Behavioral Health Advocate, Utilization Management - Eden Prairie, MN
2 days ago
Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners.
+Responsibilities
- Work with providers facilities and members to perform utilization management and authorization for outpatient services Ensure that behavioral health care services provided are medically necessary per standard guidelines Ensure that behavioral health care services are provided in the most appropriate setting Integrates a collaborative process which assesses plans implements coordinates monitors and evaluates the options and services to meet the enrollees health needs using education communication and all available resources to promote quality cost-effective outcomes Discharge planning or management of transitions between care settings to ensure the appropriate services/resources are in place for quality outcomes Refer members to appropriate psychiatric community referrals assist with identifying removing potential barriers
Qualifications
- One of the following licensures - must be active and unrestricted Independently licensed master's degree in psychology social work counseling or related field i.e LPC LPCC LCSW LISCW LMFT LMHC etc Licensed PhD/PsyD LP Registered Psychiatric Nurse RN 3+ years of post-licensure clinical experience in a related behavioral health environment Proficient with MS Office Suite Access install secure high-speed internet dedicated distraction-free workspace at home Available work one weekday holiday per calendar year Desire work telephonic queue-based position responding treatment requests crisis calls Experience working children adolescents families Experience working autism population Managed care experience Experience working hospital setting Experience medical/behavioral health collaboration different organizations Proven excellent customer service skills Proven excellent organizational skills All employees working remotely will be required adhere UnitedHealth Group's Telecommuter Policy Pay based several factors including but not limited to local labor markets education work experience certifications benefit comprehensive benefits package incentive recognition programs equity stock purchase 401k contribution benefits subject eligibility requirements The salary this role range from $60 200 annually full-time employment comply minimum wage laws applicable
Job description
Lorem ipsum dolor sit amet
, consectetur adipiscing elit. Nullam tempor vestibulum ex, eget consequat quam pellentesque vel. Etiam congue sed elit nec elementum. Morbi diam metus, rutrum id eleifend ac, porta in lectus. Sed scelerisque a augue et ornare.
Donec lacinia nisi nec odio ultricies imperdiet.
Morbi a dolor dignissim, tristique enim et, semper lacus. Morbi laoreet sollicitudin justo eget eleifend. Donec felis augue, accumsan in dapibus a, mattis sed ligula.
Vestibulum at aliquet erat. Curabitur rhoncus urna vitae quam suscipit
, at pulvinar turpis lacinia. Mauris magna sem, dignissim finibus fermentum ac, placerat at ex. Pellentesque aliquet, lorem pulvinar mollis ornare, orci turpis fermentum urna, non ullamcorper ligula enim a ante. Duis dolor est, consectetur ut sapien lacinia, tempor condimentum purus.Get full accessAccess all high-level positions and get the job of your dreams.
Similar jobs
The Inpatient Utilization Management RN is responsible for providing clinically efficient and effective inpatient utilization management. Reviews inpatient criteria for acute hospital admissions and concurrent review and or prior authorization requests for appropriate care and se ...
2 weeks ago
We are seeking a Utilization Review Nurse to join our team at Optum. The successful candidate will be responsible for providing clinically efficient and effective inpatient utilization management services. · ...
2 weeks ago
We remove friction and drive alignment between care providers and payers, ultimately consumers. Ready to help us deliver results that improve lives?The Utilization Management Nurse RN is responsible for reviewing clinical information from patient electronic medical records reques ...
1 month ago
Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Optum Insight is improving the flow of health data and information to create a more connected system. · The Utilization Management Nurse RN will accurately and efficient ...
1 month ago
We are not a staffing firm or agency but we partner with DirectEmployers to promote this job for UnitedHealth Group. · The Utilization Management Nurse RN will review clinical information from patient electronic medical records requested by our clients, · coordinate key clinical ...
1 month ago
Optum Insight is improving the flow of health data and information to create a more connected system. · The First Level Review Nurse will accurately and efficiently review case details from patient records focusing on key elements according to process and follow the agreed upon s ...
1 month ago
We are seeking an experienced Epic Tapestry Utilization Management (UM) Analyst to design, build, optimize, and support UM processes focused on authorizations and referrals. · We are looking for someone who excels at translating payer and network operational needs into scalable E ...
2 weeks ago
+ Job summary: As a Behavioral Health Advocate you will have a direct impact on the lives of our members as you recommend and manage appropriate levels of care throughout entire treatment plans.+ Qualifications:Independently licensed clinician with Master's degree in Psychology S ...
2 weeks ago
The Behavioral Health Advocate will respond to treatment requests from providers and facilities, as well as manage and deescalate crisis calls from members. · ...
1 week ago
The Utilization Management Nurse is responsible for reviewing and documenting prior authorization and concurrent stay requests. · Review and document prior authorization and concurrent stay requests. · Evaluate member case history in compliance with policies and procedures. · ...
1 week ago
Lensas career site helps job seekers find great jobs in the US. · The Behavioral Health Advocate 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 appro ...
1 week ago
We are seeking a Behavioral Health Advocate to support our outpatient services for adults. The successful candidate will work with providers and members to perform utilization management and authorization for behavioral health care services. · ...
1 week ago
As a Utilization Management Nurse for Post Acute care, you will be responsible for reviewing and documenting prior authorization and concurrent stay requests. · Review and document prior authorization and concurrent stay requests. · Manage and evaluate member case history in line ...
1 month ago
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. · ...
1 week ago
The Behavioral Health Advocate will work with providers and members to perform utilization management and authorization for outpatient services. · Work with providers, facilities, and members to perform utilization management and authorization for outpatient services. · Ensure th ...
1 week ago
This role requires utilization management experience with a payor/third-party managed care organization. · ...
1 week ago
Lensa does not hire directly for these jobs but promotes jobs on LinkedIn behalf of its direct clients recruitment ad agencies and marketing partners. Optum is a global organization that delivers care aided by technology to help millions of people live healthier lives. · Work wit ...
3 days ago
This role requires reviewing and documenting prior authorization and concurrent stay requests, as well as member case histories in compliance with policies, procedures clinical criteria MCG. · ...
1 week ago
As a Behavioral Health Advocate, you will be responsible for utilization review of behavioral health and substance abuse cases. · ...
2 weeks ago
Job Summary: · The Utilization Management Nurse will accurately and efficiently review and extract pertinent case details from patient medical records; · and craft strongly defensible appeal letters per process instructions and the department’s/company’s guidance. ...
1 week ago