Remote Behavioral Health Utilization Manager

Banner Health; Phoenix (AZ); Hybrid; USD 39,000 - 65,000; Full time

Job summary

Banner Health seeks a Behavioral Health Utilization Care Manager to review prior authorizations for outpatient behavioral health services, ensure medical necessity, and align with clinical guidelines and plan requirements. The role collaborates with providers and interdisciplinary teams to support timely care decisions as programs expand.

The ideal candidate has outpatient behavioral health, community mental health, and ABA experience with strong ties to Arizona’s provider landscape.

Qualifications

• Requires master’s degree in social work, counseling or related field.
• Licensure in social work or counseling as per state law (LCSW/LMSW/LPC/LAC/psychologist).
• At least three years of clinical experience (counseling, care management, or case management).
• Knowledge of care management, hospital and community resources.
• Strong critical thinking, problem-solving, communication, and time management.

Responsibilities

• Review and authorize behavioral health and substance abuse services across settings using medical necessity criteria.
• Monitor care to ensure treatment is appropriate and effective.
• Assess plan of care, develop and document utilization of resources and progress.
• Provide telephonic or electronic document review.
• Coordinate with internal and external resources to ensure appropriate care plans and discharge planning.

Skills

Critical thinking

Communication

Time management

Independent work

Education

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

Licensure: LCSW/LMSW/LPC/LAC/Licensed Psychologist

Job description

Banner Health seeks a Behavioral Health Utilization Care Manager to review prior authorizations for outpatient behavioral health services, ensure medical necessity, and align with clinical guidelines and plan requirements. The role collaborates with providers and interdisciplinary teams to support timely care decisions as programs expand.

The ideal candidate has outpatient behavioral health, community mental health, and ABA experience with strong ties to Arizona’s provider landscape.