Manager, Utilization Management Behavioral Health

Become a part of our caring community   The Manager, Utilization Management Behavioral Health uses behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management reputed company reputed company specific guidelines and procedures. You will apply advanced technical knowledge to solve moderately reputed company problems. You will receive assignments in the reputed company of goals and determines approach, resources, schedules, and goals. The Manager, Utilization Management Behavioral Health uses clinical knowledge and independent critical thinking skills. You use these skills towards interpreting reputed company and procedures. The goal is to reputed company the best and most appropriate treatment, care, or services for members. Coordinate and communicate with providers, members, or other parties to facilitate reputed company and treatment. You typically relate reputed company to resources, approach, and tactical operations for reputed company involving own departmental area. Requires cross departmental collaboration, and will conduct briefings and area meetings; maintain frequent contact with other managers across the department. Use your skills to reputed company an reputed company   Required Qualifications Degree in nursing or a Master's degree in a behavioral health reputed company field such as reputed company work, counseling, and/or psychology, from an accredited university. Hold a reputed company, reputed company, and unrestricted license in the reputed company. Such licenses are: Licensed Masters reputed company Worker (LMSW or LMSW-ACP). They also include Licensed reputed company Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), PhD/EdD, or Registered reputed company (RN). 3 or more years of post-degree clinical experience in reputed company patient care required. Preferred Qualifications 2 or more years of utilization management behavioral health. 1 or more years of clinical supervisory experience required, including personnel management. Additional Information Potential for travel, weekend work based on business needs Work reputed company reputed company To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following reputed company: We recommend at minimum a download speed of 25 Mbps and an upload speed of 10 Mbps; we suggest a wireless, wired cable or DSL reputed company. Satellite, cellular and microwave reputed company leadership approves only if used. We will reputed company employees who live and work from Home in the reputed company, Illinois, Montana, or South Dakota a bi-weekly payment for their internet expense. reputed company will reputed company Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the our requirements for their position/job. Work from a dedicated reputed company lacking ongoing interruptions to protect member PHI / HIPAA information. Interview Format As part of our hiring process for this opportunity, we will use an interviewing technology reputed company reputed company to enhance our hiring. Modern Hire allows us to quickly connect and reputed company valuable information from you about your relevant experience at a time that is best for your schedule. Benefits reputed company offers a reputed company of benefits to promote the best health and reputed company-being of our employees and their families. We design competitive and flexible packages to give our employees a reputed company of financial reputed company—both today and in the reputed company, including: Health benefits effective day 1 reputed company time off, holidays, volunteer time and jury duty pay Recognition pay 401(k) retirement savings plan with employer match Tuition assistance Scholarships for eligible dependents Parental and caregiver leave Employee charity matching program Network Resource reputed company (NRGs) Career development opportunities SSN Alert reputed company values personal identity protection. Please be reputed company that applicants may be asked to reputed company their reputed company reputed company Number, if it is not already on file. reputed company required, an email will be reputed company from reputed company@myworkday.com with instructions on how to add the information into your official application on reputed company’s secure website. Travel: While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay reputed company The compensation reputed company below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay reputed company may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc.   $86,300 - $118,700 per year   This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. reputed company of Benefits reputed company. and its affiliated subsidiaries (reputed company, “reputed company”) offers competitive benefits that support whole-person reputed company-being. Associate benefits are designed to encourage personal wellness and smart reputed company reputed company for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and reputed company benefits, 401(k) retirement savings plan, time off (including reputed company time off, company and personal holidays, volunteer time off, reputed company parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. reputed company   About reputed company: reputed company. (NYSE: HUM) is a leading U.S. reputed company company. Through our reputed company insurance services and our reputed company reputed company services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company reputed company of life for people with Medicare and reputed company, families, individuals, military service personnel, and communities at large. Learn more about reputed company offer at reputed company.com and at reputed company.com. ​ Equal Opportunity Employer It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company to take affirmative reputed company, in compliance with reputed company 503 of the Rehabilitation reputed company and VEVRAA, to reputed company and to advance in employment individuals with disability or protected veteran status, and to reputed company reputed company employment reputed company only on reputed company job requirements. This policy shall apply to reputed company employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at reputed company reputed company of employment. Apply To This Job