Centene Corporation
Centene Corporation is a Fortune 500, mission-driven healthcare leader committed to transforming the health of the communities we service, one person at a time.
Manager BH UM
Location
Texas
Posted
19 days ago
Salary
$87K - $161.3K / year
Bachelor Degree5 yrs expEnglish
Job Description
• Manages the behavioral health (BH) utilization review clinicians to ensure appropriate care to members
• Manages BH utilization management issues related to member care and provider interactions
• Reviews and analyzes BH utilization management activities
• Develops, implements, and maintains compliance with BH utilization management policies and procedures
• Educates and provides resources for BH utilization management team on key initiatives
• Provides feedback to BH utilization management team to improve care for members
Job Requirements
- Behavioral health clinical experience
- Leadership or supervisory experience
- Utilization review/Utilization Management background
- Managed care experience
- Knowledge of Medicare, Medicaid, and Marketplace products
- License to practice independently
Benefits
- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work with remote, hybrid, field or office work schedules
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