Behavioral Health Utilization Manager

Location: Remote
Compensation: Salary
Staff Reviewed: Tue, Jul 09, 2024
This job expires in: 16 days

Job Summary

A company is looking for a Behavioral Health Utilization Manager.

Key Responsibilities:
  • Perform precertification and continue stays authorization requests for mental health and substance abuse diagnosis
  • Collaborate with the healthcare delivery team to ensure high-quality and cost-effective service delivery
  • Identify and escalate quality of care issues to leadership

Required Qualifications:
  • License to practice Behavioral Health services independently
  • Master's degree in Social Work, Counseling, or RN
  • Minimum of three years of direct clinical patient care
  • Minimum of one year of experience with medical management activities in a managed care environment
  • Experience with clinical decision-making criteria sets

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