Behavioral Health Utilization Care Manager - Central Florida Behavioral Health Network Inc

Do You Want to Make a Difference?

Here is where you can do it!

Central Florida...Responsibilities

Review, analyze, trend and report utilization/care coordination data of individuals receiving behavioral health services.

Identify, recommend, and assist in implementing programmatic and system changes designed to further develop and improve system of care through acute care meetings, care coordination, etc.

 Provide training and technical assistance related to utilization management/care coordination.

Assure compliance with provider and CFBHN contractual requirements, managing entity accreditation requirements, annual audit requirements and laws, regulations and rules that govern the provision of behavioral health services

Participate in and/or chair CFBHN Utilization Management Committee meetings and other associated CFBHN meetings

Other related duties as assigned

Qualifications

Master’s degree in social work, public or business administration, public health or related field or registered nurse

Behavioral health license LMHC, LCSW, LMFT

Three years’ experience in utilization management or human services program management that includes oversight of admissions, census, discharges, and budget

Exceptional skills in utilization data analysis

Understanding of different funding sources for behavioral health care (Medicaid, commercial insurance) as well as state and federal funding

In-depth understanding of system of care principles and values

Knowledge of federal and state regulations related to the provision of mental health and substance services

Knowledge of the principles and practices of collaborative quality improvement processes

Ability to manage multiple tasks and prioritize to meet deadlines

Ability to travel as required by the position

Proficient computer skills including Microsoft Office, Outlook, etc.

Excellent written and oral communication skills

Ability to travel as required by the position

We Offer

Health & dental (100% paid for employee)

Vision benefits (deeply discounted pricing)

Work mostly from home – hybrid role

Life Insurance ($10,000 policy, 100% paid)

401k and profit sharing

AD&D policy (100% employer paid)

Health Savings Account and Telehealth at no cost

AFLAC available

12 vacation days and 12 sick days

Two personal days and one paid volunteer day

Seven paid holidays

Employee assistance program

Relaxed and comfortable office atmosphere

And more great benefits about working for this non-profit

For immediate consideration, please submit your resume today!