter Policy.
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California Residents Only: The salary range for this role is $58,300 to $114,300 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, youll find a far-reaching choice of benefits and incentives.
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At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves 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.
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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.
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UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
