Senior Behavioral Care Advocate - Hybrid in San Diego, ...

$5,000 sign on bonusOptum Behavioral Solutions, part of the Optum family of businesses, is seeking a Senior Behavioral Health Care Advocate to join our team in San Diego, CA. As a member of the Optum Behavioral Care team, you'll be an integral part of our vision to make healthcare better for everyone. Due to our ongoing business relationship with the County of San Diego, Optum Behavioral Solutions has an immediate need for a CA licensed Senior Care Advocate.  As a Senior Care Advocate you will focus on authorizations for psychiatric and chemical dependency patients and supporting the larger Utilization Management (UM) team with data entry and questions. There are multiple clinical sub teams within UM, that work collaboratively to ensure business needs are met: Inpatient, Crisis Residential, Outpatient, Long Term Care (LTC), and Substance Use Disorder (SUD). This is primarily an administrative position with no patient contact. ***This position requires working a schedule of Monday-Friday, 10:30am - 7:00pm Pacific Time. Partial Remote (telecommute)/work from home opportunities will be allowed based on business needs*** Primary Responsibilities:Acquire and maintain access to the County of San Diego's electronic health record (EHR) and/or WITS and other electronic databasesBased on documentation, determining appropriate levels of patient careObtaining information from providers on authorization requests for treatmentDetermining if documentation meets medical necessity requirements for payment through Medicaid or the County of San DiegoManaging mental health and/or SUD cases throughout the treatment episodeAdministering benefits and reviewing treatment documentationCoordinating benefits and transitions between various areas of careIdentifying ways to add value to treatment plans and consulting with facility staff or outpatient care providers on those ideasData entry of clinical documentation submitted into the County's Electronic Health Record or Designated Database Assist other teammates and/or other sub teams within Utilization Management as needed with questions, data entry, guidance, and supportMonitor and oversee sub team workload and arrange coverage as needed and/or cover as neededSupport implementation of any new requirements and current policies, procedures, and processes or assist in updating current processes and creation of new processesAssist leadership with projects, running reports and updates as neededAttend weekly leadership meetingsTake initiative to assist other team members with their workloads and support the teamAssist Supervisor with various tasks for business needs and serve as liaison with other departmentsAssist in interviewing, onboarding and training of new hiresEnsure all work products are covered and turnaround times met for the sub team and/or the larger Utilization Management teamAssist with problem resolution as neededParticipate in Quality Assurance activities as needed and delegatedProvide feedback to Manager or Supervisor on opportunities for improvement of the department or operationsKnowledge of outcome focused clinical models and interventions in mental health and SUDSolid written and verbal communication and customer services skillsAbility to work autonomouslyMay serve as back up to other Senior Care Advocates across the larger teamServe as key point of contact for external stakeholders, providers and County staff as neededSupport Access and Crisis Line as neededModel positive, professional and solution-oriented attitudeOther duties as assigned 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:Licensed, Master's Degreed Clinician in Psychology, Social Work, Counseling, or Marriage/Family Counseling, a Licensed Ph.D., or an RN with experience in behavioral healthActive, unrestricted, independent licenses in the State of California2+ years of experience in mental health / behavior health environment1+ year of Leadership, Subject Matter Expert or Team Lead experience Demonstrated intermediate level of computer proficiency (including MS Word/Excel/Office) and ability to type and talk at the same time in addition to navigating a Windows environmentAbility to work onsite a minimum of one day between Monday - Friday in the San Diego, CA office, additional days onsite if required by business needs Preferred Qualifications:Electronic health records experience such as Cerner or WITSExperience in a managed care setting Dual diagnosis experience with mental health and substance use treatmentMedi-Cal system experienceExperience working in an environment that requires coordination of benefits and utilization of multiple resources for patientsExperience in telephonic rolesSolid data entry and presentation skillsExperience in Utilization ManagementExperience with high risk psychiatric or SUD patients working in community settings such as psychiatric inpatient, LTC, or SUD treatment Explore opportunities at Optum Behavioral Care. We're revolutionizing behavioral health care delivery for individuals, clinicians and the entire health care system. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while Caring. Connecting. Growing together. 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 $72,800 to $130,000 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.    OptumCare 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. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Created: 2026-02-13