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As a Licensed 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.
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 enjoy the flexibility to work remotely* from anywhere in the U.S. 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 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 mental health license that allows you to practice independently without supervision, i.e.; Social Worker, Counselor, Therapist, or Psychologist
Licensed Behavior Analyst
Board Certified Behavior Analyst certification - ONLY if the behavior analyst license is not offered in your state
2+ years of post-independent licensure / BCBA certification experience in a related mental health environment
Experience working with children and/or adolescents with Autism
Computer literacy in a Windows environment including Microsoft Word and Outlook
Proven ability to talk on the phone and type at the same time
Access to install secure, high-speed internet and a dedicated, distraction-free workspace at home
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
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, or Washington, D.C. Residents Only: The salary range for this role is $58,300 to $114,300 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). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
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.
