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Behavioral Health Care Advocate - UM - Remote

$60.2k - $107.4k

UnitedHealth Group

The Strategic Outpatient Engagement & Management (STEM) Care Advocate will complete telephonic clinical reviews directly with providers to ensure members receive the most effective and efficient care, promoting best practices in outpatient psychotherapy and community‑based treatment settings. This position is inbound‑queue based, fully remote, Monday‑Friday, 10:30am – 7:00pm CST. All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy. Primary Responsibilities Focus on outpatient commercial, Medicaid and Medicare behavioral health services Conduct outpatient reviews to determine appropriate care Assess whether member care meets coverage guidelines Shape member treatment in partnership with providers to ensure best practices Administer benefits and review treatment plans Required Qualifications Active, unrestricted, Independent Level Clinician in Psychology, Social Work, Counseling, or Marriage or Family Counseling with 2+ years of experience in behavioral health Active, unrestricted independent licensure in state of residence 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) Experience in managed care Experience conducting clinical review to determine appropriate levels of care Demonstrated telephonic/office‑based experience Telephone queue experience Utilization review/management experience Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution (all benefits are subject to eligibility requirements). The salary for this role will range from $60,200 – $107,400 annually based on full‑time employment. We comply with all minimum wage laws as applicable. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug‑free workplace. Candidates are required to pass a drug test before beginning employment. #J-18808-Ljbffr

Vacancy posted 2 days ago
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