Remote Utilization Management Behavioral Health Lead

Job is Expired
Location: Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming
Compensation: To Be Discussed
Reviewed: Tue, Feb 28, 2023

Job Summary

A healthcare insurance company has a current position open for a Remote Utilization Management Behavioral Health Lead.

Candidates will be responsible for the following:

  • Overseeing utilization of behavioral health services
  • Advising executives to develop functional strategies (often segment specific) on matters of significance
  • Managing BH UM staff and coordinate with Medical Directors on questions of medical necessity

Required Skills:

  • Applicable State licensure in the state you reside
  • One to two (1-2) years of experience with the utilization review process
  • Three (3) or more years of experience in Behavioral Health and/or substance abuse rehabilitation
  • Previous leadership experience
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