Florida Licensed Behavioral Health Director

A company is looking for a Senior Director, Behavioral Health Utilization Management.

Key Responsibilities

Leads and directs the behavioral health utilization management team to ensure appropriate member care

Develops and implements BH utilization management strategies and policies to enhance member care and operational efficiencies

Engages with senior leadership to integrate BH utilization processes and manage quality and risk management issues

Required Qualifications, Training, and Education

Graduate of an Accredited School of Nursing or Bachelor's degree with 10+ years of related experience, including prior management experience

5+ years of management experience preferred

Clinical license required (LCSW, LMHC, LPC, LMFT, or LMHP)

Expert knowledge of BH industry regulations, policies, and standards preferred

Advanced understanding of medical necessity criteria for a broad range of BH services preferred