Sr Behavioral Health Clinical Auditor - Remote In Idaho

Optum Provider Performance is an integrated team serving all Optum businesses. We're focused on improving the health of our members, enhancing our operational effectiveness, and reinforcing brand and reputation for high-quality health plans. Join us and help guide our efforts to improve the patient experience. It takes passion, commitment, intense focus and the ability to contribute effectively in a highly collaborative team environment.

This position requires residency in the state of Idaho and will require travel up to 75% of the month primarily within the state, including overnights. If you are located in ID, you will have the flexibility to work remotely* as you take on some tough challenges.

• Conduct quality of care investigations of behavioral health and substance use disorder providers
• Provide analytical support and expertise when compiling report information
• Develop and implement effective analysis, research, and evaluation in preparation for clinical monitoring audit activities
• Travel up to 75% of work month, including overnight travel
• Participate in departmental meetings and activities
• Provide education and support to providers regarding operational and treatment record documentation standards
• Complete clinical audits and record reviews of behavioral health and substance use disorder providers, primarily in the State of Idaho
• Participate in inter-rater reliability of clinical audit activities

• Access to reliable transportation. (Will utilize company-paid rental vehicles and commercial air travel. Travel occurs up to 75% of the month, including overnights, to client and/or patient sites primarily within the state of Idaho)
• Intermediate computer skills (Microsoft Word, Excel, Outlook, and Internet) with the ability to navigate a Windows environment, including create, edit, save, and send documents using Microsoft Word
• Master’s degree or Ph.D. leading to an Independent Behavioral Health licensure
• When working from home, you must have access to high-speed internet and a dedicated, distraction-free workspace
• Active, unrestricted, Independent Mental Health Licensure (i.e., LP, LCSW, LMFT, or LPC)
• 3+ years of behavioral health experience

• Proven knowledge of Joint Commission survey processes
• Ability to collect, analyze, and present data
• Proven knowledge/experience with Behavioral Health evidence-based practices
• Proven knowledge of inpatient and substance use disorder programs
• Experience with Medicaid service delivery
• Experiencing conducting clinical audits of behavioral health/substance use disorder treatment records

• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy