Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)You have high standards. So, do we. Here at UnitedHealth Group, this includes offering an innovative new standard for care management. It goes beyond counseling services and verified referrals to programs integrated across the entire continuum of care. That means you'll have an opportunity to make an impact on a huge scale - as part of an incredible team culture that's defining the future of behavioral health care.As a Sr. Behavioral Health Care Advocate within the Optum's dedicated Maryland Medicaid Behavioral Health team you will be responsible for the supervisory oversight and direction of UM Psychiatric Rehabilitation Program (PRP), Residential Rehabilitation Program (RRP), and Respite team. You will use your clinical skills to provide guidance to the team in conducting reviews of Behavioral Health disorder services. You will work interdependently with internal teams, external partners, and vendors in a manner consistent with the highest levels of performance and professionalism to accomplish critical tasks. As a key resource, your positive approach and dedication to teamwork will enable you to provide outstanding assistance. This position provides a great opportunity to have an impact on the lives of our participant as you recommend and manage the appropriate level of care.You'll enjoy the flexibility to telecommute from anywhere in the state of Maryland as you take on some tough challenges.Primary Responsibilities: Supports day to day operations of team as subject matter expert for department Presents as subject matter expert to client and other stakeholders Implements changes directed by the client Reviews cases as needed Provides oversight and support initial and concurrent reviews for PRP, RRP, and Respite Tracks key metrics and ensures they are met specific to turn around time and clinician's productivity Manages escalated concerns/cases to resolution Monitors team's performance and supervise a team of licensed clinicians Provides assistance, approval and intervention, as needed, for determination of medical necessity, appropriateness and extended length of-stay decisions Participates in weekly case rounds Brings a positive approach to problem solving Excellent customer service skillsYou'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: Independently Licensed Master's degree level clinician in: Psychology, Social Work, Counseling or Marriage & Family Counseling; OR Licensed Ph.D. or Licensed PsyD; OR an RN with at least 2 years of experience in behavioral health (licensure must be current and unrestricted) Active, Maryland Independent Licensure 3+ years of behavioral health clinical experience in a behavioral health settingPreferred Qualifications: Knowledge of Maryland Medicaid Level of Care Guidelines Direct practice experience with managing PRP, RRP, and Respite Utilization review experience in an insurance company or managed care setting Experience in chart review Knowledge of the Maryland Medicaid patient population Dual diagnosis experience with mental health and substance abuse Experience working in an environment that required coordinating benefits and utilizing multiple groups and resources for patients Excellent organizational skills Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure complianceTo protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care 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)*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.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: care advocate, social worker, therapist, counselor, mental health, behavioral health, managed care, substance abuse, dual diagnoses, psychiatric rehabilitation program, residential rehabilitation program, respite, utilization review, team lead, Medicaid, LP, LCSW, LCSW-C, LCMFT, LCPC, RN, registered nurse, Baltimore, MD, Maryland, Telecommute, Telecommuter, Telecommuting, Work at Home, Work from Home, Remote