Summary
Lead and oversee behavioral health utilization management programs to support effective care coordination and the delivery of appropriate services to members.
Key Responsibilities
- Manage and lead utilization management activities for behavioral health services.
- Support care coordination efforts to improve member outcomes.
- Ensure services are delivered based on established clinical criteria and program standards.
- Contribute to the continuous improvement of behavioral health workflows and processes.
Qualifications & Skills
- Strong knowledge of behavioral health care delivery and utilization management principles.
- Excellent leadership, problem-solving, and decision-making skills.
- Strong communication and collaboration skills to work with clinical and care teams.
- Ability to coordinate care effectively while maintaining compliance with program requirements.