8 days old

Outpatient Utilization Review Behavioral Care Advocate Ohio Kentucky Telecommute

OH Work Remotely
  • Job Code
    886319

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 Algorithms for Effective Reporting and Treatment (ALERT) 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.

 

If you are located in Ohio or Kentucky, you will have the flexibility to telecommute* as you take on some tough challenges.

   

Primary Responsibilities:  

  • Focus on outpatient Medicaid and Medicare behavioral health services  
  • Conducting outpatient utilization reviews to determine appropriate care
  • Assessing if member care meets coverage guidelines
  • Shaping member treatment in partnership with providers to ensure best practices
  • Administering benefits and reviewing treatment plans

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.

 

 

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Posted: 2020-09-15 Expires: 2020-10-15

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Outpatient Utilization Review Behavioral Care Advocate Ohio Kentucky Telecommute

UnitedHealth Group
OH

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