Manager, UM Behavioral Health

The Manager, Utilization Management Behavioral Health will utilize behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and benefit administration determinations. They will apply advanced technical knowledge to solve moderately complex problems and manage assignments by determining approach, resources, schedules, and goals. This role involves using clinical knowledge, communication skills, and independent critical thinking to interpret criteria, policies, and procedures, guiding the team to provide optimal member care. Responsibilities include coordinating and communicating with providers, members, and other parties to facilitate optimal care and treatment, conducting briefings and area meetings, and maintaining frequent contact with other managers across the department. Occasional travel for training or meetings may be required.