Centene Corporation logo
Centene Corporation

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

Bachelor Degree4 yrs expEnglish

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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