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 is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)
Optum Provider Performance is an integrated team serving all Optum businesses. We're focused on improving the health of our members, enhancing our operational effectiveness and reinforcing brand and reputation for high - quality health plans. Join us and help guide our efforts to improve the patient experience. It takes passion, commitment, intense focus and the ability to contribute effectively in a highly collaborative team environment.
This position is based out of the employee's home but will be required to travel throughout the state of Virginia. 75% travel is expected.
This role is eligible for a $3,000 Sign-on Bonus
If you located in Virginia, you will have the flexibility to telecommute as you take on some tough challenges.
Primary Responsibilities:
• Complete clinical audits and record reviews of behavioral health and substance use disorder providers in the State of Virginia
• Provide education and support to providers regarding operational and treatment record documentation standards
• Conduct quality of care investigations of behavioral health and substance use disorder providers
• Provide analytical support and expertise when compiling report information
• Develop and implement effective analysis, research and evaluation in preparation for clinical monitoring audits activities
• Assume responsibility for inter - rater reliability of clinical audit activities
• Extract appropriate data from SQL or Oracle environments
• Participate in departmental meetings and activities
• Travel 75% , including some overnight travel
Required Qualifications:
• Licensed Master's Degree, in Psychology, Social Work, Counseling or Marriage or Family Counseling
• Active, unrestricted, independent mental health licensure (i.e., LCSW, LMFT, LPC or LP) in Virginia
• 3+ years post licensure experience in behavioral health setting
• Intermediate computer skills (Microsoft Word, Excel, Outlook, and Internet) with the ability to navigate a Windows environment, including create, edit, save, and send documents using Microsoft Word
• Must reside in the state of Virginia
• Ability travel up to 75% of the month (flexible schedule), including overnights, to client and/or patient sites throughout Virginia
• Access to high-speed internet and a dedicated, distraction-free workspace at home
• Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation
Preferred Qualifications:
• Demonstrated ability to collect, analyze and present data
• Experience with conducting clinical audits of behavioral health/substance use disorder treatment records
• Experience with Medicaid service delivery
• Knowledge/experience with behavioral health evidence-based practices
• Knowledge of Joint Commission survey processes
• Knowledge of HEDIS Standards
Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.
All Telecommuters 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: 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. no requirements Employment Type: OTHER