Supervisor, Clinical Services (UM) in Roseland, NJ at Beacon Health Options

Date Posted: 5/19/2018

Job Snapshot

Job Description

ABOUT THE POSITION

We are currently seeking a dynamic Supervisor, Clinical Services – Utilization Management to join our team at our office in Mt. Laurel, NJ.  The Supervisor, Clinical Services - UM will be responsible for efficient clinical and administrative coordination and effective daily work production of all assigned care management staff activities.

Position Responsibilities:

  • Evaluate clinical appropriateness of treatment using professional knowledge within Beacon Clinical Policy and Procedures and Benefit Plan requirements. Clinical Supervisors for field care and utilization review render authorization decisions or refer for decisions of medical necessity non-authorization.
  • Serves as an immediate resource to assigned care management staff to assist in problem solving as questions and issues arise.
  • Distributes workload and assumes responsibility for scheduling and daily clinical oversight of assigned care management staff, including completing and maintaining accurate unit and individual statistical reporting requirements to meet quantitative and qualitative performance standards.
  • Collect, maintain and report on individual and team performance related data. Monitor call productivity and complete phone and chart audits for quality management, completion of performance standards, on-going staff development and annual performance appraisals. Complete Performance Improvement Plan reviews and documentation when required.
  • Coordinates and provides training to new and existing staff as needed to support successful completion of assigned job responsibilities.

Position Requirements:

Education: Master’s degree in a mental health related discipline or RN (BSN Preferred) with psychiatric experience required

Licensure:  Current valid and unrestricted license in NJ in a mental health field (RN, Ph.D, LMSW/LCSW, MHC, LLP, LPC, etc.)

Relevant Work Experience:   3 years of psychiatric and substance abuse experience is required. 1 -3 years care management and/or supervisory experience are preferred

Knowledge, Skills & Abilities:

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

TO APPLY

Click below on “Apply for this Position” to create a profile and apply for the position

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