Monday , February 26 2024

Customer Service Care Coordinator – UnitedHealthcare Jobs

Website UnitedHealthcare

Job Description:

  • As a Behavioral Health Care Advocate you will be responsible for case management and 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 appropriate level of care throughout the entire treatment plan.
  • What makes your clinical career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You will work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you’ll open doors for yourself that simply do not exist in any other organization, anywhere.

Job Responsibilities:

  • Focusing on initial concurrent reviews for higher levels of care, ie: Inpatient, Residential and Partial hospital admissions
  • Inpatient admission for psychiatric and chemical dependency patients via telephone
  • Administering benefits and reviewing treatment plans
  • Identifying ways to add value to treatment plans and consulting with facility staff or outpatient care providers on those ideas
  • Coordinating benefits and transitions between various areas of care
  • Managing inpatient and outpatient (Intermediate levels of care, ie: Residential and Partial) mental health/substance abuse cases throughout the entire treatment plan
  • Making patient assessments and determining appropriate levels of care
  • Determining if additional clinical treatment sessions are needed
  • Overseeing the facility based care experience
  • Obtaining information from providers on outpatient requests for treatment. Facility Based Care Advocates only work with providers for outpatient request prior to discharge from inpatient, residential and partial levels of care

Job Requirements:

  • Proficient Microsoft skills (Word, Excel, Outlook)
  • Must live within a commutable distance of one of the listed office locations
  • Licenses must be Active, Independent and Unrestricted in your State of Residence
  • Inpatient experience

Qualification & Experience:

  • Licensed Master’s degree in Psychology, Social Work, Counseling or Marriage or Family Counseling, or Licensed Ph.D., or an RN with 2 or more years of experience in behavioral health.
  • Dual diagnosis experience with mental health and substance abuse
  • Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
  • 2 years post-Masters experience in a related mental health environment
  • Experience working with the Medicare population

Job Details:

Company: UnitedHealthcare

Vacancy Type:  Full Time

Job Location: Maryland Heights, MO, US

Application Deadline: N/A

Apply Here