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Behavioral Health Care Advocate – San Diego, CA

UnitedHealth Group

This is a Full-time position in San Diego, CA posted June 12, 2020.

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)


Due to our ongoing business relationship with the County of San Diego, Optum Behavioral Solutions has an immediate need for a Care Advocate.  As the successful candidate you will focus on clinical review for inpatient, outpatient, and crisis residential authorizations for psychiatric patients.  This is primarily an administrative position with no patient contact.

 

***This position is office based in our San Diego, CA office and requires working a Monday-Friday, 8am – 5pm schedule***

 

 Primary Responsibilities:

  • Making patient assessments and determining appropriate levels of care
  • Obtaining information from providers on psychiatric requests for treatment
  • Determining if additional clinical treatment meet medical necessity
  • Managing inpatient, outpatient, and crisis residential mental health cases throughout the entire treatment plan
  • Administering benefits and reviewing treatment plans
  • Coordinating benefits and transitions between various levels of care
  • Identifying ways to add value to treatment plans and consulting with facility staff or outpatient care providers on those ideas
  • Support other sub teams within Utilization Management as needed with authorizations for treatment at Residential Substance Use programs and Long Term Care facilities
  • Support the San Diego Access and Crisis Line as needed

Required Qualifications:

  • Licensed Master’s degree clinician in Psychology, Social Work, Counseling or Marriage and Family Counseling, or a Licensed Ph.D. / PsyD; or an RN
  • Licenses must be independent, active and unrestricted in the State of California
  • 2+ years of experience in mental health / behavior health environment
  • Intermediate level of computer proficiency (including MS Word, Excel, Outlook)
  • Reside in the state of CA and be willing to work onsite in the San Diego office daily
  • Must be able to obtain and maintain access to the County of San Diego’s electronic health record, Anasazi
  • Ability to work schedule posted:  Monday-Friday, 8am – 5pm

 

Preferred Qualifications:                                                                                       

  • Cerner experience
  • Experience in a managed care setting
  • Dual diagnosis experience in mental health and substance use treatment
  • Medi-Cal system experience
  • Experience working in an environment that requires coordination of benefits and utilization of multiple groups and resources for patients
  • Experience in telephonic roles
  • Strong data entry skills

Careers with Optum. Here’s the idea. We built an entire organization around one giant objective; make the health system 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)



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.



Key Words:  Care advocate, behavioral health, counselor, therapist, social worker, social work, San Diego, CA, California, LCSW, licensed clinical social worker, RN, nurse, psychiatric nurse, MFT, marriage and family therapist, LPCC, licensed professional clinical counselor, CNS, clinical nurse specialist, PMHN