Manager, Clinical Services (Utilization Management) in Roseland, NJ at Beacon Health Options

Date Posted: 3/29/2018

Job Snapshot

Job Description

ABOUT THE POSITION

We are currently seeking a dynamic Manager, Clinical Services – Utilization Management to join our team at our office in Roseland, NJ.  The Manager, Clinical Services - UM will be responsible for providing orientation, ongoing training, staff auditing, and coordination/oversight of the mental health and substance abuse service activities of the clinical and clinical support team members.

Position Responsibilities:

  • Maintains in-depth knowledge of mental health and substance abuse treatment and prevention techniques, criteria and guidelines.
  • Maintains in-depth knowledge of assigned contracts, benefits, work flows, contract requirements, performance guarantees, and applicable regulations and accreditation standards; provides oversight of standards compliance; and acts as a mentor to assigned staff on standards.
  • Assists with hiring, monitoring staff performance, and monitoring performance improvement actions as requested.
  • Facilitates implementation of department policies, procedures and protocols.
  • Oversees performance of clinical and clinical support staff by conducting staff audits, running and utilizing Telecom reports, assessing assigned performance measure data, and real-time mentoring.

Position Requirements:

Education: Commensurate with licensure. A Bachelor’s or Master’s degree in a clinical or behavioral health field is required.

Licensure:  Must be currently licensed in nursing or state MHSA professional clinical license (i.e. RN, LSW, LCSW, LPC, LMHC, Licensed Alcohol and Drug Counselor, etc.) to practice as a health professional in a state or territory of the United States; and with a scope of practice that is relevant to the clinical area(s) addressed in the initial review.

Relevant Work Experience:   Five years work experience in a mental health or substance abuse treatment setting. A minimum of one-year supervisory experience, preferably overseeing staff in a clinical setting and or managed care setting.

Knowledge, Skills & Abilities:

  • Analysis and problem solving
  • Interpersonal communication
  • Verbal and written communication

TO APPLY

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Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled