About this role

Assist UM leadership in leading and managing all functions within behavioral health management
Collaborate with market and enterprise leaders to support development and knowledge transfer for Behavioral Health UM
Monitor effective use of prior authorizations, policies, and benefits
Facilitate and promote problem identification, analysis, and resolution
Ensure Behavioral Health UM programs and operational processes are properly developed and aligned to the organization’s strategic goals
Identify and report risk management issues for the department and CareSource as a whole

Bachelor’s degree in nursing or related field required or equivalent years of relevant experience required
Minimum of five (5) years of experience in utilization management in an MCO required
Minimum of three (3) years management experience required
Proficiency in Microsoft Office products including Word, Excel and PowerPoint
Clinical data analysis and trending skills
Knowledge of trends in healthcare, managed care, Medicaid, behavioral health, and quality improvement

Associate Director, Utilization Management – Behavioral Health

Key skills