Licensed Autism Care Advocate, North Carolina License - Remote
Hybrid
Charlotte, NC, United States(flexible)
Charlotte, NC, United States(flexible)
Posted 13 days ago
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. 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 North Carolina is required for this position. ** Residency in North Carolina is not required. You’ll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities:
- 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
- An active, unrestricted, clinical license that allows you to practice independently without supervision in North Carolina: LCSW, LMFT, LCMHC, LPC, or LP
- 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
Learn more about UnitedHealth Group
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