Utilization Manager

Integratedliving Australia Ltd; Austin (TX); On-site; USD 78,000 - 99,000; Full time

Benefits offered by this job

Medical, Dental, and Vision insurance

Generous vacation/holiday/sick leave

Life and Short-term/Long-term Disabil

Job summary

Integral Care in Texas is seeking an experienced Utilization Manager responsible for utilization management, reviews, authorizations, and contract compliance with state, city, county, and managed care plans. The role includes handling calls from the main queue and contract partners 24/7, assisting the Hotline to Help, crisis calls, and performing data entry and reporting tasks.

A Master's degree in Psychology, Counseling, or Social Work and a valid Texas license are required.

Qualifications

• Master's degree in Psychology, Counseling, or Social Work from an accredited college or university.

Responsibilities

• Utilization management, including utilization reviews and authorizations.
• Monitor compliance with contracts with state, city, counties and managed care plans.
• Answer UM calls 24/7 from main queue and contract partners; crisis hotline support.
• Data entry, filing and reporting tasks.

Education

Master's degree in Psychology, Counseling, or Social Work

Job description

Job Summary:

The primary functions of this position are utilization management, conducting utilization reviews, granting authorizations, and monitoring compliance with and for various contracts entered into by Integral Care and Tejas Behavioral Health. Contracts include, but are not limited to, those with departments of the State of Texas, the City of Austin, Travis County, and managed care health plans. Calls coming into Integral Care's main phone queue, as well as calls from contract partners are answered by UM call center staff 24/7, including holidays. Utilization Managers will also be required to answer Integral Care's Hotline to Help and crisis calls from the managed care plans. Data entry, maintaining files and reports, and performing other routine office work are required in this position.

Regular, predictable attendance is considered to be an essential requirement for this position. Other duties may be assigned. May require a flexible work schedule.

Integral Care employees are to strive to maintain a trauma sensitive workplace, to embrace trauma sensitive and informed practices, and to foster a supportive and welcoming environment of care.

Education:

Required:

• Graduated from an accredited college or university with a Master's degree with a major specialization in Psychology, Counseling, or Social Work.

License:

Required:

• Current and valid driver's license and a clean driving record.
• RN, RN-APN, PA, LCSW, LPC, or LMFT licensed in the state of Texas.

Hours:

Full-Time.

Workdays:

Sunday - Saturday(five days a week).

Workhours:

Varies.

Salary:

$78,012.56- $99,457.45,based on years of licensure.

Why join us:

Integral Care has proudly served Travis County residents for the past 50 years. As the largest provider of behavioral health services in Travis County, we are dedicated to improving the lives of adults and children living with mental illness, substance use disorder, and intellectual and developmental disabilities. By joining our team, you will find rewarding work every day alongside people who have as much compassion as you. Join us, and together we can help improve the quality of life for the people we serve. Imagine your career at Integral Care!

Employee Benefits:

• Medical, Dental, and Vision insurance
• Generous vacation/holiday/sick leave
• Life and Short-term/Long-term Disability Insurance
• Employee Assistance Program (EAP)
• 403(b) retirement account
• Gold's Gym membership discount

All qualified applicants will receive consideration for employment without regard to race, creed, color, religion, national origin, sexual orientation, gender identity, disability, veteran status, sex, or age.

For specific positions, additional compensation may be offered to candidates who are bilingual in English and another language deemed necessary for the role.

This position requires the employee to reside in the state of Texas.