What are the responsibilities and job description for the Care advocate position at UnitedHealth Group?
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As an 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.
Applicants must currently possess an active, independent clinical mental health license in Florida or a BCBA certification issued in Florida.
If you live in the state of Florida, you will have the flexibility to work remotely* 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
You’ll find the pace fast and the challenges ongoing. We’ll expect you to achieve and document measurable results. You’ll also need to think and act quickly while working with a diverse member population.
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.
Required Qualifications :
- One of the following : Active, unrestricted, clinical license that allows you to practice independently without supervision in Florida : LP, LCSW, LMFT, or LMHCFlorida-issued BCBA certification
- 2 years of post-licensure / certification 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
- Ability to talk on the phone and type at the same time
- Access to install secure, high-speed internet at home via cable broadband, DSL or fiber
- Dedicated, distraction-free workspace at home
- Reside in Florida
Preferred Qualifications :
- 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
- All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone.
We believe everyone of every race, gender, sexuality, age, location and income deserves the opportunity to live their healthiest life.
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
OptumCare is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Last updated : 2024-11-19
