Career Center

JOB SUMMARY: Behavioral Health Utilization Manager will assist the overall Behavioral Health Program for Community Health Choice in the review of telephonic and faxed clinical information to authorize medically necessary inpatient and outpatient care, utilizing nationally recognized evidenced based clinical criteria or approved medical guidelines
MINIMUM QUALIFICATIONS:

Education/Specialized Training/Licensure: Master's Degree
LCSW, LMFT, or LPC unrestricted Texas license

Work Experience (Years and Area):
Two (2) years' experience in an acute psychiatric care setting.
Two (2) years' experience in utilization review in a managed care environment with Medicaid and Medicare members.

Equipment Operated: Computer literate with knowledge of MS Word, MS Excel, Outlook, and telephone systems. Also able to navigate clinical platforms

SPECIAL REQUIREMENTS:

Communication Skills:
Above Average Verbal (Heavy Public Contact)
Writing /Composing (Correspondence / Reports )

Other Skills:
Analytical
Dictation/Transcription
Medical Terminology
Research
PC
MS Word
MS Excel

Advanced Education: Master's Degree Major: Social Work or related field

Work Schedule: Flexible

Other Requirements: Able to work independently under general instructions and working within a team environment. Ability to self manage while working remotely