Utilization Management Behavioral Health Professional Jobs in Texas

Two or more years of behavioral health experience.

Strong problem solving skills and decision making skills.

This position requires residency in the state of North Carolina.

Current active professional licensure required in North Carolina: LCMHC, LCSW, RN

Proficiency in Microsoft Office, including Word, Excel and Outlook is required.

Ability to communicate in a positive/professional manner both orally and written.

Coordinate utilization management reviews for all assigned inpatient, partial hospitalization and intensive outpatient program patients.

Coordinates closely with Director of Utilization Management, Nursing and Clinical Services.

Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies.

Obtains authorizations for services, coordinates peer-to-peer reviews for assigned caseload.

Understands medical necessity criteria and facilitates accurate and timely documentation to support advocacy of services.

Master’s Degree in Social Work, Marriage and Family Therapy or Counseling from an accredited school or BSN, RN