Supervisor, Behavioral Health Utilization Management

Role Overview

• Supervises the BH utilization review clinicians
• Ensures appropriate care for members
• Monitors compliance with guidelines
• Resolves complex BH care member issues
• Maintains knowledge of regulations and best practices
• Identifies opportunities for process and quality improvements
• Educates BH utilization management team on key initiatives
• Develops and implements UM policies and procedures
• Evaluates team performance and provides feedback
• Assists with onboarding and training

Requirements

• Graduate of an Accredited School of Nursing or Bachelor's degree
• 4+ years of related experience
• License to practice independently and/or have obtained the state required licensure
• Knowledge of BH utilization management principles preferred
• Prior supervisory experience preferred
• Understanding of medical necessity criteria for a broad range of BH services preferred
• LCSW, LMHC, LPC, LMFT, LMHP, or RN state licensure required

Benefits

• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• flexible approach to work with remote, hybrid, field or office work schedules