Job Description
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
**Position Purpose:** Supervises the behavioral health (BH) utilization review clinicians to ensure appropriate care for members and supervises day-to-day activities of BH utilization management team.
+ Monitors behavioral health (BH) utilization review clinicians and ensures compliance with applicable guidelines
+ Monitors and tracks UM BH resources to ensure adherence to performance, quality, and efficiency standards
+ Works with BH utilization management team to resolve complex BH care member issues related to BH
+ Maintains knowledge of regulations, accreditation standards, and industry best practices related to BH utilization management
+ Works with BH utilization management ...
**Position Purpose:** Supervises the behavioral health (BH) utilization review clinicians to ensure appropriate care for members and supervises day-to-day activities of BH utilization management team.
+ Monitors behavioral health (BH) utilization review clinicians and ensures compliance with applicable guidelines
+ Monitors and tracks UM BH resources to ensure adherence to performance, quality, and efficiency standards
+ Works with BH utilization management team to resolve complex BH care member issues related to BH
+ Maintains knowledge of regulations, accreditation standards, and industry best practices related to BH utilization management
+ Works with BH utilization management ...
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