Licensed Behavioral Health Utilization Care Manager

Central Florida Behavioral Health Network Inc; Tampa (FL); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Health & dental

Vision benefits

Hybrid role

Life Insurance

401k and Roth

AD&D policy

Telehealth

AFLAC

12 paid vacation days

12 paid sick days

Personal day

Volunteer day

Holidays

Employee assistance program

Job summary

Central Florida Behavioral Health Network seeks a Behavioral Health Utilization Care Manager to ensure accessible, effective, and efficient care for individuals and families. This temporary full-time role supports a key organizational initiative, with benefits, paid time off, and eligibility requirements.

Responsibilities include reviewing and analyzing utilization data, coordinating care, providing training on utilization management, and ensuring compliance with contractual and regulatory

Qualifications

• Master’s degree in social work or related field and behavioral health license LMHC/LCSW/LMFT required.
• Two years’ experience in utilization management that includes oversight of admissions, census, discharges, and budget.

Responsibilities

• Review, analyze, trend and report utilization/care coordination data.
• Identify, recommend, and assist in implementing programmatic and system changes through meetings and care coordination.
• Provide training and technical assistance related to utilization management/care coordination.
• Assure compliance with provider and CFBHN contractual requirements, accreditation, audits, laws and regulations governing behavioral health services.
• Participate in and/or chair CFBHN Utilization Management Committee and related meetings.

Skills

Utilization data analysis

System of care knowledge

Regulatory knowledge

Data reporting

Travel readiness

Education

Master’s degree in social work, mental health counseling or marriage and family counseling

Tools

Microsoft Office

Job description

Position Summary: The Behavioral Health Utilization Care Manager is responsible for assuring that the system of care is accessible, effective, efficient and appropriate for individuals and families seeking services.This is a temporary full-time position created to support an important organizational initiative and is expected to continue for up to two (2) years. The position offers the opportunity to make a meaningful impact while receiving competitive compensation, benefits, and paid time off, subject to organizational policies and benefit plan eligibility requirements. As organizational needs evolve, CFBHN may modify, extend, or conclude the assignment.Required Education/ExperienceMaster’s degree in social work, mental health counseling or marriage and family counseling.Behavioral health license LMHC, LCSW, LMFT requiredTwo years’ experience in utilization management that includes oversight of admissions, census, discharges, and budget.Essential Job FunctionsReview, 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 servicesParticipate in and/or chair CFBHN Utilization Management Committee and other associated CFBHN meetingsRequired Knowledge, Skills & AbilitiesPosition SpecificExceptional skills in utilization data analysisUnderstanding of different funding sources for behavioral health care (Medicaid, commercial insurance) as well as state and federal fundingIn-depth understanding of system of care principles and valuesKnowledge of federal and state regulations related to the provision of mental health and substance servicesKnowledge of the principles and practices of collaborative quality improvement processAbility to manage multiple tasks and prioritize to meet deadlinesKnowledge of Microsoft Office suite as applicable to the positionAbility to travel as required by the positionWe offer:Health & dental (100% paid for employee)Vision benefits (deeply discounted pricing)Hybrid role - Predominately work from homeLife Insurance ($10,000 policy, 100% paid)401k and Roth (after 90 days)Matching up to 4%AD&D policy (100% employer paid)Telehealth at no costAFLAC available12 paid vacation days, 12 paid sick daysTwo paid personal days and one paid volunteer dayNine paid holidaysEmployee assistance programAnd more great benefits!Send your resume now!