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Remote Optum Health Utilization Review Jobs in Oregon

Charlie Health

Mental Health Group Specialist

Salem, OR · Remote

This is a full-time (W-2) , fully remote telehealth position designed for clinicians looking to ... Review assigned curriculum prior to group start times and facilitate across various age groups and ...

Charlie Health

Mental Health Group Specialist

Bend, OR · Remote

This is a full-time (W-2) , fully remote telehealth position designed for clinicians looking to ... Review assigned curriculum prior to group start times and facilitate across various age groups and ...

Healthcare Support Staffing

Remote HEDIS Specialist

OR · On-site +1

Company Description HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national ... Assists the Manager in the coordination and preparation of the HEDIS medical record review which ...

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Remote Optum Health Utilization Review information

What is the difference between Remote Optum Health Utilization Review vs Remote UnitedHealth Group Utilization Review?

AspectRemote Optum Health Utilization ReviewRemote UnitedHealth Group Utilization Review
CertificationsTypically requires RN, LPN, or medical reviewer credentialsSimilar certifications, often RN or licensed healthcare professionals
Work EnvironmentRemote, healthcare insurance settingRemote, healthcare insurance setting
Employer & IndustryOptum, part of UnitedHealth Group, healthcare and insuranceUnitedHealth Group, healthcare and insurance
Job ResponsibilitiesReview medical necessity, authorizations, and claimsReview medical necessity, authorizations, and claims

Both roles involve remote medical review within the healthcare insurance industry, focusing on medical necessity and claims. The main difference lies in the specific employer, with Optum being a subsidiary of UnitedHealth Group. The certifications, work environment, and job responsibilities are very similar, making them comparable roles for healthcare professionals seeking remote utilization review positions.

What cities in Oregon are hiring for Remote Optum Health Utilization Review jobs?

Cities in Oregon with the most Remote Optum Health Utilization Review job openings:

Remote Optum Health Utilization Review jobs near you

Mental Health Group Specialist

Charlie Health

Salem, OR • Remote

Full-time

Re-posted 23 days ago

Charlie Health rating

8.5

Company rating: 8.5 out of 10

Based on 12 frontline employees who took The Breakroom Quiz

Job description

About the Role

We are seeking dedicated Master's-level professionals to join our Oregon Clinical Cohort. This is a full-time (W-2), fully remote telehealth position designed for clinicians looking to become experts in high-impact group facilitation.

As a Mental Health Group Specialist, you will begin making a difference on day one, working alongside a highly skilled therapy team to deliver psychoeducation, enabling meaningful, real-world change for clients. This role focuses on Group Mastery; you will lead transformative sessions for clients facing complex behavioral and emotional challenges while enjoying the stability of a salaried position and a fixed schedule.

Please Note: This role focuses on psychoeducational and skill building facilitation. If you are registered as a CSWA, such hours may be eligible towards your independent licensure, at the discretion of the Board of Licensed Social Workers.

For Professional Counselor Associates and MFT Associates: While these hours may not currently count toward clinical licensure in Oregon, the position offers a premium salary and a stable career path for Master's-level professionals or QMHPs looking to gain specialized experience in a high-growth clinical environment.

Responsibilities

Availability: Group Schedules (All PST)

  • Mon - Thurs: 10am - 8pm
  • OR
  • Tues-Thurs: 10am - 8pm; Friday: 5-8pm; Saturday: 8am - 2pm
  • Care Delivery: Deliver 28 hours of group facilitation weekly using Charlie Health's evidence-based curriculum.
  • Curriculum Mastery: Review assigned curriculum prior to group start times and facilitate across various age groups and cohorts (Integrative, Support Staffing, and Wellness Hour).
  • Engagement: Foster client engagement and group cohesion, encouraging a "camera-on" culture and active participation.
  • Collaboration: Participate in collaborative Treatment Team meetings (Tuesdays) and Group Supervision (bi-weekly) with Clinical Leadership.
  • Documentation: Monitor and complete client documentation within a 24-hour timeframe, meeting State and The Joint Commission standards.
  • Communication: Maintain professional and prompt communication via email and Slack with Primary Therapists, Care Coaches, and staff.
Requirements
  • Education: Master's degree in a mental health or related field (MSW, Clinical Mental Health Counseling, Marriage and Family Therapy, etc.).
  • Location: Must currently reside in and be legally eligible to work in the state of Oregon.
  • Experience: Demonstrated proficiency across multiple modalities (DBT, CBT, EMDR, MI) and experience in intensive treatment settings.
  • Caseload: Ability to work with a diverse population and age ranges from 8-64
  • Telehealth Savvy: Ability to facilitate engaging, effective virtual sessions with a reliable high-speed internet connection.
  • Professionalism: Strong belief in group-based treatment and the ability to maintain appropriate professional boundaries.
Benefits

Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees. Read more about our benefits here. #li-remote

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