Manager, Utilization Management Behavioral Health - Remote

Overview

The Manager, Utilization Management Behavioral Health utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and benefit administration determinations.

In Short

• Lead a team to provide appropriate treatment and care.
• Coordinate and communicate with providers and members.
• Apply advanced technical knowledge to solve complex problems.
• Conduct briefings and maintain contact with other managers.
• Requires clinical knowledge and independent critical thinking skills.
• Must reside in Oklahoma.
• Requires 3+ years of clinical experience.
• Experience in utilization management preferred.
• Work from home with occasional travel to offices.
• Offers a competitive salary and benefits package.

Requirements

• Active RN license or equivalent in Oklahoma.
• 3+ years of post-degree clinical experience.
• 2+ years of case management or rehabilitative counseling experience.
• 2+ years of clinical supervisory experience.
• Comprehensive knowledge of Microsoft Office applications.
• Experience with Milliman or Interqual criteria preferred.

Benefits

• Medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Paid time off and holidays.
• Short-term and long-term disability insurance.
• Life insurance and other opportunities.