Requisition Number: 2358440 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. As a Behavioral / Mental Health Care Advocate you will be responsible for case management and utilization review of behavioral health and substance abuse cases. You'll have a direct impact on the lives of our members as you recommend and manage the appropriate level of care throughout the entire treatment plan. What makes your clinical career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You will work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere. ***Must be available to work between the hours of 8:00am to 7:00pm EST*** You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: - Day to day management and administration of behavioral health benefits for facility-based care - Utilize clinical assessments to determining appropriate levels of care - Evaluate additional clinical services are needed - Effectively coordinate benefits and transitions between various levels of care - Identify ways to add value to treatment plans and consult with facility staff to improve outcomes - Actively assist in identifying appropriate community-based services for discharge planning for the duration of the course of care 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: - You must possess one of the following: - Independent behavioral health clinical license with a Master's degree in Psychology, Social Work, Counseling, or related behavioral health discipline - Registered Nurse (RN) multistate license with 3+ years of experience in behavioral health and current residence in a Nurse Licensure Compact (NLC) state - Licenses must be independent, active, and unrestricted in the state you reside in - 2+ years of experience in a related mental health environment - Proficiency with Microsoft Office Suite programs (Word, Outlook, Internet) - Willing to work occasional holidays (dictated by business need) - Willing to accommodate changes in working hours (dictated by business need) Preferred Qualifications: - Experience in an inpatient setting - Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients - Experience working with Commercial, Medicare, and Medicaid lines of business - Dual diagnosis experience with mental health and substance abuse - Experience working in a call center/queue based environment - Proven excellent communication skills both verbally and in writing - Proven ability to thrive in a fast-paced environment *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 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. 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.

Requisition Number: 2363129 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. This is a telephonic, queue based position supporting outpatient services for children and adolescents. As a Behavioral Health Advocate you will respond to treatment requests from providers and facilities, as well as manage and deescalate crisis calls from members. You'll have a direct impact on the lives of our members as you recommend and manage the appropriate level of care throughout the entire treatment plan. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. The schedule is Monday - Friday, 8am - 5pm CST and includes working one weekday holiday per year. Primary Responsibilities: - Work with providers, facilities, and members to perform utilization management and authorization for outpatient services - Ensure that behavioral health care services provided are medically necessary, per standard guidelines - Ensure that behavioral health care services are provided in the most appropriate setting - Integrates a collaborative process which assesses, plans, implements, coordinates, monitors, and evaluates the options and services to meet the enrollee's health needs, using education, communication, and all available resources to promote quality, cost-effective outcomes - Discharge planning or management of transitions between care settings to ensure the appropriate services/resources are in place for quality outcomes - Refer members to appropriate psychiatric and community referrals and assist with identifying and removing potential barriers 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: - One of the following licensures - must be active and unrestricted - Independent behavioral health license with a Master's degree in Psychology, Social Work, Counseling, or related behavioral health discipline - 3+ years of post-licensure clinical experience in a related behavioral health environment - Proficient with MS Office Suite - Access to install secure, high-speed internet and a dedicated, distraction free workspace at home - Available to work one weekday holiday per calendar year - Desire to work in a telephonic, queue-based position responding to treatment requests and crisis calls - Experience working with children, adolescents, and families - Experience working with the autism population - BCBA Licensure Preferred Qualifications: - Managed care experience - Experience working in a hospital setting - Experience with medical or behavioral health collaboration within different organizations - Proven excellent customer service skills - Proven excellent organizational skills *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 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. 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.

• Serve as the primary point of contact for assigned partner schools, building strong working relationships with Special Education leaders and staff • Coordinate service delivery to meet the unique needs and requirements of assigned schools and students referred for services • Collaborate with Student Services Specialists, School Success Partners, and Directors of School Operations through account management meetings, monthly reporting, and issue resolution • Identify, report, and escalate service-level concerns through established incident and intake processes in collaboration with Service Delivery leadership • Analyze programmatic and operational reports to monitor service delivery effectiveness and compliance • Partner with OT Services leadership to implement departmental policies, procedures, and best practices • Collaborate with the OT Services Department Manager on staffing models and recruitment strategies to ensure appropriate staffing coverage and a strong OTR pipeline • Communicate regularly with Special Education Directors and school teams to ensure consistent implementation of program expectations and procedures • Develop and maintain expertise in school- and state-specific policies, procedures, and requirements for delivering Occupational Therapy services • Interview, hire, onboard, train, and supervise a team of approximately 20 full-time and part-time OTRs providing remote teletherapy services • Lead and support professional development activities as requested • Conduct regular performance evaluations, providing high-quality written and verbal feedback; document performance concerns, complete log audits, and complete formal performance evaluations • Ensure OTRs consistently demonstrate professionalism, therapeutic effectiveness, and a strong customer service orientation • Maintain frequent, ongoing communication with direct reports, including at least bi-monthly meetings to support compliance, collaboration, and professional growth • Support OTRs in understanding and meeting certification, licensure, and professional development requirements • Assist OTRs with the implementation of program updates, procedural changes, and new software or technology platforms • Foster a strong sense of community, collaboration, and engagement within the OTR team • Review and submit assigned staff timesheets for payroll processing • Complete additional duties and departmental projects as assigned

Title: Care Coach - Dane County, WI Location: Madison United States Job Description: Become a part of our caring community Humana/iCare is looking for a Care Coach to join the growing Dane County team in the Family Care Partnership (FCP) program. You will report to the Manager of Care Management Support and will work as part of the Interdisciplinary Team (IDT). You will collaborate with members and their families with identifying service needs including medical, social, rehabilitation, vocational, and education. You will provide care management services through the FCP program including assessment, service plan development, ongoing care coordination, quality assurance and ongoing monitoring of services to adults with disabilities and the frail elderly. You will develop your skills all while doing your part to improve the lives of others. Responsibilities: - Conduct psychosocial assessments as part of the comprehensive assessment process. - Use the Resource Allocation Decision-making methodology (RAD). This methodology helps members identify their preferred outcomes and potential strategies to achieve those outcomes. - Coordinate and monitor services and resources implemented to meet member's identified outcomes. - Conduct periodic reassessment and updates of the member's care plan and monitor member's health and safety. - Assist member or member's representative in filing complaints, grievances and obtaining advocacy services. - Document member information and contacts made regarding member's care and services provided. - Create documentation according to procedure, workflows, audit requirements and time frames. - Build constructive working relationships with the member, their family members, and appropriate outside agency staff. - Facilitate collaboration with the member's physician or appropriate medical professionals to coordinate member's care. - Educate member and providers regarding benefits, service providers and protocols to access resources and the appropriate use of medical services. Provide referrals for community resources and social services. - Monitor member's willingness to participate in treatment regimes, partnering with staff, member and providers to find alternatives or solutions to their needs. Use your skills to make an impact Required Qualifications - A Bachelor's degree in human services or a related field is required, with at least 1 year of experience serving frail elders or adults with intellectual, developmental, or physical disabilities. Alternatively, a Bachelor's degree in another field with at least 3 years of such experience is also acceptable. Preferred Qualifications - Previous home health, managed care or case management experience - Case Manager Certification - General knowledge of Medicaid and Medicare benefits Additional Information - Workstyle: This is a field position where employees perform their core duties at non-company locations, such as providing services at business partner facilities or prospects' and members' homes. - Travel: up to 60/70% primarily throughout Dane, with some support in surrounding counties - Typical Workdays/Hours: Monday - Friday, 8:30am - 5:00 pm CST WAH Requirements To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: - At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. - Satellite, cellular and microwave connection can be used only if approved by leadership. - Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. - Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. - Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Driving This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits. Mileage reimbursement is provided for work-related travel. Eligible mileage includes: - Travel from your home to your first work location of the day. - Travel between client or assignment locations during the workday. - Travel from your final work location back to your home. HireVue As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $53,700 - $72,600 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.