Jobs · Florida

Licensed Behavioral Health Utilization Care Manager

Full-time
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. Qualifications 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 servicesParticipate in and/or chair CFBHN Utilization Management Committee and other associated CFBHN meetings Required Knowledge, Skills & Abilities Position Specific Exceptional skills in utilization data analysisUnderstanding of different funding sources for behavioral health care (Medicaid, commercial insurance) as well as state and federal fundingIn-depth understanding of system of care principles and valuesKnowledge of federal and state regulations related to the provision of mental health and substance servicesKnowledge of the principles and practices of collaborative quality improvement processAbility to manage multiple tasks and prioritize to meet deadlinesKnowledge of Microsoft Office suite as applicable to the positionAbility 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 homeLife 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 costAFLAC available12 paid vacation days, 12 paid sick daysTwo paid personal days and one paid volunteer dayNine paid holidaysEmployee assistance programAnd more great benefits! Send your resume now!

Similar jobs