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Utilization Manager

Baton Rouge, LA

Post Date: 01/18/18 Job ID: 43653 Industry: Certified Nursing Assistant

This Fortune 500 client is a nation-wide leader in the healthcare services field and they pride themselves on their ability to provide a wide range of government sponsored healthcare programs; including a variety of insurance solutions. Currently, they are seeking a Utilization Manager to authorize and review utilization of mental health and substance abuse services provided in inpatient, outpatient, and intermediate care settings.

Position: Direct Hire

Location: Baton Rouge, LA

Similar Positions: Registered Nurse, Licensed Professional Counselor, Licensed Clinical Social Worker, Licensed Marriage and Family Therapist, Licensed Mental Health Counselor, Independent Mental Health Practitioner

Responsibilities of the Utilization Manager:
  • Provide and review intakes and initial evaluations for clients and provide rief focused treatment interventions
  • Monitor the quality of care the client is receiving and collect/analyze utilization and cost of care data
  • Assist with discharge planning and help arrange transportation if needed
  • Ensure compliance with all performance measures
  • Manage and coordinate follow-ups for clients, ensuring they are continuing care
  • Coordinate with treatment facilities to ensure clients are getting the best treatment possible
  • Track benefit usage and advise when exhaustion of benefits occurs

Requirements of the Utilization Manager:
  • Masters degree in Behavioral Health or Registered Nurse degree
  • Must have 3+ years of experience in a psychiatric and/or substance abuse health care setting
  • Must have utilization review experience and a strong understanding of procedures
  • License to practice independently required (LPC, LCSW, LMFT, LMHC, LIMHP, RN)
  • Applicants must be currently authorized to work in the United States on full-time basis

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