Senior Care Management Lead, Behavioral Health & Utilization

Icon Fitness; Battle Creek (MI); On-site; USD 85,000 - 105,000; Full time

Job summary

Summit Pointe seeks a Local Care Management Lead to supervise the LCM Team and oversee utilization management activities supporting medically necessary, person-centered behavioral health services in Battle Creek, Michigan.

You will collaborate with clinical, operational, quality, and provider network teams to align with MDHHS and CMH expectations, and promote continuous quality improvement organization-wide.

Qualifications

• Master's degree in a behavioral health field.
• Current Michigan clinical licensure.
• 3+ years in behavioral health with utilization management or quality activities.

Responsibilities

• Supervise local care management team operations and workflows.
• Oversee utilization reviews to ensure medical necessity and standards.
• Monitor authorization practices and service levels for compliance.
• Provide coaching on policies, criteria, and documentation.
• Lead quality improvement initiatives and audits.

Skills

Leadership

Utilization management

Clinical supervision

Quality improvement

Project leadership

Education

Master's degree in Social Work / psychology / counseling

Michigan clinical licensure

Tools

EMR systems

Microsoft Office

Job description

Summit Pointe seeks a Local Care Management Lead to supervise the LCM Team and oversee utilization management activities supporting medically necessary, person-centered behavioral health services in Battle Creek, Michigan.

You will collaborate with clinical, operational, quality, and provider network teams to align with MDHHS and CMH expectations, and promote continuous quality improvement organization-wide.