Centene Corporation is a Fortune 500, mission-driven healthcare leader committed to transforming the health of the communities we service, one person at a time.
Supervisor, Behavioral Health Utilization Management
Location
California
Posted
4 days ago
Salary
$75.3K - $135.4K / year
Seniority
Senior
Job Description
Supervisor, Behavioral Health Utilization Management
Centene Corporation
• Supervises the BH utilization review clinicians • Ensures appropriate care for members • Monitors compliance with guidelines • Resolves complex BH care member issues • Maintains knowledge of regulations and best practices • Identifies opportunities for process and quality improvements • Educates BH utilization management team on key initiatives • Develops and implements UM policies and procedures • Evaluates team performance and provides feedback • Assists with onboarding and training
Job Requirements
- Graduate of an Accredited School of Nursing or Bachelor's degree
- 4+ years of related experience
- License to practice independently and/or have obtained the state required licensure
- Knowledge of BH utilization management principles preferred
- Prior supervisory experience preferred
- Understanding of medical necessity criteria for a broad range of BH services preferred
- LCSW, LMHC, LPC, LMFT, LMHP, or RN state licensure required
Benefits
- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work with remote, hybrid, field or office work schedules
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