Responsibilities

The Manager, Utilization Management Behavioral Health will utilize behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. They will work within specific guidelines and procedures, apply advanced technical knowledge to solve moderately complex problems, and independently determine approach, resources, schedules, and goals. The role involves coordinating and communicating with providers, members, and other parties to facilitate optimal care and treatment, making decisions related to resources, approach, and tactical operations for projects and initiatives. They will conduct briefings and area meetings, maintain frequent contact with other managers across the department, and collaborate with other departments to ensure the best possible treatment for members.