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Manager, Behavioral Health Utilization Management

Work from home Full-time role Hiring

Job Description:

  • conducts oversight and management of clinical team processes
  • communicates strategic plan and specific tactics to meet plan
  • ensures implementation of tactics to meet strategic direction for cost and quality outcomes
  • creates direction and communicates a business case for change
  • identifies opportunities to implement best practice approaches and introduce innovations
  • accountable for meeting the financial, operational and quality objectives of the department
  • manages team(s) for adherence with established practices, policies and procedures
  • collaborates with other functional area managers

Requirements:

  • Active, unrestricted clinical licensure (RN or Behavioral Health as outlined below)
  • 5+ years of clinical practice in behavioral healthcare
  • 2+ years of utilization management experience (managed care setting preferred)
  • 2+ years of healthcare leadership experience (managed care setting preferred)
  • 2+ years of proficiency with personal computers, keyboard navigation, and MS Office Suite
  • 1+ year of experience with electronic medical records
  • Ability to travel up to 10% for in-state meetings
  • Ability to work core business hours (Mon–Fri, 8 AM–5 PM CT) with occasional weekend flexibility
  • High-speed internet access

Benefits:

  • medical, dental, and vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
  • comprehensive benefits package

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