Licensed Autism Care Advocate - Remote US - Remote Eligible

Licensed Autism Care Advocate

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 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. The ability to work until 7pm Central is preferred.

You'll enjoy the flexibility to work remotely* from anywhere in the U.S. as you take on some tough challenges. Due to business needs, residency in the Central, Mountain, Pacific or Hawaii time zones is preferred.

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 licensures or certifications:
• Independent clinical mental health license that allows you to practice 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 / 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
• 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
• Willing or ability to work until 7pm Central time
• Residency in Central, Mountain, Pacific, or Hawaii time zones

*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 $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.