Title: Behavioral Health Care Advocate - Utilization Mgmt. - Remote Location: Eden Prairie United States Requisition number: 2362154 Job category: Behavioral Overtime status: Exempt Travel: No Job Description: 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 in which you will respond to provider and facility treatment requests, as well as manage and deescalate crisis calls from members * As a Care Advocate you will be responsible for Utilization Review of mental health and substance use disorder services. 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 hours for this position are Monday - Friday, 8:30 am - 5:30 pm CT and include 1 national holiday per year to be worked. Why Optum Behavioral Care At Optum Behavioral Care, we prioritize clinician well‑being, career growth, and innovation in care delivery. We offer a comprehensive benefits and rewards package that may include: - Competitive salary - Generous paid time off - Medical, dental, vision, and behavioral health benefits - 401(k) with company match - Family support and wellness resources - Tuition reimbursement and dedicated learning time - Career development opportunities across a fast‑growing organization Primary Responsibilities: - Perform utilization management, utilization review, or concurrent review of behavioral health admissions and continued stay - 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 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 or doctoral degree in psychology, social work, counseling or related field, or registered psychiatric nurse - Active, unrestricted, independent license in a behavioral health field (i.e., LP, LPC, LPCC, LCSW, LISCW, LMFT, LMHC, etc.) - 3+ years of post-licensure clinical experience in a related behavioral health environment - Proficiency in MS Office Suite - Availability to work 1 national holiday that falls on a weekday per calendar year - Access to install secure, high-speed internet and a dedicated, distraction free workspace at home - Desire to work in a telephonic, queue based position in which you will respond to provider and facility treatment requests, as well as manage and deescalate crisis calls from members Preferred Qualifications: - Licensed Alcohol and Drug Counselor - Managed Care experience - Substance abuse experience - Experience working with children, adolescents, and families - 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.

Role Description The Revenue Cycle Department has a new opportunity available for the role of Transplant Specialist. This position works under general supervision to handle contracting and operational functions for transplant contracts. The daily responsibilities in this role will include, but not be limited to, the following: - Overseeing and completing all processes related to transplant case rate allocations including reporting functions, charge analysis with contract review, application of Medicare formula for allocation development, check requests for community providers and coordinating with hospital and physician follow up teams. - All duties require understanding, interpretation, and application of contract parameters to complete. - Reviewing patient referrals/updates within EPIC registration/bundled episodes and transplant access database. - Reviewing charges in EPIC to ensure billing on correct guarantor account type/coverage. - Experience working with transplant programs including, but not limited to transplant contracting, transplant provider relations, transplant billing, and collections, etc. - Must be able to multi-task and pivot across duties as needed. - Interact with a variety of internal and external customers i.e., clinics, hospitals programs, billing/collections teams for physicians, payers, transplant network, etc. Shift: 7am-4pm or 8am-5pm Work from home (WFH): This is a WFH position. The applicant must live within the state of Texas, the DFW area (within 50 miles) preferred. Additional details related to this shall be discussed as part of the interview process. Qualifications - 5 years experience in the health care industry to include at least three (3) years in managed care contracting/provider relations or revenue cycle. - May consider additional years of healthcare experience in lieu of education. - Bachelor's degree in business administration, Hospital Administration, or related field (preferred). - Transplant program experience (preferred). Requirements - Manages and maintains transplant patients' referrals and updates throughout the transplant process via internal Access database and Epic Resolute including insurance coverage and charge review for proper billing. - May include coordination of case rate distributions for patients covered under case rate or global payments. - Conducts payment audits on transplant patient accounts working closely with Revenue Cycle and Revenue Accounting. - Intermediary between Revenue Cycle and Transplant Network. - Performs reporting functions and data analysis as needed. - Performs other duties as assigned. Benefits - PPO medical plan, available day one at no cost for full-time employee-only coverage. - 100% coverage for preventive healthcare - no copay. - Paid Time Off, available day one. - Retirement Programs through the Teacher Retirement System of Texas (TRS). - Paid Parental Leave Benefit. - Wellness programs. - Tuition Reimbursement. - Public Service Loan Forgiveness (PSLF) Qualified Employer.

Title: Virtual Care Nurse Practitioner (Dual Posted with Job ID 58418) - Remote Location: Columbia, MO United States Job ID 58417 Full/Part Time Full-Time Job Description: Hiring Department Department of Family & Community Medicine Job Description (This is a Dual Posting linked with Job ID 58418 and 2 total positions will be hired. Final titles will depend on the qualifications of the final candidates.) Position Overview The University of Missouri, Department of Family & Community Medicine, is seeking a highly skilled and self-motivated Virtual Advanced Practice Provider (APP) to serve as a key clinical partner within a comprehensive, multi-disciplinary Virtual APP Clinic. This program is designed to expand access to timely, patient-centered, and evidence-based medical care through an innovative telehealth model integrated into the broader Ambulatory Care system. The Virtual APP will provide high-quality virtual clinical services, contribute to program development, and collaborate closely with interprofessional teams to ensure seamless coordination of care. This role is part of a dynamic department committed to excellence, continuous improvement, and fostering a culture of respect and belonging. We value the strengths, perspectives, and experiences each team member brings, and we strongly encourage individuals from all backgrounds to apply. Key Responsibilities - Deliver virtual patient care across the lifespan-pediatrics through geriatrics-including evaluation, diagnosis, treatment planning, and follow-up in alignment with clinical best practices, institutional standards, and regulatory requirements. - Provide care for both acute and chronic conditions within the virtual care model, including patients with multiple comorbidities. - Conduct post-Emergency Department virtual follow-up visits to address early concerns and reduce risk of avoidable complications or readmissions. - Perform Annual Wellness Visits (AWVs) in collaboration with Registered Nurses (RNs) and other members of the care team. - Conduct school-based virtual visits supporting rural school districts. - Utilize approved telehealth technologies to ensure safe, effective, and patient-centered care delivery. - Collaborate with multidisciplinary partners across Family Medicine, Emergency Medicine, and other departments to support integrated care and program initiatives. - Document all clinical encounters accurately, efficiently, and in compliance with institutional, state, and federal guidelines within the electronic health record (EHR). - Participate in quality improvement efforts, workflow optimization, and program development initiatives that enhance virtual care operations and outcomes. - Provide patient education related to preventive care, chronic disease management, treatment adherence, and care coordination. - Support onboarding, training, and ongoing collaboration with clinical and administrative staff as the Virtual Care program continues to expand. Additional Information This position is fully remote following successful completion of the required orientation period, which includes 30 days and/or 100 hours of collaborator shadowing (whichever is completed last). No in-person responsibilities are required once training and onboarding are complete. Virtual participation in departmental and program meetings is required. As the Virtual Care program evolves, duties may expand to include additional services, technological advancements, or cross-departmental initiatives. Ongoing professional development, training, and institutional support will be provided to ensure continued clinical excellence and program success. Shift Monday - Friday 8:00 a.m. - 5:00 p.m. Minimum Qualifications Bachelor's degree in nursing is required. Missouri Board of Nursing RN or Nurse Licensure Compact multi-state RN. When primary state of residency changes, compact state RNs must apply under new state of residency within thirty (30) days. Preparation as a nurse practitioner in either a Master's program or a certificate program. Must be granted a "Document of Recognition" from the Missouri Board of Nursing. Preferred Qualifications Master's of Science in Nursing degree 2 years of experience Anticipated Hiring Range Salary Range: $105,000 - $135,000 annually Grade: PAT-012 University Title: NURSE PRACTITIONER Internal applicants can determine their university title by accessing the Talent Profile tile in myHR. Application Materials In addition to the Online Application, please provide a Resume/CV. Other Information The Department of Family & Community Medicine at MU has a rich history of innovation in medical education, patient care, and research. Our residency program is nationally recognized, and our faculty includes experts across multiple disciplines who are committed to training the next generation of family physicians and advancing the health of our community as a whole. Our team members benefit from our collaborative atmosphere, our focus on to joy in practice, and our dedication to excellence. Our patients benefit from a strong continuity of care emphasis across the inpatient, outpatient, and maternal care settings. Community Information Columbia offers small-town friendliness with big city features and a high quality of life for people of all ages and interests. Founded on education and known as an ideal college town, its location also makes it an attractive spot for businesses and travelers. Located on Interstate 70 and U.S. Highway 63, Columbia is right in the middle of the state and the nation. Just a couple hours' drive from St. Louis and Kansas City, Columbia is Boone County's largest population center offering big-city culture, activities, and resources with a low cost of living. Columbia is home to a variety of restaurants and entertainment venues and hosts more than a dozen festivals each year. If you want to grow your career, continue your education, raise a family, and retire, Columbia is a good place to be! Benefit Eligibility This position is eligible for University benefits. As part of your total compensation, the University offers a comprehensive benefits package, including medical, dental and vision plans, retirement, paid time off, short- and long-term disability, paid parental leave, paid caregiver leave, and educational fee discounts for all four UM System campuses.

• Provide telehealth sessions to clients in Colorado • Partner with health systems and primary care providers • Support clients in achieving measurable progress • Use modern clinical technology for service delivery • Collaborate with a clinical community