Behavioral Health UM Clinician: Mission-Driven Impact

Medix™; New York (NY); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Contract-to-hire potential

Career growth opportunities

Job summary

A healthcare organization is seeking a Behavioral Health Utilization Management (BH UM) Clinician in New York City. This role emphasizes the management of healthcare costs while ensuring high-quality care through various reviews. Candidates should have a Master’s Degree and at least 3 years of relevant experience. The position includes conducting reviews, collaborating with medical professionals, and participating in quality improvement initiatives. This opportunity offers long-term career growth within a mission-driven program.

Qualifications

• Minimum 3+ years of experience in Behavioral Health, including SMI and SUD.
• Experience in utilization review, quality assurance, or discharge planning.
• Strong communication and collaboration skills with providers.

Responsibilities

• Conduct telephonic utilization reviews for behavioral health services.
• Collaborate with Medical Director on cases not meeting criteria.
• Provide coverage for retrospective reviews and appeals as needed.

Skills

Behavioral health experience

Utilization review

Strong communication skills

Collaboration with interdisciplinary teams

Education

Master’s Degree in a related field

Tools

Clinical review tools (e.g., InterQual, LOCADTR)

Utilization management systems/tools (e.g., Psyckes, ePACES)

Job description

A healthcare organization is seeking a Behavioral Health Utilization Management (BH UM) Clinician in New York City. This role emphasizes the management of healthcare costs while ensuring high-quality care through various reviews. Candidates should have a Master’s Degree and at least 3 years of relevant experience. The position includes conducting reviews, collaborating with medical professionals, and participating in quality improvement initiatives. This opportunity offers long-term career growth within a mission-driven program.