Anonymous Company
A company is looking for a Manager of Behavioral Company 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
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