Manager Behavioral Health Utilization Management Arizona

Job Summary

A company is looking for a Manager of Behavioral Health Utilization Management in Arizona.

Key Responsibilities:

• Lead and manage prior authorization, concurrent review, retrospective review, and care management staff
• Participate in hiring, training, and development of staff within the Medical Management Programs
• Collaborate with Management staff and Medical Directors to review cases and data for appropriateness of care

Required Qualifications:

• Bachelor’s or master’s degree in health care
• Active independent behavioral health license with the Arizona Board of Behavioral Health Examiners or RN license in Arizona
• Three years of clinical experience in prior authorization, utilization review, or care management, with one year in a lead, supervisory, or management role
• Knowledge of utilization management data analysis and Medicare, Medicaid, and Managed Care
• Skill in computer applications including Microsoft Office Products and medical management systems