Supervisor, Behavioral Health Utilization Management

About This Role

The Supervisor, Behavioral Health Utilization Management oversees the behavioral health utilization review clinicians to ensure appropriate care for members and manages the day-to-day activities of the behavioral health utilization management team.

Highlights

• Pay : $75,300 - $135,400/year
• Location : Remote, TX
• Schedule : Full Time

What You'll Do

• Supervise behavioral health (BH) utilization review clinicians and ensure compliance with applicable guidelines.
• Monitor and track UM BH resources to ensure adherence to performance, quality, and efficiency standards.
• Resolve complex BH care member issues related to BH with the utilization management team.
• Maintain knowledge of regulations, accreditation standards, and industry best practices related to BH utilization management.
• Identify opportunities for process and quality improvements within utilization management.
• Educate and provide resources for the BH utilization management team on key initiatives.
• Develop and implement UM policies, procedures, and guidelines with senior management.
• Evaluate BH utilization management team performance and provide feedback.
• Provide coaching and guidance for optimal performance management.
• Assist with onboarding, hiring, and training BH utilization management team members.

Requirements

Education

• Graduate of an Accredited School of Nursing or Bachelor's degree required

Experience

• 4+ years of related experience required
• Prior supervisory experience preferred

Licenses & Certifications

• LCSW (License Clinical Social Worker) - required, OR
• LMHC (Licensed Mental Health Counselor) - required, OR
• LPC (Licensed Professional Counselor) - required, OR
• LMFT (Licensed Marital and Family Therapist) - required, OR
• LMHP (Licensed Mental Health Professional) - required, OR
• RN (Registered Nurse) - State Licensure and/or Compact State Licensure required, OR
• BCBA (Board Certified Behavior Analyst) - required

Benefits

• Competitive pay
• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• Flexible work schedules (remote, hybrid, field, or office work)

About Centene

Centene is a leading healthcare provider committed to delivering exceptional patient care. They connect people to the care they need to live healthier lives, making a real impact every day.