Remote Behavioral Health UM Supervisor (BCBA Lead)

Centene Corp.; Tallahassee (FL); Remote; USD 75,000 - 135,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock plans

Tuition reimbursement

Paid time off plus holidays

Flexible work schedules

Job summary

Centene Corp. is seeking a remote Supervisor, Behavioral Health Utilization Management, to lead our PIC ABA team of certified BCBAs.

You will guide a team of behavior analysts, represent the team on health plan calls, and collaborate with providers and health plan partners to support sound clinical decision-making and high-quality ABA services. If you have prior supervisory experience and want to shape how ABA care is reviewed and delivered, we would love to hear from you.

Qualifications

• Requires Graduate of an Accredited School of Nursing or Bachelor's degree and 4+ years of related experience.
• License to practice independently, and/or licensure as outlined by state requirements.
• Knowledge of BH utilization management principles preferred.
• Prior supervisory experience preferred.
• Understanding of medical necessity criteria for BH services preferred.

Responsibilities

• Monitors BH utilization review clinicians and ensures compliance with guidelines.
• Monitors UM BH resources to meet performance, quality, and efficiency standards.
• Leads BH UM team to resolve complex member issues related to BH care.
• Educates and provides resources for BH UM team on key initiatives and to facilitate communication with members and providers.
• Develops and implements UM policies and procedures to ensure appropriate utilization of services.

Skills

Leadership

Supervisory experience

Communication

BH utilization management knowledge

Regulatory knowledge

Education

Bachelor's degree

Nursing degree

Job description

Centene Corp. is seeking a remote Supervisor, Behavioral Health Utilization Management, to lead our PIC ABA team of certified BCBAs.

You will guide a team of behavior analysts, represent the team on health plan calls, and collaborate with providers and health plan partners to support sound clinical decision-making and high-quality ABA services. If you have prior supervisory experience and want to shape how ABA care is reviewed and delivered, we would love to hear from you.