Utilization Management Behavioral Health Professional

Job description

Become a part of our caring community Job Description Summary: The Utilization Management Behavioral Health Professional utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. This position will report to the Manager Care Management and be part of the Behavioral Health CM Team. In this role you will: •Apply clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members. •Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment. •Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. •Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direct...