Manager, Utilization Management – Behavioral Health

This is a fully remote position, open to applicants in Virginia.

📋 Description

• Assist in the coordination, documentation, and communication of medical services and benefit administration decisions.

• Utilize advanced technical skills to address moderately complex issues.

• Engage and communicate with providers, members, or other stakeholders to ensure optimal care and treatment.

• Conduct briefings and area meetings while maintaining regular contact with other managers within the department.

⛳️ Requirements

• A degree in nursing or a Master's degree in a behavioral health related field such as social work, counseling, or psychology from an accredited institution.

• Possession of a current, valid, and unrestricted license in the state of Virginia.

• A minimum of 3 years of post-degree clinical experience in direct patient care is required.

• At least 2 years of experience in utilization management within behavioral health is preferred.

• A minimum of 1 year of clinical supervisory experience is required, including personnel management responsibilities.

🏝️ Benefits

• Health benefits starting from day 1.

• Paid time off, holidays, volunteer time, and jury duty compensation.

• Recognition pay.

• 401(k) retirement savings plan with employer matching.

• Tuition assistance.

• Scholarships available for eligible dependents.

• Parental and caregiver leave.

• Employee charity matching program.

• Network Resource Groups (NRGs).

• Opportunities for career development.