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Job Details
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. If you are located in CA, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities:
- Responsible for handling inbound calls, from providers and members in a call center environment
- Conduct initial clinical assessments and determine appropriate levels of care, based on medical necessity
- Explain and administer benefits according to plan descriptions for all levels of care (OP, IOP,PHP,RTC,IP)
- Ability to quickly assess and meet time sensitive deadlines within the Utilization management setting
- Ability to manage and resolve complex or escalated callers/issues
- Master’s degree in psychology, Social Work or Marriage and Family Therapy, LPCC, or PhD/PsyD
- Clinical license in the state of California required. Current, unrestricted license
- 2+ years of experience in behavioral health
- Dedicated office space and access to high speed internet service in your home
- Must be able to work 8:30am-5pm PST
- Dual diagnosis experience with mental health and substance abuse
- Experience in working in an environment that required coordinating benefits and utilizing various resources to meet patient needs
- Experience with utilizing computer applications and softphone to complete all primary work responsibilities
- Proficiency in Microsoft Office Suite Program (Word, Teams, Outlook, Excel, etc.)
About the Company
UnitedHealth Group
Minnetonka, MN, United States
UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions worldwide. We are... Read more