Manage behavioral health and substance abuse member cases through assessments, care coordination, treatment planning, provider collaboration, and barrier resolution. Support high-risk members using an integrated care management model, coordinate with treatment teams, educate members about available resources, and participate in interdisciplinary team rounds. This remote role requires Arizona residency and an active, unrestricted behavioral health license.
Requisition Number: 2382953
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.
In this position, you will be responsible for care management of behavioral health and substance abuse member cases. You'll have a direct impact on the lives of our members as you manage the treatment needs of assigned cases. The schedule for this position is Monday - Friday, 8 am - 5 pm. Clinical licensure and residency in Arizona are required.
If you are located in Arizona, you will have the flexibility to work remotely * as you take on some tough challenges.
Primary Responsibilities:
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:
Preferred Qualifications:
*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 $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
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.
In this position, you will be responsible for care management of behavioral health and substance abuse member cases. You'll have a direct impact on the lives of our members as you manage the treatment needs of assigned cases. The schedule for this position is Monday - Friday, 8 am - 5 pm. Clinical licensure and residency in Arizona are required.
If you are located in Arizona, you will have the flexibility to work remotely * as you take on some tough challenges.
Primary Responsibilities:
- Engage members that may be transitioning through various levels of behavioral health care
- Complete member assessments and educate on resources and services available to members
- Coordinate and collaborate with providers and treatment teams
- Strategize and solution for any barriers preventing care or delaying services
- Identify ways to add value to treatment plans and consult with facility staff or outpatient care providers on those ideas
- Work from an Integrated Care Management Model to ensure high-risk members receive evidenced-based care and medically necessary services
- Join weekly Interdisciplinary Team Rounds to collaborate with cross-functional teams on high-risk members
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:
- Master's Degree in Psychology, Social Work, Counseling, or Marriage and Family Therapy; or Doctorate-degreed Psychologist
- Active, unrestricted licensed to practice independently in the state of Arizona:
- Licensed Clinical Social Worker (LCSW)
- Licensed Marriage and Family Therapist (LMFT)
- Licensed Professional Counselor (LPC)
- Licensed Psychologist (LP)
- 2+ years of experience in a related mental health environment
- 1+ years of experience working with local and state community resources in Arizona
- Proficient in MS Office, including Teams, Word, Outlook, and Excel
- Dedicated, distraction-free workspace and access to high-speed internet in home
- Permanent residency in Arizona
Preferred Qualifications:
- Experience with community behavioral health agencies and/or inpatient facilities
- Dual diagnosis experience with mental health and substance abuse
- Experience working at a managed care organization (MCO) or health insurance company
- Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
- Demonstrated knowledge of insurance benefits, including Medicaid and Medicare
- Demonstrated knowledge of Arizona Health Care Cost Containment System (AHCCCS)
- Demonstrated knowledge of Arizona's Division of Developmental Disabilities (DDD)
*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 $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Similar Jobs at Optum
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Remote, per-diem role coordinating admissions, transfers, and discharges; verifying insurance and demographics; updating ADT systems; notifying payers; escalating financial or registration issues; and maintaining compliance with HIPAA and related regulations. Works varied shifts and completes required training.
Top Skills:
Adt SystemHigh-Speed InternetExcelMicrosoft OutlookMicrosoft WordPcWeb-Based Eligibility/Benefit Verification Tools
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Performs inpatient utilization reviews using evidence-based criteria, collaborates with healthcare professionals and medical directors, identifies care delays, supports appropriate care-level decisions, facilitates discharge planning, manages referrals, maintains regulatory compliance, and participates in audits, education, meetings, and process improvement. The role requires clinical nursing expertise, utilization review experience, effective communication, and independent remote work.
Top Skills:
Clinical PlatformsInterqualMcgExcelMS OfficeMicrosoft OutlookWindows
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Build and maintain provider relationships for a managed care network, resolve complex claims and operational issues, educate providers on policies and regulations, and support network development. Analyze provider and claims data to identify trends, root causes, and improvement opportunities. Facilitate meetings and training, coordinate cross-functional solutions, ensure provider data accuracy and compliance, support recruitment and retention, and mentor peers as a subject matter expert.
Top Skills:
ClearinghousesCspEdiEft/EraExcelFacetsMS OfficePowerPointProvider PortalsServicenowSpireUhc Provider Portal
What you need to know about the Charlotte Tech Scene
Ranked among the hottest tech cities in 2024 by CompTIA, Charlotte is quickly cementing its place as a major U.S. tech hub. Home to more than 90,000 tech workers, the city’s ecosystem is primed for continued growth, fueled by billions in annual funding from heavyweights like Microsoft and RevTech Labs, which has created thousands of fintech jobs and made the city a go-to for tech pros looking for their next big opportunity.
Key Facts About Charlotte Tech
- Number of Tech Workers: 90,859; 6.5% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Lowe’s, Bank of America, TIAA, Microsoft, Honeywell
- Key Industries: Fintech, artificial intelligence, cybersecurity, cloud computing, e-commerce
- Funding Landscape: $3.1 billion in venture capital funding in 2024 (CED)
- Notable Investors: Microsoft, Google, Falfurrias Management Partners, RevTech Labs Foundation
- Research Centers and Universities: University of North Carolina at Charlotte, Northeastern University, North Carolina Research Campus

