Summary
Leads behavioral health utilization management clinical programs to ensure appropriate, effective care. Coordinates and oversees clinical review and related service activities to support proper utilization decisions and patient care outcomes.
Key Responsibilities
- Lead behavioral health utilization management clinical programs and processes.
- Coordinate clinical review activities and associated care/service support.
- Ensure decisions align with clinical appropriateness and effectiveness.
- Support the delivery of services that meet behavioral health care needs.
Qualifications & Skills
- Clinical expertise in behavioral health utilization management.
- Strong coordination and leadership abilities for clinical program oversight.
- Ability to evaluate and apply clinical criteria to utilization and care decisions.
- Excellent communication skills to collaborate across clinical and operational teams.
- Requirements and role-specific details should be confirmed with the employer.