Behavioral Health Utilization Management Program Manager

Summary

Lead and oversee behavioral health utilization management programs to support effective care coordination and the delivery of appropriate services to members.

Key Responsibilities

• Manage and lead utilization management activities for behavioral health services.


• Support care coordination efforts to improve member outcomes.


• Ensure services are delivered based on established clinical criteria and program standards.


• Contribute to the continuous improvement of behavioral health workflows and processes.

Qualifications & Skills

• Strong knowledge of behavioral health care delivery and utilization management principles.


• Excellent leadership, problem-solving, and decision-making skills.


• Strong communication and collaboration skills to work with clinical and care teams.


• Ability to coordinate care effectively while maintaining compliance with program requirements.