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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.
** Tennessee residency and licensure are required for this position. **
If you are located in Tennessee, you will have the flexibility to work remotely* 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 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.
Required Qualifications:
- Active, unrestricted, clinical license that allows you to practice independently without supervision in Tennessee: LCSW, LMFT, LPC, LP, or LBA
- 2+ years of post-licensure 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
- Reside in Tennessee
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
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.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.