- Review comprehensive diagnostic evaluations to ensure valid diagnosis has been given
- Obtain clinical information from providers on Applied Behavior Analysis requests for treatment
- Determine if additional clinical treatment sessions for Applied Behavior Analysis are medically necessary in accordance with appropriate level of care guidelines
- Manage outpatient cases throughout the entire treatment plan
- Coordinate benefits and transitions between various areas of care including case management
- Identify ways to add value to treatment plans and consult with facility staff or outpatient care providers on those ideas
- Provide education and resources to parents/caregivers specific to Applied Behavior Analysis treatment and/or their benefit plan
- Quote benefits and provide referrals as needed
- Active, unrestricted, clinical license that allows you to practice independently without supervision in Kentucky: LP, LCSW, LMFT, LPCC, or LBA
- 2+ years of post-licensure experience in a related mental health environment
- Experience working with children and/or adolescents with Autism
- Computer literacy in a Windows environment including MS Word and Outlook
- Proven ability to talk on the phone and type at the same time
- Access to install secure, high-speed internet and a dedicated, distraction-free workspace at home
- ABA Certification
- Managed Care experience
- Utilization Management experience
- Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
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Autism Care Advocate, KY License - Louisville, United States - UnitedHealth Group
Description
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.
As a Licensed Autism Care Advocate, you will work directly with providers to review medical necessity for Applied Behavior Analysis (ABA) requests and provide Autism education and resources to parents and caregivers. This is a telephonic, queue-based position with a structured schedule between the business hours of 7am – 7pm CST, Monday – Friday.
** Licensure in Kentucky is required for this position. **
Residency in Kentucky is not required.
You'll enjoy the flexibility to work remotely* from anywhere in the U.S. as you take on some tough challenges.
Primary Responsibilities:
You'll find the pace fast and the challenges ongoing. We'll expect you to achieve and document measurable results. You'll also need to think and act quickly while working with a diverse member population.
You'll 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:
Preferred Qualifications:
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for this role is $58, to $, 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 k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves 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.
Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
