Behavioral Health Care Advocate - Assess and Triage - Provider Line
About the position 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. As an Assess and Triage Care Advocate you will be responsible for utilization review of behavioral health and substance abuse cases. You'll have a direct impact on the lives of our members as you recommend and manage the appropriate level of care throughout the entire treatment plan. Responsibilities • Focus on initial admission for psychiatric and chemical dependency patients • Make patient assessments and determining appropriate levels of care • Obtain information from providers on outpatient requests for treatment • Determine if additional clinical treatment sessions are needed • Administer benefits and review treatment plans • Coordinate benefits and transitions between various areas of care • Identify ways to add value to treatment plans and consulting with facility staff or outpatient care providers on those ideas Requirements • Licensed Master's degree in Psychology, Social Work, Counseling or Marriage or Family Counseling, or Licensed Ph.D., or an RN with 2+ years of experience in behavioral health • Licenses must be Independent, active and unrestricted in your state of residence • 2+ years experience in a related mental health environment • Proficient Microsoft skills (Word, Excel, Outlook) with the ability to use multiple screens and type and talk simultaneously • Access to high speed internet via cable/DSL service in your home • Ability to work 9:30am - 6:00pm EST • Willingness to work in a 'Que' based environment • Willingness to work 4 holidays per year Nice-to-haves • Experience in an inpatient setting • 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 • Experience in a managed care environment • Experience in an inbound call center setting • Experience determining levels of care Benefits • Comprehensive benefits package • Incentive and recognition programs • Equity stock purchase • 401k contribution Apply tot his job