Remote Utilization Review Rn Jobs in Hays, KS (NOW HIRING)

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. 

As a Behavioral Health Care Advocate, you will be responsible for case management / care coordination of members on the SED and Autism Waivers. 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.

If you are located in Hays, KS, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities: 

• Make patient assessments and determining appropriate levels of care
• Obtain information from providers on outpatient requests for treatment
• Determine if additional clinical treatment sessions are needed
• Manage inpatient and outpatient mental health cases throughout the entire treatment plan
• Administer benefits and review treatment plans
• Coordinate benefits and transitions between various areas of care
• Identify ways to add value to treatment plans and consulting with facility staff or outpatient care providers on those ideas
• Develop and monitor implementation of Person-Centered Service Plans
• Collaborate with Community Mental Health Centers to ensure member's are receiving services and supports

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: 

• Licensed Master's degree in Psychology, Social Work, Counseling, or Marriage and Family Counseling; Licensed Ph.D., or Registered Nurse with 2 years of experience in behavioral health
• Active, unrestricted license in Kansas: LP, LPC, LCP, LCPC, LMSW, LSCSW, LMFT, LCMFT, or RN in the state of Kansas
• 2 years of post-license experience in a related mental health environment
• Proven intermediate Microsoft skills including Microsoft Word, Excel, Outlook, and Teams
• Access to secure, high-speed internet (Broadband Cable, DSL, or Fiber) and a dedicated, distraction-free workspace at home
• Live in or near Hays, KS, with access to reliable transportation and ability to travel within the service delivery area as needed (up to 50%)

Preferred Qualifications: 

• 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
• Experience working with the Medicaid population
• Experience working with children, adolescents, and their families

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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. 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.
 

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. 

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.