Behavioral Health UM Program Lead — Care Coordination

Preferred Home Health Care & Nursing Services; Columbus (OH); On-site; USD 90,000 - 120,000; Full time

Job summary

Preferred Home Health Care & Nursing Services is seeking a Clinical Program Manager to oversee behavioral health utilization management programs and drive improvements in care coordination across services.

The role focuses on leading clinical programs, implementing evidence-based practices, and ensuring adherence to regulatory requirements while collaborating with multidisciplinary teams to optimize workflows.

Qualifications

• Experience in behavioral health and utilization management.
• Strong knowledge of clinical protocols, care coordination, and healthcare regulations.
• Excellent communication, leadership, and problem-solving skills.
• Ability to analyze data and implement quality improvement initiatives.

Responsibilities

• Manage clinical programs to ensure effective care coordination and improved member outcomes.
• Implement and monitor utilization management strategies within behavioral health services.
• Collaborate with multidisciplinary teams to optimize clinical workflows and compliance.
• Provide leadership and guidance on clinical best practices.

Skills

Behavioral health

Utilization management

Care coordination

Clinical protocols

Healthcare regulations

Communication

Leadership

Problem solving

Data analysis

Quality improvement

Job description

Preferred Home Health Care & Nursing Services is seeking a Clinical Program Manager to oversee behavioral health utilization management programs and drive improvements in care coordination across services.

The role focuses on leading clinical programs, implementing evidence-based practices, and ensuring adherence to regulatory requirements while collaborating with multidisciplinary teams to optimize workflows.