Supervisor, Behavioral Health Utilization Management

IntelliResume; Town of Texas (WI); Remote; USD 75,000 - 135,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work schedules

Job summary

Centene is seeking a Supervisor, Behavioral Health Utilization Management to lead the UM BH utilization review team and ensure compliant, high‑quality care for members. This remote role reports to senior leadership and offers a full‑time schedule with a competitive salary.

You will supervise BH clinicians, monitor resources, implement policies, and coach staff while supporting onboarding and training. A nursing or bachelor's degree and 4+ years of related experience, plus applicable licensure,

Qualifications

• Graduate of an Accredited School of Nursing or Bachelor's degree required.
• 4+ years of related experience; supervisory experience preferred.
• Licenses: LCSW/LMHC/LPC/LMFT/LMHP/RN/BCBA required.

Responsibilities

• Supervise BH utilization review clinicians and ensure guidelines compliance.
• Monitor BH UM resources to meet performance, quality, and efficiency standards.
• Resolve complex BH care member issues related to BH utilization management.
• Maintain knowledge of regulations, accreditation standards, and industry best practices for BH UM.
• Identify opportunities for process and quality improvements within UM.

Skills

Supervisory experience

Nursing/Healthcare knowledge

Regulatory knowledge

Education

Bachelor's degree/ Accredited School of Nursing

Job description

About This Role

The Supervisor, Behavioral Health Utilization Management oversees the behavioral health utilization review clinicians to ensure appropriate care for members and manages the day-to-day activities of the behavioral health utilization management team.

Highlights

• Pay: $75,300 - $135,400/year
• Location: Remote, TX
• Schedule: Full Time

What You'll Do

• Supervise behavioral health (BH) utilization review clinicians and ensure compliance with applicable guidelines.
• Monitor and track UM BH resources to ensure adherence to performance, quality, and efficiency standards.
• Resolve complex BH care member issues related to BH with the utilization management team.
• Maintain knowledge of regulations, accreditation standards, and industry best practices related to BH utilization management.
• Identify opportunities for process and quality improvements within utilization management.
• Educate and provide resources for the BH utilization management team on key initiatives.
• Develop and implement UM policies, procedures, and guidelines with senior management.
• Evaluate BH utilization management team performance and provide feedback.
• Provide coaching and guidance for optimal performance management.
• Assist with onboarding, hiring, and training BH utilization management team members.

Requirements

Education

• Graduate of an Accredited School of Nursing or Bachelor's degree required

Experience

• 4+ years of related experience required
• Prior supervisory experience preferred

Licenses & Certifications

• LCSW (License Clinical Social Worker) - required, OR
• LMHC (Licensed Mental Health Counselor) - required, OR
• LPC (Licensed Professional Counselor) - required, OR
• LMFT (Licensed Marital and Family Therapist) - required, OR
• LMHP (Licensed Mental Health Professional) - required, OR
• RN (Registered Nurse) - State Licensure and/or Compact State Licensure required, OR
• BCBA (Board Certified Behavior Analyst) - required

Benefits

• Competitive pay
• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• Flexible work schedules (remote, hybrid, field, or office work)

About Centene

Centene is a leading healthcare provider committed to delivering exceptional patient care. They connect people to the care they need to live healthier lives, making a real impact every day.