Manager, Utilization Management Behavioral Health

New
United StatesFull-TimeManager
Salary86,300 - 118,700 USD per year
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Job Details

Experience
3 or more years of post-degree clinical experience in direct patient care required.

Requirements

  • Degree in nursing or Master's degree in a behavioral health related field.
  • Current, valid, and unrestricted license in the state of Virginia.
  • Appropriate licenses include LMSW, LMSW-ACP, LPC, LMFT, PhD, EdD, or RN.
  • 3+ years of post-degree clinical experience in direct patient care.
  • 2+ years of utilization management behavioral health preferred.
  • 1+ year of clinical supervisory experience including personnel management preferred.

Responsibilities

  • Support coordination, documentation, and communication of medical services and benefit administration.
  • Apply technical knowledge to solve moderately complex problems.
  • Interpret criteria and procedures to provide appropriate treatment.
  • Coordinate with providers and members to facilitate care.
  • Conduct cross-departmental briefings and maintain inter-departmental contact.
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86,300 - 118,700 USD per year
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