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Advocate medical
1 month ago
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 CA licensed Senior Care Advocate. As a Senior Care Advocate you will focus on authorizations for psychiatric and chemical dependency patients and supporting the larger Utilization Management (UM) team with data entry and questions. Inpatient, Crisis Residential, Outpatient, Long Term Care (LTC), and Substance Use Disorder (SUD). This is primarily an administrative position with no patient contact.
***This position is Monday-Friday from 10:30am to 7pm mainly working from home and will require working at least one day in the San Diego office. ***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 Coordinating benefits and transitions between various areas of care Identifying ways to add value to treatment plans and consulting with facility staff or outpatient care providers on those ideas Data entry of clinical documentation submitted into the County’s Electronic Health Record or Designated Database Assist other teammates and/or other sub teams within Utilization Management as needed with questions, data entry, guidance, and support Support implementation of any new requirements and current policies, procedures, and processes or assist in updating current processes and creation of new processes Assist leadership with projects, running reports and updates as needed Assist in interviewing, onboarding and training of new hires Participate in Quality Assurance activities as needed and delegated Provide feedback to Manager or Supervisor on opportunities for improvement of the department or operations May serve as back up to other Senior Care Advocates across the larger team Serve as key point of contact for external stakeholders, providers and County staff as neededYou’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/Office)
Proven solid computer skills, must be able to type and talk at the same time in addition to navigating a Windows environment Willing or ability to work onsite one day a week in the San Diego, CA office 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 or WITS experience Experience in a managed care setting Experience with high risk psychiatric or SUD patients working in community settings such as psychiatric inpatient, LTC, or SUD treatment Proven solid data entry and presentation skills California Residents Only: The salary range for this role is $70,200 to $137,800 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.