Senior Manager, Behavioral Health Utilization

North Texas Behavioral Health Authority; Dallas (TX); Presencial; USD 85 000 - 110 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

457(b) retirement plan

Paid time off

Health, dental, and vision insurance

Health savings account

Flexible spending account

Tuition reimbursement

Resumo da oferta

North Texas Behavioral Health Authority seeks an experienced Manager of Utilization Management in Dallas to oversee clinical reviews, determine funding eligibility, and ensure regulatory compliance. The role requires LPHA licensure in Texas, 3+ years of direct mental health care, and experience leading UM policies.

Travel 20–100% across Dallas, Ellis, Hunt, Kaufman, Navarro, and Rockwall counties; proficiency with MS Office and CMBHS is expected.

Qualificações

• Licensed Practitioner of the Healing Arts (LPHA) in Texas.
• 3+ years of direct care experience with persons with serious mental illness.
• 1+ year of experience implementing utilization management policies for mental health services; prior supervision experience.

Responsabilidades

• Work autonomously and make clinical decisions per applicable rules and NTBHA procedures.
• Create, analyze, maintain records, reports and correspondence.
• Grant authorizations and conduct utilization reviews for behavioral health services.
• Review UA and SUD SARs in CMBHS and monitor adherence to contracts.
• Promote collaboration between Quality Management and Utilization Management.
• Utilize advanced Microsoft Office Suite and company programs.

Conhecimentos

Clinical decision making

Regulatory compliance

Data entry

Formação académica

4 Year Degree

Ferramentas

Microsoft Office

Descrição da oferta de emprego

North Texas Behavioral Health Authority seeks an experienced Manager of Utilization Management in Dallas to oversee clinical reviews, determine funding eligibility, and ensure regulatory compliance. The role requires LPHA licensure in Texas, 3+ years of direct mental health care, and experience leading UM policies.

Travel 20–100% across Dallas, Ellis, Hunt, Kaufman, Navarro, and Rockwall counties; proficiency with MS Office and CMBHS is expected.