Job Description
At OptumHealth, you will perform within an innovative culture that's focused on transformational change in the health care system. You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact that's greater than you've ever imagined.The Strategic Outpatient Engagement & Management (STEM) Care Advocate will complete telephonic clinical reviews directly with Providers to ensure members are getting the most effective and efficient care promoting best practices in the Outpatient psychotherapy and community-based treatment setting.You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. ***This position is fully remote, Monday-Friday. There are multiple full time schedule options available (day time hours).***Primary Responsibilities:Focus on outpatient commercial, Medicaid and Medicare behavioral health servicesConducting outpatient reviews to determine appropriate careAssessing if member care meets coverage guidelinesShaping member treatment in partnership with providers to ensure best practices
Responsibilities + Skills
Education
Active, unrestricted, Independent Level Clinician in Psychology, Social Work, Counseling or Marriage or Family Counseling, or an RN with 2+ years of experience in behavioral healthActive, unrestricted licensure
Experience
2+ years of experience in a behavioral health settingOutpatient psychotherapy and community-based treatment experienceProven MS Office proficiency (Word, Excel, Outlook, Internet)
