Remote Behavioral Health Utilization Care Manager

Banner Health; Arizona; Hybrid; USD 39,000 - 65,000; Full time

Job summary

Banner Health is seeking a Behavioral Health Utilization Care Manager to oversee utilization reviews and authorize services across inpatient, residential, and outpatient settings. You will collaborate with hospitals, providers, and care teams to ensure medical necessity and compliant care plans, while facilitating discharge planning and resource utilization.

The role requires a master’s degree in social work, counseling, or related field and an appropriate license, with clinical experience and

Qualifications

• Requires master’s degree in social work, counseling or related field or with independent or associate licensure.
• Licensure in at least one of: Social work, professional counseling or marriage and family.
• Three years of clinical experience (counseling, care management, case management) typically required.

Responsibilities

• Manages individual members across the health care continuum to achieve optimal clinical, financial, operational, and satisfaction outcomes.
• Acts in a leadership function with process improvement activities for populations of patients to achieve optimal outcomes.
• Evaluates the medical necessity and appropriateness of care, optimizing patient outcomes.
• Establishes and promotes a collaborative relationship with physicians, other payers, and other members of the health care team; communicates timely information to fulfill utilization and regulatory requirements.
• Leads interdisciplinary discharge planning and communicates the plan across the continuum of care.
• Educates internal health care team on case management and managed care concepts.
• Confers with supervisor on unusual situations; positions are facility based with potential for remote work; no budgetary responsibility.

Education

Master’s degree in social work, counseling or related field

Independent or associate licensure

Licensure categories: LCSW, LMSW, LPC, LAC, or Licensed Psychologist

Job description

Banner Health is seeking a Behavioral Health Utilization Care Manager to oversee utilization reviews and authorize services across inpatient, residential, and outpatient settings. You will collaborate with hospitals, providers, and care teams to ensure medical necessity and compliant care plans, while facilitating discharge planning and resource utilization.

The role requires a master’s degree in social work, counseling, or related field and an appropriate license, with clinical experience and