Remote Behavioral Health Utilization Management Lead

Centene Corp.; Florida; Remote; USD 75,000 - 135,000; Full time

Benefits offered by this job

Health insurance

401K

Stock purchase plan

Tuition reimbursement

Paid time off and holidays

Flexible work arrangements

Job summary

Centene Corporation seeks a Remote Supervisor, Behavioral Health Utilization Management, to lead a team of BCBAs and BH clinicians. You will guide clinical decision-making, represent the team on health plan calls, and collaborate with providers to ensure high-quality ABA services.

The role requires nursing or related degree with 4+ years of experience and licenses as applicable; BCBA required for ABA. Strong supervisory and process-improvement skills are essential.

Qualifications

• Bachelor's degree or nursing degree with 4+ years related experience.
• License to practice independently as applicable (LCSW/LMHC/LMFT/LMHP/RN/BCBA).
• Prior supervisory experience preferred.

Responsibilities

• Supervise BH utilization review clinicians and ensure guideline compliance.
• Monitor BH resources to meet performance, quality, and efficiency standards.
• Lead BH utilization management team and collaborate with providers and health plans.
• Develop and implement UM policies, procedures, and guidelines.
• Coach and evaluate team performance and career development.
• Participate in onboarding, hiring, and training of team members.

Skills

Leadership

Supervisory experience

Education

Bachelor's degree

Graduate of an Accredited School of Nursing

Job description

Centene Corporation seeks a Remote Supervisor, Behavioral Health Utilization Management, to lead a team of BCBAs and BH clinicians. You will guide clinical decision-making, represent the team on health plan calls, and collaborate with providers to ensure high-quality ABA services.

The role requires nursing or related degree with 4+ years of experience and licenses as applicable; BCBA required for ABA. Strong supervisory and process-improvement skills are essential.