Utilization Manager

integratedliving Australia Ltd; Pennsylvania; On-site; USD 68,000 - 87,000; Full time

Job summary

Join a dedicated team at a leading provider of behavioral health services in Travis County. This full-time position focuses on utilization management, conducting reviews, and ensuring compliance with various contracts. You will play a crucial role in answering crisis calls and providing support to individuals in need. An inclusive workplace that values diversity and fosters a trauma-sensitive environment awaits you. If you are passionate about making a difference in the lives of those with mental health challenges, this is the perfect opportunity for you to thrive and grow in your career.

Benefits

Medical, Dental and Vision insurance

Generous vacation/holiday/sick leave

Life and Disability Insurance

Employee Assistance Program (EAP)

403(b) retirement account

Gold's gym membership discount

Qualifications

• Master's degree in relevant field required.
• Current Texas state licensure (RN, LCSW, LPC, etc.) required.

Responsibilities

• Conduct utilization reviews and grant authorizations.
• Answer crisis calls and maintain compliance with contracts.

Skills

Utilization Management

Crisis Management

Data Entry

Communication Skills

Education

Master's degree in Psychology

Master's degree in Counseling

Master's degree in 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 contracted 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 be committed to fostering an open, inclusive, and supportive environment that welcomes and embraces diversity in all forms. Integral Care defines diversity broadly to include race, ethnicity, abilities (mental/physical), gender, gender identity, immigrant status, language, religion, sexual orientation, socioeconomic status, veteran status, age, and other groups.

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, 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: $68,037.84 - $86,741.20 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

Integral Care strives to maintain a diverse workforce. We encourage all to apply, including those who have knowledge and/or experience working with underserved populations, including Asian and Pacific Islander, Black/African American, Hispanic/Latino, and LGBTQA communities.

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 available to those who are bilingual in both English and one of the following languages: Spanish, Chinese, Vietnamese, Korean, or Burmese. (PM16)