Behavioral Health Care Advocate - Remote

Role: The Care Advocate performs telephonic clinical reviews with providers to ensure members receive effective outpatient behavioral health care, including psychotherapy and community-based treatments. This fully remote position involves assessing care appropriateness, shaping treatment plans in collaboration with providers, and administering benefits in accordance with coverage guidelines.

Responsibilities

• Conduct outpatient reviews for commercial, Medicaid, and Medicare behavioral health services
• Evaluate if member care aligns with coverage criteria
• Partner with providers to promote best practices in treatment
• Review and administer benefits and treatment plans
  
  

Qualifications & Skills

• Active, unrestricted independent licensure in Psychology, Social Work, Counseling, or Marriage & Family Counseling
• 2+ years of behavioral health experience, including outpatient and community-based treatments
• Proficiency in MS Office and telehealth tools
• Strong communication skills for telephonic engagement
• Reliable high-speed internet and distraction-free home office setup
  
  

Preferred Experience

• Post-licensure outpatient mental health experience
• Experience with EMRs and managed care
• Utilization review and clinical assessment expertise
• Phone-based review experience and queue management skills
  
  

Join a culture focused on innovation, inclusion, and professional growth, making a meaningful impact on community health.