A company is looking for a Utilization Management (UM) Specialist Behavioral Health (BH).
Key Responsibilities
Conduct concurrent utilization management activities for a defined patient population
Facilitate optimal reimbursement through accurate certification and complete chart documentation
Participate in a collaborative team approach while working independently with healthcare staff and management
Required Qualifications
Master's degree in social work, psychology, or a counseling-related field (MSW, MS, MA) required
Current certificate or WA state licensure as LICSW, LMHC, Licensed Psychologist, or Certified Alcohol and Drug Abuse Counselor
Two years of related experience in Mental Health, BH Case Management, and / or substance abuse treatment
Experience with prior authorization and utilization review preferred
Specialist Washington • Lexington, Kentucky, United States