Licensed Behavioral Health Utilization Care Manager

Position Summary: The Behavioral Health Utilization Care Manager is responsible for assuring that the system of care is accessible, effective, efficient and appropriate for individuals and families seeking services.

This is a temporary full-time position created to support an important organizational initiative and is expected to continue for up to two (2) years. The position offers the opportunity to make a meaningful impact while receiving competitive compensation, benefits, and paid time off, subject to organizational policies and benefit plan eligibility requirements. As organizational needs evolve, CFBHN may modify, extend, or conclude the assignment.

Required Education/Experience

• Master’s degree in social work, mental health counseling or marriage and family counseling.
• Behavioral health license LMHC, LCSW, LMFT required
• Two years’ experience in utilization management that includes oversight of admissions, census, discharges, and budget.

Essential Job Functions

• Review, analyze, trend and report utilization/care coordination data of individuals receiving behavioral health services.
• Identify, recommend, and assist in implementing programmatic and system changes designed to further develop and improve system of care through acute care meetings, care coordination, etc.
• Provide training and technical assistance related to utilization management/care coordination.
• Assure compliance with provider and CFBHN contractual requirements, managing entity accreditation requirements, annual audit requirements and laws, regulations and rules that govern the provision of behavioral health services
• Participate in and/or chair CFBHN Utilization Management Committee and other associated CFBHN meetings

Required Knowledge, Skills & Abilities

Position Specific

• Exceptional skills in utilization data analysis
• Understanding of different funding sources for behavioral health care (Medicaid, commercial insurance) as well as state and federal funding
• In-depth understanding of system of care principles and values
• Knowledge of federal and state regulations related to the provision of mental health and substance services
• Knowledge of the principles and practices of collaborative quality improvement process
• Ability to manage multiple tasks and prioritize to meet deadlines
• Knowledge of Microsoft Office suite as applicable to the position
• Ability to travel as required by the position

We offer:

• Health & dental (100% paid for employee)
• Vision benefits (deeply discounted pricing)
• Hybrid role - Predominately work from home
• Life Insurance ($10,000 policy, 100% paid)
• 401k and Roth (after 90 days)
• Matching up to 4%
• AD&D policy (100% employer paid)
• Telehealth at no cost
• AFLAC available
• 12 paid vacation days, 12 paid sick days
• Two paid personal days and one paid volunteer day
• Nine paid holidays
• Employee assistance program
• And more great benefits!

Send your resume now!