Supervisor, Behavioral Health Utilization Management
Core
Supervises behavioral health utilization review clinicians to ensure appropriate care for members and manages day-to-day activities of the utilization management team.
Role type
Senior IC behavioral health utilization management supervisor
Builds
Applied behavior analysis (ABA) services and behavioral health care review processes
Domain
Healthcare + Behavioral Health Utilization Management
Required skills
Clinical supervision, performance management, regulatory compliance, process improvement, policy development, team coaching, conflict resolution, stakeholder communication
Preferred skills
Knowledge of behavioral health utilization management principles, medical necessity criteria, change management
Technologies
Utilization management software, healthcare data systems
Responsibilities
Monitor clinicians for guideline compliance, track UM resources for performance standards, resolve complex member care issues, develop UM policies and procedures, evaluate team performance, provide coaching and corrective action, assist with hiring and training, act as primary contact for escalated issues
Seniority
Senior, hands-on IC with team leadership