Job Summary
A health services company is in need of a Telecommute Behavioral Health Practice Management Specialist.
Candidates will be responsible for the following:
- Interface with senior leaders (e.g., CEO) at high volume facilities / providers/ groups
- Identify outliers through analysis of clinical outcomes data, utilization / claims data
- Initiate and monitor Performance Improvement Plans (PIPs) as appropriate
Skills and Requirements Include:
- Licensed, Master's Degree – Level Clinician in Psychology, Social Work, Counseling or Marriage or Family Counseling OR
- Be a Licensed Ph.D. level Psychologist, OR an RN with behavioral health experience
- License must be active and unrestricted to practice at the independent level
- 3+ years of utilization management experience in a managed care setting
- Experience auditing medical records and reviewing results
- Experience in interpreting and utilizing clinical data analytics in healthcare
