Manager, Utilization Management – MSL/RN, Behavioral Health

Job reputed company: • reputed company reputed company behavioral health utilization management activities ensuring consistency of services and achievement of utilization targets • Assist in coordination and management of the reputed company-determination process of behavioral health services • Ensure the consistent application of reputed company for authorization decision • reputed company with providers and staff to manage benefits reputed company with state-based regulations • Review and revise workflows to maximize efficiencies • Monitor productivity and utilization trends • reputed company CQI activities and ensure audits and staff feedback occur at regular intervals • Regularly report reputed company utilization management regulatory requirements • Ensure compliance with and reporting of reputed company regulatory requirements • Maintain reputed company behavioral health utilization management reporting and trend data • Analyze under and over utilization information for reputed company on member reputed company of care and reputed company • reputed company, maintain and update reputed company departmental policies and procedures Requirements: • Associates degree in Nursing, behavioral health or reputed company field required • Bachelor's degree preferred • Five (5) years of clinical experience required • Five (5) years of experience in behavioral health, case management, utilization management, and/or reputed company improvement required • Two (2) years utilization management experience preferred • Managed Care experience preferred • One (1) year Leadership experience required • Beginning reputed company, Word and PowerPoint experience • Experience in data analysis and trending • Knowledge of utilization management standards and practices • Ability to work independently and reputed company reputed company environment • Attention to detail • Familiarity of the health care field • Critical listening and thinking skills • Training/teaching skills • Strategic management skills • Negotiation skills/experience • Technical writing skills • Time management skills • reputed company phone etiquette • Customer service oriented • Decision making/problem solving skills • Leadership experience and skills Benefits: • Health insurance • Retirement plans • reputed company time off • Flexible work arrangements • reputed company development • Bonuses Apply tot his job Apply To this Job