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Advocate medical

3 months ago

SAN DIEGO, United States Optum Full time
p>For those who want to invent the future of health care, here‘s your opportunity. We‘re going beyond basic care to health programs integrated across the entire continuum of care. p>Due to our ongoing business relationship with the County of San Diego, Optum Behavioral Solutions has an immediate need for a Care Advocate.  This is primarily an administrative position with no patient contact.***This position is office based in our San Diego, CA office and requires working at least one day in office Monday-Friday, hours of the position are 10:30am to 7pm*** Based on documentation, determining appropriate levels of patient care Determining if documentation meets medical necessity requirements for payment through Medicaid or the County of San Diego Data entry of clinical documentation submitted into the County’s Electronic Health Record or Designated Database  Coordinating benefits and transitions between various levels of care Identifying ways to add value to treatment plans and consulting with facility staff or outpatient care providers on those ideas Support other sub teams within Utilization Management as needed with authorizations for treatment at Residential Substance Use programs and Long Term Care facilities Sign off on paper work products in office from the inpatient hospitals, such as the Treatment Authorization Request

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.Licensed, Master‘s Degreed Clinician in Psychology, Social Work, Counseling, or Marriage / Family Counseling, a Licensed Ph.li>Intermediate level of computer proficiency (including MS Word, Excel, Outlook, Teams) Live and work within a commutable distance and be willing to work in the San Diego office as needed You will be required to be granted and maintain access to the County of San Diego’s electronic health record and/or WITS and other electronic databases Cerner experience Experience in a managed care setting Proven solid data entry skills California Residents Only: The salary range for this role is $58,300 to $114,300 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). p>
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.