Utilization Manager Clinician

This FULL-TIME position is responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review, and related duties as assigned.RequirementsUses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract.Performs psychiatric and substance abuse or substance abuse disorder assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes to optimize member health benefits and to promote effective use of health benefits and community resources.Assists with more complex cases and may participate in inter and intradepartmental teams projects and initiatives.Benefits19 days of PTO12 paid holidays, 13 paid holidays during election yearsMerit / COLA increasesFlex time allowed, during the same weekMedical, dental and vision insuranceMedical and dependent flexible spending accountPet insuranceMass transportation benefit for the Maryland and Washington, D.C. area401k with a generous employer matchEasy to use employee self-serve HR portalOriginally posted on Himalayas