Myea Hunt

Experience

1. Behavioral Health Care Advocate Utilization Management

   Optum

   May 2023 — Present · Houston, TX, US

   Conducted utilization review for behavioral health services, ensuring medical necessity, appropriate level of care, and compliance with clinical guidelines (e.g, MCG, ASAM, DSM-5).Reviewed inpatient and outpatient mental health and substance use treatment requests to determine coverage and authorization decisions.Collaborated with providers, members, and interdisciplinary teams to facilitate access to timely, quality, and cost-effective care.Provided clinical guidance and advocacy to support members in navigating behavioral health systems and accessing appropriate resources.Participated in care coordination and discharge planning efforts to reduce readmission risk and improve treatment outcomes.Documented all utilization review activities in accordance with regulatory and accreditation standards (e.g, NCQA, URAC, CMS).Supported continuous quality improvement efforts by identifying trends, gaps in care, and opportunities for system-level interventions.

Education

• Prairie View A&M University

  Mental Health Counseling/Counselor

  2012

• Capella University

  Master of Science (M.S.), Counseling

  2010 — 2012

• Northwestern State University

  Bachelor of Arts (BA), General Studies/ English

  2003 — 2007