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Behavioral Health Care Advocate - San Diego, CA

UnitedHealth Group

San Diego, CA
Job Code:
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Job Details

752347 Behavioral Health Care Advocate San Diego CA

Behavioral Health Care Advocate - San Diego, CA (752347)

Position Description

For those who want to invent the future of health care, here's your opportunity. We're going beyond counseling services and verified referrals to behavioral health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)

Due to our ongoing business relationship with the County of San Diego, Optum Behavioral Solutions has an immediate need for a Care Advocate.  As the successful candidate you will focus on clinical review for residential substance use treatment and psychiatric inpatient authorizations.


Primary Responsibilities:

  • Making patient assessments and determining appropriate levels of care
  • Obtaining information from providers on residential substance use treatment and psychiatric requests for treatment
  • Determining if additional clinical treatment sessions are needed
  • Managing residential substance use treatment cases throughout the entire treatment plan
  • Managing inpatient mental health cases throughout the entire treatment plan
  • Administering benefits and reviewing treatment plans
  • Coordinating benefits and transitions between various areas of care
  • Identifying ways to add value to treatment plans and consulting with facility staff or inpatient care providers on those ideas

Required Qualifications:

  • Licensed Master's degree clinician in Psychology, Social Work, Counseling or Marriage and Family Counseling, or a Licensed Ph.D. / PsyD; or an RN with 2+ years behavioral experience
  • Licenses must be active and unrestricted in the State of California
  • 2+ years of experience in a related mental health environment
  • Experience working with patients with Substance Use Disorders (SUD’s)
  • Intermediate level of computer proficiency specifically with MS Word and Excel
  • Must be able to obtain and maintain access to the County of San Diego’s electronic health record, Anasazi

Preferred Qualifications:

  • Experience in a managed care setting
  • Dual diagnosis experience with mental health and substance abuse
  • Experience with working in a residential substance use treatment environment
  • Knowledge of the Medi-Cal system
  • Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
  • Previous experience in a telephonic role
  • Strong data entry skills

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)


Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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.

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



Job Keywords: LMFT, LCSW, Psychologist, Mental Health, Behavioral Health, Psychiatric, Therapy, Mental Health Care Advocate, Counseling, Managed Care, Anasazi, substance abuse, SUD, Medi-Cal, Call Center, San Diego, CA, California

Job Details

  • Contest Number752347
  • Job TitleBehavioral Health Care Advocate - San Diego, CA
  • Job FamilyBehavioral
  • Business SegmentOptum Consumer Solutions Group

Job Location Information

  • San Diego, CA
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusExempt

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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