Manager, Behavioral Health Utilization Management - ABA - Remote

Overview

This role involves managing behavioral health utilization review clinicians to ensure appropriate care for members, while also overseeing utilization management operations and compliance.

In Short

• Manage behavioral health utilization review clinicians.
• Ensure compliance with guidelines and policies.
• Analyze utilization management activities and financial reports.
• Develop and implement utilization management policies.
• Educate the team on key initiatives.
• Assist in onboarding and training of team members.
• Lead talent management activities.
• Handle escalated calls and issues.
• Champion changes within the organization.
• Present information effectively to peers and leaders.

Requirements

• Graduate of an Accredited School of Nursing or Bachelor's degree.
• 5+ years of related experience, with 2+ years in a supervisory role preferred.
• Required licenses: LCSW, LMHC, LPC, LMFT, LMHP, or RN.
• Knowledge of BH utilization management principles preferred.
• Advanced understanding of medical necessity criteria for BH services preferred.

Benefits

• Competitive pay and health insurance.
• 401K and stock purchase plans.
• Tuition reimbursement.
• Paid time off plus holidays.
• Flexible work schedules including remote options.