About the position The Behavioral Health Escalations Advocate is an individual contributor role within Optum Health, responsible for providing clinical support to members in a queue-based environment. This position focuses on resolving complex behavioral health issues, assisting members with their clinical needs, and ensuring a positive experience for those seeking help. The role requires strong analytical skills, a detail-oriented approach, and the ability to communicate effectively with members and providers. Responsibilities Provide real-time clinical support to Elite Advocate4Me members in a queue-based environment. , Assist with behavioral health questions and escalations regarding clinical needs, benefits, referrals, claims, appeals, complaints/grievances, and administrative authorizations. , Assess members' clinical needs and provide education and referrals to support those needs. , Analyze and communicate complex information in understandable terms to members in both verbal and written formats. , Investigate and research complex behavioral health-related escalations to determine root causes and seek resolutions. , Outreach to members and providers to obtain information needed to help resolve issues. , Achieve timely resolution to urgent and non-urgent issues. , Work independently while being self-directed and organized. , Act as a resource using clinical knowledge to support and collaborate with team members. , Conduct thorough research across various systems and platforms. Requirements Current and Unrestricted Behavioral Health Independent licensure (i.e., LPC, LCSW, etc.) , 3+ years of Behavioral Health care experience , Knowledge of State and Federal regulations governing commercial health insurance , Proficiency in utilizing a computer and Windows PC applications , Designated workspace with secure high-speed internet access. Nice-to-haves 3+ years of customer service experience in the healthcare industry , Supervisory or Team Lead experience , Experience with Behavioral Health appeals/claims , Optum Care Advocacy experience , Proficiency utilizing Linx , Experience with ISET, UNET, OMNI, EnterpriseNow , Ability to utilize Microsoft Excel for creating, editing, and sorting spreadsheets. Benefits Comprehensive benefits package , Incentive and recognition programs , Equity stock purchase , 401k contribution Apply Job!